07 May
|
Halifax Regional Municipality
|
Halifax Regional Municipality
07 May
Halifax Regional Municipality
Halifax Regional Municipality
Apply on Kit Job: kitjob.ca/job/2k5nos
11321BR Claims Officer Job Posting Halifax Regional Municipality is inviting applications for the permanent position of Claims Officer in Legal, Risk & Insurance Services.
Halifax Regional Municipality (HRM) is committed to reflecting the community it serves and recognizing Diversity and Inclusion as one of the Municipalitys core values.
We have an Employment Equity Policy and we welcome applications from African Nova Scotians and Other Racially Visible Persons, Women in occupations or positions where they are underrepresented in the workforce, Indigenous/Aboriginal People, Persons with Disabilities and 2SLGBTQ+ Persons.
Applicants are encouraged to self-identify on their electronic application.
Under the direction of the Chief Risk Officer, Manager of Risk and Insurance Services, the Claims Officer is responsible for adjusting complex property and bodily injury and accident benefits claims to determine the merit of the claim based on Halifax Regional Municipality (HRM) self-insurance and insurance policies.
The Claims Officer is primarily responsible for scene investigations, interviews and statements from claimants, staff and witnesses, as required, to determine liability.
The Claims Officer is also responsible for ensuring the adequacy of the reserve to ensure that claims are escalated to Legal and/or insurance companies as may be required.
Reserving and payment practices will be within the best practices and industry guidelines for insurance adjusters. DUTIES AND RESPONSIBILITIES: Review and analyze coverage and apply policy conditions, provisions, exclusions, and endorsements for the adjustment of claims.
Verify the benefits available, the injured party''s eligibility and the applicable limits.
Address proper application of any collateral advantages, coverage limits, etc.
Confirm priority of payments as may be applicable.
Adjust each claim to obtain relevant facts necessary to determine coverage, causation/injury, medical necessity, treatment plan, other losses, and exposure, through prompt contact with appropriate parties.
Take recorded or written statements as necessary.
Proactively manage medical treatment based on the nature and extent of injury, mechanism of injury, type of treatment received or anticipated, and wage loss, utilize experts and/or medical resources as deemed necessary.
Proactively manage the process to ensure proper payment, (i.e.,
review invoices and medical records for appropriateness of billing/fees and the services rendered to ensure that all records have a determination of medical necessity and causal relationship to the loss).
Establish appropriate and timely reserves and maintain appropriate loss and expense reserves to reflect the overall claim exposure.
Negotiate settlements with nominal direction within delegated authorities and prepare all necessary approval reports in accordance with the appropriate Administrative Order.
Manage file inventory and reserves by utilizing an effective diary system and document claim file activities to resolve claims in a timely manner.
Determine settlement amounts, negotiate, and convey claim settlements within approved authority.
Handle litigated files on appropriately assigned cases directly with claimant solicitors or provide direction to defence counsel.
Maintain organized records and documentation of all claims and communications within the claims management system Communicate effectively with clients, medical professionals, and legal representatives to facilitate the claims process.
Respond to client and customer inquiries promptly, within 24 hours.
Attend arbitrations or other meetings as a witness, when appropriate, necessary, and required.
Provide reports and recommendations to stakeholders on improvements to processes to prevent claims from occurring Escalate claims to Manager or broker to ensure that reporting requirements are met.
Perform other duties as assigned. QUALIFICATIONS: Education & Experience: Post-secondary degree in Business Administration or related degree.
Minimum five (5) years experience in the insurance industry involving the adjusting and processing of claims with a significant exposure related to bodily injury claims and Accident Benefits claims. A minimum of five (5) years experience using SAP, iVos or other claims management software and Hansen systems Associate of the Insurance Institute AIIC or Chartered Insurance Professional designation (CIP).
Valid Nova Scotia Class 5 Drivers License and ability to use personal vehicle in accordance with HRM Local Travel Procedures.
Technical/Job Specific Knowledge and Abilities: Knowledge of various statutes including Insurance Act of Nova Scotia, Occupiers Liability Act, Motor Vehicle Act, Halifax Regional Municipality Charter, Volunteer Protection Act and any other legislation related to the job function.
Knowledge and adherence to ethical standards relating to the legal and adjusting professions.
Extensive knowledge of insurance wordings, interpretations, and coverage of property and casualty insurance including both commercial and personal lines of insurance.
Proficient in the use of computer software in a Windows environment, including SAP and MS Office An equivalent combination of education and experience may be considered.
Applicants relying on education and experience equivalencies must clearly demonstrate such equivalencies in their application.
Security Clearance Requirements: Applicants may be required to complete an employment security screening check.
Please note Testing may be conducted as a component of the selection process to assess technical and job specific knowledge.
Candidates who are selected for testing, may be tested in a group setting, scheduled at the employers discretion. COMPETENCIES: Valuing Diversity, Analytical Thinking, Conflict Management, Decision Making, Risk Management, Teamwork & Cooperation, Organizational Awareness, Values & Ethics, Communications, Customer Service WORK STATUS: Permanent, Full-Time HOURS OF WORK: Monday Friday, 35 hours per week.
May require some overtime based on operational requirements SALARY: Non-Union NU06 ($72,370 - $93,650).
Salary will be determined based on relevant experience and qualifications related to the specified pay band and job.
Placement above the midpoint of the pay band is typically reserved for candidates who significantly exceed the minimum qualifications, such as those with exceptional experience, specialized skills, or demonstrated achievements relevant to the role.
This ensures fair and consistent compensation practices across the organization. WORK LOCATION: 1809 Barrington Street, CIBC Building, 7th Floor, Halifax, NS B3J 1X7. CLOSING DATE: Applications will be received up to 11:59 PM on
Sunday, May 10, 2026.
Apply on Kit Job: kitjob.ca/job/2k5nos
📌 Claims Officer (Halifax Regional Municipality)
🏢 Halifax Regional Municipality
📍 Halifax Regional Municipality