By design, Heather Cox & Associates is a boutique insurance search firm. We are ambassadors to the insurance industry, linking Talent to Opportunity.

AB ADJUSTER     

Responsibilities:

• Analyze first report to determine nature of loss, coverage provided and scope of injury/damage.
• Conduct investigations of all aspects of reported claims, including securing all supporting documentation and verify same for accuracy, relationship and completeness.
• Analyze medical, financial and other documentation to assess its impact on coverage and available benefits under the policy, and generally its impact on the claim.
• Adhere to all statutory regulations and claims handling procedures and standards.
• Establish accurate and timely reserves. Continuous monitoring to ensure reserve accuracy.
• Seek technical assistance in handling claims exceeding delegated authority.
• Maintain and monitor an active diary to record timely development of the file and timely disposition of the claim.
• Promptly and properly document all developments in claim file.
• Exercise good judgment in reaching final disposition of claim by evaluating nature of loss, damage, coverage provided and applicable limits.
• Effectively negotiate compromise settlements where appropriate.
• Effectively communicate with the Underwriting Departments, brokers, claimants, policyholders and other related parties.
• Recognize and pursue loss transfer claims where applicable.
• Effectively control the use, work product, and expenses of outside vendors.
• Participate in mediation and arbitration proceedings.

Qualifications:

• 2-3 years’ experience handling Ontario Bill 59 and Bill 198 Accident Benefit claims.
• Experience handling CAH claims is preferred.
• High level of initiative and desire to learn.
• Proven customer service skills.
• Assertiveness, confidence and proven teamwork skills.
• Excellent written and verbal communication skills.
• Excellent time management and organizational skills.
• Strong negotiation skills.
• Ability and comfort in working independently and in a team environment

To apply for this opportunity please submit your resume to the attention of Rudy Dabideen via e-mail: resumes_hcox@bellnet.ca.   Phone: (416) 935-0975

We thank all applicants for their interest, however, only candidates selected for an interview will be contacted.