Senior Casualty Claims Representative - Auto

Thunder Bay, Ontario, ca
Company: Wawanesa Insurance
Published on 2021-04-24 22:30:32

Job Overview

The Senior Casualty Claims Representative contributes to Wawanesa’s goal of delivering an exceptional and consistent claims service experience through the fair and equitable adjustment of large and complex Auto Bodily Injury Liability Claims

Job Responsibilities

  • Provide exceptional customer service to our customers, brokers and preferred partners
  • Handle single and multi-party, large and complex Auto Bodily Injury Liability Claims (Personal and Commercial Lines)
  • Interpret policy wordings, determine claim coverage and collaborate with Underwriting as required
  • Ensure early and appropriate liability investigation by proactively gathering facts from various sources
  • Request and evaluate relevant information from sources such as claimants, plaintiff counsel, defense counsel, third party adjusters, independent adjusters, experts, appraisers, and other parties, in order to assess exposure, quantify the loss and achieve a fair and reasonable claim resolution
  • Through proactive claims handling, ensure early exposure identification and establishment of reserves
  • Negotiate settlement with claimants, lawyers and other insurers by establishing proactive negotiation strategy
  • Ensure detailed and timely claim documentation based on company standards and policies within the claims system
  • Maintain file litigation strategy and collaborate with legal partners
  • Attend mediations, court proceedings and other dispute resolution processes, as required
  • Remain up-to-date with legislative changes and trends in the insurance industry and apply to claims handling/defense strategies
  • Provide ongoing technical advice and guidance to junior claims representatives
  • Contribute to overall Claims strategy initiatives and implementation
  • Perform other duties as assigned
  • Qualifications

  • Minimum of 5 years of progressive Casualty claims handling experience, with advanced knowledge of Auto Bodily Injury Liability Claims (Personal and Commercial Lines)
  • Obtained or working toward Chartered Insurance Professional (CIP) Designation and a desire to continue relevant industry education (FCIP, CRM, etc.)
  • College/University degree preferred
  • Excellent customer service skills including patience, empathy and concern for our customers along with the ability to understand customer needs while meeting established quality service standards
  • Expert knowledge of coverage wordings, policy interpretation, case law, legislation, and insurance regulations
  • Expert investigative, analytical and problem-solving skills, with the ability to conduct detailed analysis of information, and to select and implement best solutions in a timely manner
  • Excellent communication skills, both written and oral
  • Excellent negotiation skills
  • Excellent knowledge of medical and legal terminology
  • Remain up-to-date with legislative changes and trends in the insurance industry and apply to claims handling/defence strategies
  • Ability to coach, guide, and positively motivate employees
  • Excellent teamwork skills, with the ability to ensure group objectives are met
  • Highly proficient time management and organizational skills with the ability to prioritize work in a fast paced and continuous improvement environment
  • Detail oriented with a critical degree of accuracy regarding data interpretation and efficiency in Microsoft Office Suite
  • Contribute to overall Casualty Claims strategy initiatives and implementation
  • Exposure to the Guidewire Insurance Suite Products is an asset
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