Medical Insurance Adjuster jobs

INTERMEDIATE CLAIMS ADJUSTER

Term Role: 12 months

Apply today and you’ll be joining a team of employees that have described Wynward as refreshing, progressive, innovative, and with an engaging team-first environment.

Wynward Insurance Group offers:

• Competitive salary
• A contribution matching pension plan
• Exceptional benefits package, including health, dental, wellness program, health spending account, etc.
• Educational reimbursement plan and continued training and development opportunities
• Hybrid work
• Professional memberships and dues covered by Wynward
• Wynward Gear
• Casual dress code

Description:

We are looking to add a term Intermediate Claims Adjuster to our Claims team. This person will be responsible for the investigation and adjusting of commercial property claims. It is important for the successful candidate to be customer focused, resourceful, and an independent self-starter, with availability to travel extensively within the assigned region.

The position can be tailored to include liability claims if the successful candidate has the appropriate experience and background.

Responsibilities:

• Investigate scope, confirm coverage, negotiate settlement and recovery, and conduct reporting and documentation on a task assignment basis for substantial and complex claims in accordance with established guidelines.
• Conduct field investigations of claims through contact with insurers, claimants, witnesses, other carriers, physicians, contractors, lawyers, etc.
• Secure loss location and evidence.
• Evaluate, analyze and interpret policy wordings, including recognizing policy exclusions, in order to assist with the determination of coverage applicable to the loss.
• Determine and obtain the type of required documentation necessary to support claims in accordance with company policy, as well as federal, provincial, and local regulations.
• Ensure the accurate and efficient payment of claims in accordance with legislative requirements.
• Review available information and assist with the recommendation of appropriate reserves, payments or recovery, negotiation, or declination.
• Develop relationships and work with other departments such as underwriting in order to meet business goals. This includes sending emails to underwriting notifying them of potential risks/hazards.
• Understand and apply standard operating procedures towards compliance, internal control and operational risk controls in accordance to national standards and regulatory standards and policies.
• Mentor and train less experienced claims and support staff.
• Assist in the development and implementation of training programs
• Participate in the training and development of other claims staff members, and provide technical expertise and advice regarding products, systems, and processes.

Qualifications:

• Minimum 5 years of relevant experience handling commercial property and liability claims
• Completion of or working toward CIP or CRM designations.
• University or College Degree, preferably in a business discipline, is an asset
• Strong analytical, assessment, decision-making, and organizational skills
• Familiar with Windows and Microsoft 365 software
• Ability to balance investigative requirements with customer service expectations
• Excellent oral and written communication skills
• Valid driver’s license and an excellent driving record.
• Must be self-motivated, team player with a positive attitude

Wynward Insurance Group prides itself in creating and fostering a workplace culture that is collaborative and rooted in the principles of integrity, passion, and hard work.

Founded in 1920, Wynward Insurance Group is a progressive company known for developing innovative insurance products and services. We are proud to be 100% Canadian owned, conducting business in all provinces and territories. Our head office is located in Winnipeg, MB and there are additional offices in Halifax and London.

To learn more about our award-winning organization, please visit www.wynward.com

Benefits:

• Casual dress
• Company events
• Dental care
• Employee assistance program
• Extended health care
• Paid time off
• Vision care
• Wellness program

Application question(s):

• Have you completed or are you working toward your CIP or CRM?
• Are you able to report to our office in Winnipeg, MB?

Experience:

• Commercial Property & Liability: 5 years (preferred)

Work Location: Hybrid remote in Canada