TPA Examiner – Liability
The mission of SIAdvisers Consulting & Solutions is to provide its clients with the highest-quality claims management services available in the industry. Recognized as a premier firm, we continue to strengthen our position as a national leader in the field of claims management services. Our commitment to this mission is demonstrated by our ongoing efforts to:
- Provide superior and consistent products and services through SIA’s network of employees across Canada.
- Diligently address the needs of our clients.
- Offer customized services, as required, to meet the individual demands of our clients.
- Provide fair and competitive pricing for the products and services offered.
- Establish and maintain partnerships with our clients to foster long-term relationships.
- Continue to prioritize excellence at all levels of our organization and reinforce our role as a national leader in claims management services.
Responsibilities
- Claims Analysis: Examine complex insurance claims (residential, commercial, equipment, cargo).
- Evaluation: Calculate losses and verify compliance with insurance policies.
- Settlement: Direct independent adjusters in the negotiation of settlements and manage payments.
- Collaboration: Work with stakeholders to ensure client satisfaction.
- Reporting: Prepare clear reports and provide recommendations.
Supervision:
- Mentor and train junior examiners.
- Analysis and Compliance: Review entries and ensure adherence to standards.
- File Management: Manage client files from initial intake to final presentation.
- Consulting: Provide recommendations for process improvements.
- Claims Review: Analyze and review liability claims.
Investigations:
Direct independent adjusters in their investigations and settlement negotiations; for litigious files, collaborate with legal counsel and participate in settlement conferences.
Relationships and Compliance:
- Maintain professional relationships and ensure legal compliance.
- 10 years of experience in liability claims adjusting.
- Valid AMF license (claims adjuster).
- Solid experience in claims handling and third-party administration.
- Proficiency with insurance policies (commercial and personal lines).
- Ability to formulate recommendations for the Lloyd’s market.
- Excellent organizational and communication skills.
- Team-oriented with a strong focus on customer service.
- Proficiency in Microsoft Office tools.
Compensation:
- Competitive compensation package
- Benefits plan (health insurance)
- Retirement plan
- Flexible work environment
- Reimbursement for training expenses
Benefits:
- Dental insurance
- Supplementary health insurance
- Vision insurance
- Paid time off
- Retirement plan
- Work-from-home option
- Job location: Remote (telework)
Pay: $50,000.00-$75,000.00 per year
Benefits:
- Casual dress
- Company pension
- Dental care
- Extended health care
- Paid time off
- Tuition reimbursement
- Vision care
- Work from home
Work Location: Remote
