Fraud Triage Specialist responsible for identifying fraud indicators in insurance claims. Analyzing information and collaborating with investigative teams within the Claims department.
About the role
- Field Claims Adjuster managing claims while ensuring business development in the Victoria area. Provide high-level customer service and adjust claims effectively within a hybrid environment.
Responsibilities
- Actively adjusts claims while ensuring business development opportunities are maximized.
- Prompt contact and follow up with policy holders and claimants.
- Investigate the cause and report to clients with solid recommendations.
- Using supplied technology (e.g., Docusketch.), scope and establish quantum of damages.
- Identify exposures, recommend reserves, recommend investigation required for exposure, prepare action plans, and negotiate fair and satisfactory settlements.
- Provide high level of customer service to clients and the insured throughout the claims process.
- Participate and share ownership and responsibility for afterhours customer service requirements when required.
- Perform duties assigned in compliance with established work standards, policies and procedures.
Requirements
- Completion of high school education; University degree or post-secondary education related to insurance will be given preference.
- Proficient in use of Microsoft Office Products (Outlook, Word, Excel, OneDrive).
- At least 3 years of relevant experience in multi-line claims adjusting.
- The ideal candidate must be able to immediately qualify for a BC adjuster's license.
- Ongoing commitment to education and learning, preferably pursuing CIP designation as well.
- Effective analytical skills, including identification of cause-and-effect dynamics.
- Able to draw valid conclusions and effectively communicate them.
- Ability to interpret complex documents of a legal nature, perform and understand advanced numerical calculations including analysis of comparative information.
- Excellent communication skills, including listening, interviewing, negotiating, must be able to flex style appropriate to audience.
- Proactive and positive approach to customer service ensuring that all inquiries are effectively dealt with in a timely manner.
- Strong interpersonal skills allowing you to effectively deal with conflict and difficult situations.
Benefits
- Competitive pay: $80,300-$111,500 per year
- Pay-for-Performance Incentives
- Work-Life Balance & Hybrid/Remote Work Opportunities
- E-flex Benefits Program & Wellness Initiatives
- Registered Retirement Savings Plan (RRSP) with 2% Match
- Training, Career Development, and Employee Recognition Programs
- Reimbursement for Adjusting Licenses and Dues
- Employee Referral Bonuses
- Employee Perks (access to vendor discount programs)
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