Claims Adjuster – Automobile

With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us.

At the OTIP Group of Companies (OGC), we believe that something special happens when employees feel valued forthe work they do, supportedasthe people they are, and included in thevery fabric of the organization: they bringtheirbestto work every day. And that's why we mean itwhen wesay we put our people at the centreofeverything we do. Join us as we grow our way into a future that reimagines what it means to deliver meaningful benefits support and service.

What You’ll Do:

Reporting to the Manager, National Auto Claims, you’ll be responsible for serving the members through the investigation and settlement of minor to moderate automobile claims. This includes establishing prompt relationships with insured members, detailed investigation of coverage, liability and quantum ensuring fiduciary, regulatory and contractual compliance, and adhering to organization service standards, operational targets and core competencies.

The core parts of your role will be to:

• Delivers a superior customer experience which includes responding to all general inquires, initiating and maintain contact with insured members, and assists with commodity claims overflow.
• Responsible for confirming coverage for incoming claims by reviewing and compiling facts, obtaining technical reports from various parties as required, completing contractual auto coverage analysis and assessing quantum, reviewing subrogation opportunities, negotiating and resolving automobile insurance claims of minor to moderate nature in a timely manner.
• Coordinates, directs and follows up on work activities performed by outside service providers to completion.
• Responsible to ensure all correspondence is completed in a time efficient/effective manner including the creation of Critical Path, Proof of Loss, waivers and reservation rights letters.
• Gathers information from insured members, civil authorities, police, witnesses and other insurers to complete a timely investigation of the motor vehicle accident.
• Maintains quality service and adheres to organizational standards to deal with all aspects of file handling including reserving, expense and loss control, questionable claims, and creating defined disposition plans for future handling leading to file closure.
• Assists and participates in all dispute forums related to policy coverage on behalf of key stakeholders. Provides support and assembles documentation on items in dispute along with resolution recommendations.
• Keeps claims information confidential to protect operations and insured members.
• Responsible for data integrity, issuance of payments to vendors, insureds and experts and to maintain well-organized claim file while ensuring accuracy of data input.
• Adheres to partner's guidelines, contracts, and insurance regulations to ensure legal and regulatory compliance.
• Actively participates in coaching and training sessions and collaborate with team members and management.
• Takes an active role in creating an environment of continuous improvement of work efficiencies and highlight value work.
• Performs other duties within competence, as assigned.

Let’s Talk About You:

This is the unique blend of skills and experience we would love to see in an ideal candidate:

Qualifications:

• A post-secondary education and/or college diploma within related field.
• CIP designation or working towards designation.
• Provincial adjusters license as required;
  Ability to acquire same.
• 2+ years’ experience with a good understanding of the automobile policy.
• Excellent communication skills verbal and written to effectively work with internal and external stakeholders.
• Strong time management and organizational skills to manage competing priorities.
• Current Microsoft Office working knowledge.
• Ability to learn and adapt in a fast-pace environment including working with various computer programs, databases and software.
• Ability to work independently and as part of collaborative team environment.

Working Conditions:

• Hybrid work environment.
• May be…