Claims Adjuster, Medical Only - DGA Careers
  • N/A, Peel Regional District, ON; Ontario, Canada
  • via Jooble....
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Job Description

This position is responsible for investigating, negotiating and settling serious CGL and bodily injury claims. The adjuster will be responsible for direct file handling and communication with all involved parties. Title : Claims Adjuster, CGL and BI Location : Mississauga (hybrid, 1 day per week in the office) Responsibilities Confirm valid coverage Fully investigate liability losses Fully investigate serious injuries & exposure Provide instruction and direction to internal and external vendors i.e.: Adjusters, Legal Counsel, Engineers Calculate ultimate probable exposure and reserve accordingly Maintain a proactive diary system to monitor files Ensure files are up to date with reserve worksheet, case law, medical and liability information Mentor and coach junior adjusters Prepare Major Loss/Reinsurance Reports and participate in Claims Committee process Comply with service standards as outlined in Best Practices Actively participate in settlement initiatives along with both private and mandatory mediations Necessary Knowledge, Skills And Attributes Knowledge of regulatory and contractual obligations, medical terminology, vocational rehabilitation concepts and dispute resolution practice Experience with internal and external audits Detail oriented and well-organized individual Strong oral and written communication skills Travel to mediations/pre-trials/trials is required Superb interpersonal skills and leadership qualities/potential Work well individually or as a part of a team Computer literacy with strong working knowledge of Microsoft programs Education And Experience Minimum 3-5 years of experience adjusting CGL & BI claims Post secondary education CGL experience must include a strong background in coverage (duty to defend vs. indemnify), product liability, occupier’s liability, and environmental losses Experience in Municipality losses and construction wrap up an asset CIP designation or working towards one

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