(*) Commercial National Programs Claims Examiner - Level 3

Wawanesa Insurance

• $75K — $87K *
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 2-5 years of experience in commercial and property insurance adjusting, including litigation and large loss.
  • Proficiency in interpreting and quantifying property damage estimates.
  • Strong demonstrated customer service skills with stakeholder management on medium to complex claims.
  • Excellent verbal and written communication capabilities.
  • Solid investigative and analytical skills with attention to detail.
  • Strong problem-solving and critical thinking abilities.
  • Experience in negotiating and effectively communicating decisions to stakeholders.

Responsibilities

  • Ensure timely and proactive communication across multiple channels regarding claims.
  • Adjust moderate to high complexity Commercial National Program property claims.
  • Review policy wordings and determine coverage while communicating with stakeholders.
  • Establish accurate loss and expense reserves throughout the claim process.
  • Conduct thorough investigations to determine coverages and liability, collecting evidence for recovery efforts.
  • Coordinate services with independent adjusters and vendors as necessary.
  • Negotiate and convey claim settlements while prioritizing exceptional customer service.

Benefits

  • Eligible for an annual bonus plan.
  • Generous vacation time and personal days.
  • Premium-free benefits provided to employees.
  • Access to a pension plan.
  • Opportunity to work in a flexible hybrid environment.
Full Job Description
Job ID: 10200

Employment Type: Existing Role

Work Environment: We offer a hybrid work environment that offers flexibility to our employees in balancing in-office (2 days per week OR 15 hours per week in a Wawanesa office) and remote work. You may work from any of the following locations: Winnipeg, MB; Wawanesa, MB; Vancouver, BC; Calgary, AB; Edmonton, AB; Lethbridge, AB; Toronto (North York), ON; Kitchener, ON; Ottawa, ON; Moncton, NB; Dartmouth; NS.

Working Business Language: English

Salary: At Wawanesa, salary is only one component of a holistic, comprehensive and competitive offering that we provide to our employees. In addition to salary, full-time and part-time permanent employees are eligible for an annual bonus plan, leave of absence top-up programs and provided with generous vacation time, personal days, premium free benefits and pension plan.

The salary offered for this role is determined with consideration to various factors, including but not limited to: your work location, local labour market conditions, external market salary data, internal pay equity and the knowledge, skills, experience and anticipated proficiency in the role. The salary range for this role is: $75,000 - 87,000. Candidates with salary expectations outside of the range are still encouraged to apply.

Job Overview

The Commercial National Programs Adjuster contributes to Wawanesa's goals of delivering an exceptional and consistent claims experience through the fair and equitable adjustment of moderate to high complexity property claims. This role is responsible for applying and explaining policy coverages and documenting claim files. The role is accountable for providing timely service and prompt management of your claims from initial report to conclusion.

Job Responsibilities
  • Ensure timely and proactive communication, through voice to voice, digital and written correspondence, ensuring that all inquiries are effectively dealt with in a timely and professional manner.
  • Adjustment of Commercial National Program property claims of moderate to high complexity.
  • Review and interpret policy wordings, determine policy coverage, and effectively communicate with independent adjusters, brokers and other external stakeholders.
  • Establish timely and accurate loss and expense reserves through the life of the claim through evaluation of relevant information from sources such as appraisers, independent adjusters, and contractors.
  • Ensure a comprehensive investigation is conducted on all files to determine coverages and liability, while adhering to Wawanesa's adjusting guidelines, and recognizing when to engage appropriate internal and external resources. Collect evidence to support recovery efforts.
  • Coordinate and manage services with independent adjusters, vendors and External stakeholders, as required. contractors.
  • Negotiating and conveying claim settlements within authority limits. Communicating claim decisions promptly and effectively, while still delivering exceptional customer service.
  • Maintain an effective and current diary system and document claim file activities in accordance with established procedures.
  • Demonstrating and maintaining knowledge and understanding of policy coverages, while complying with regional regulatory and licensing requirements (as applicable). Remaining current with legislative changes and trends in the insurance industry.
  • Demonstrating proficient skills to review repair estimates and scopes.


Qualifications

  • 2-5 years of commercial and property insurance adjusting, including litigation and large loss.
  • Ability to interpret and quantify property damage estimates.
  • Demonstrated excellent customer service and stakeholder management on medium to complex claims.
  • Demonstrated ability to act as an organizational representative to external stakeholders.
  • Excellent communication skills; listening, written, and spoken.
  • Excellent investigative and analytical skills.
  • Strong problem solving and critical thinking skills.
  • Demonstrated decision making with a strong ability to effectively communicate them to multiple stakeholders.
  • Detail oriented with a high degree of accuracy regarding data entry.
  • Excellent time management and organizational skills.
  • Good negotiation, decision making and critical thinking skills as well as a willingness to improve.
  • Strong teamwork skills with the ability to collaborate with others.
  • Post-secondary degree is preferred.
  • Working toward or obtained Chartered Insurance Professional (CIP) designation a strong asset.
  • Bilingualism in French and English a strong asset.


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