04 Sep
|
Jobtailor
|
Alberta
Job Responsibilities Investigate automobile bodily injury claims to support prompt, fair resolution
Make independent decisions, assess risk, think critically, and prioritize effectively
Review and analyze medical records, police reports, expert reports, and other documentation
Represent the company in negotiations and settlements with third parties, claimants, and legal counsel
Manage claims through litigation where required
Maintain complete, accurate, and timely claim file documentation
Set, review, and manage loss and expense reserves
Evaluate settlement criteria and authorize payments according to policy, legislation, authority levels, and best practices
Communicate professionally and empathetically with customers, brokers, service providers, lawyers, healthcare professionals, and other stakeholders
Collaborate with Claims Assignment, Collections, Underwriting, Appraisal, Legal, and other internal departments
Manage a high-volume workload while maintaining quality, accuracy, service standards, and urgency
Transition to the Care First Team with a health- and recovery-focused approach
Assess eligibility and entitlement for accident benefits using policy provisions, legislation, medical information, and evidence
Review medical information and medical terminology related to injuries, treatment needs, functional limitations, and recovery goals
Support injured customers through complex situations and help them navigate recovery
Collaborate with healthcare providers, rehabilitation professionals, employers, legal representatives, and other recovery stakeholders
Identify opportunities for early intervention and appropriate support
Develop technical knowledge through training, coaching, feedback, and professional development
Requirements Minimum of two years of experience handling casualty claims, preferably involving automobile bodily injury
CIP designation preferred,
or demonstrated commitment to pursuing one
Post-secondary education in a health-related discipline, insurance, business, or related field is an asset
Experience with medical terminology or in a healthcare, rehabilitation, disability, or medical setting is an asset
Strong written and verbal communication skills
Robust investigative, analytical, and critical-thinking skills
Ability to make well-reasoned, evidence-based decisions using medical, policy, and claim-related information
Strong negotiation and conflict-resolution skills
Ability to de-escalate difficult conversations and remain calm and professional in stressful situations
Strong system navigation skills and ability to use technology efficiently in a high-volume environment
Growth-oriented attitude and openness to coaching, feedback, continued learning, and changing business processes
Candidates must be eligible to work in Canada from the anticipated start date and throughout employment
Core Competencies Demonstrates expertise in investigating automobile bodily injury claims, managing high-volume workloads, and effectively communicating with various stakeholders. Proficient in analyzing medical records and applying policy provisions to support fair claim resolutions.
Highest-signal resume keywords Automobile Bodily Injury Claims Handling
CIP Designation
Medical Terminology Proficiency
Negotiation and Conflict Resolution
Analytical and Critical Thinking Skills
Hard Skills Claims Management
Risk Assessment
Evidence-Based Decision Making
Settlement Evaluation
Documentation Management
Soft Skills Strong Communication Skills
Empathy
Problem-Solving
Stress Management
Growth-Oriented Attitude
Certifications & Qualifications CIP Designation
Industry Keywords Casualty Claims
Healthcare
Rehabilitation
Disability
Insurance
Tools & Technologies Claims Assignment Systems
Technology Proficiency
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📌 Casualty Claims Adjuster II (Alberta)
🏢 Jobtailor
📍 Alberta