Claims Examiner

• Review all aspects of an insurance claim investigation;
• Provide investigation instructions to independent adjusters;
• Review/examine independent adjusters’ reports and supporting documentation to determine policy coverage, and damages;
• Ensure accuracy of reserves and provide reserve recommendations consistent with corporate policies;
• Maintain reporting requirements to our carriers;
• Ensure that claims are valid and that settlements are made according to company practices and procedures;
• Pay and process claims within authority level;
• Maintain and manage claim files with all documentation, correspondence, diaries, and file notes;
• Conduct detailed bill reviews to implement sound file management and expense control;
• Confer with lawyers on files in litigation; role may require attendance and possible travel to mediations.
• Achieve performance targets.
• Promote and model Forward culture, values and brand promise.
• Other duties as required.

Job Qualifications

• Minimum 3 – 5 years insurance claims experience;
• CIP (or working towards it); and/or post-secondary education;
• Experience managing a file from intake to resolution;
• Strong attention to detail;
• Ability to communicate effectively and professionally in verbal and written communication;
• Computer competencies / high proficiency with MS Office.
• Ability to multi-task and prioritize tasks in a busy environment;

Education & Experience

Preference given to applicants with claims, underwriter, broker, or other industry experience and /or education (CAIB, CIP or other relevant designations)