Senior Commercial Insurance Adjuster - Jobs in Vaughan

Job Description

Join Our Team at The MEARIE Group!Are you an organized and detail-oriented professional with a passion for customer service We’re on the lookout for a Senior Commercial Insurance Adjuster at The MEARIE Group!The MEARIE Group is a diversified financial services enterprise. Working from a professional office setting conveniently located just off Hwy 400 at Steeles Avenue in the GTA, The MEARIE Group offers competitive compensation, paid holidays and excellent benefits, and a ‘defined-benefit’ pension plan (OMERS). Our staff are also supported via tailored professional development plans. Job SummaryReporting to the Vice President of Claims, Legalamp; Corporate Affairs (CLCA), the incumbent is responsible for all aspects of claims arising out of our Comprehensive Liability, Propertyamp; Vehicle programs.The Senior Commercial Insurance Adjuster provides input in the development of objectives of the Department and supervises a Claims Administrator.Unit MandateThe Claims Unit manages all insurance claims, and directly adjusts claims under MEARIE’s Liability program. Job Activities/TasksClaims Adjusting

• Evaluate and investigate third-party liability claims and provide denial, defense and settlement strategies for liability claims
• Set, monitor and consistently re-assess reserve levels on each liability claim to ensure reserve adequacy
• Liaise with the third-party administrators providing adjusting support on all vehicle and property claims, to ensure excellent customer service is delivered to all Members
• Ensuring the handling and management of all claims is consistent with internal claims protocols
• Manage the assessment of coverage under the MEARIE insurance policies and provide recommendations to the VP -CLCA with respect to any potential denial and the rationale behind any potential denial
• Manage overall claims processing (investigations, proper file composition, setting reserves and payment of claims, etc.) in a timely manner to ensure top quality service to MEARIE’s members, and diligent, effective operation of the Claims unit
• Ensure settlement is obtained, where necessary, in a timely manner consistent with established reserves and internal claims protocols
• Keeping abreast of risk management and claims management issues related to the electricity utility industry
• Oversee litigation management process and obtain timely reports from external counsel to set budgets and strategies to achieve best possible resolution.
• Attend as a representative of MEARIE at legal proceedings, where necessary (i.e. mediations, examinations, pre-trial hearings; etc.)
• Convene and actively participate in policy coverage and liability discussions
• Providing statistical information on claims to subscribers and outside organizations
• Responding to member inquiries on coverage, statistical information, and policy provisions.
• Establishing good working relationships with internal client groups, external service providers and/or consultants to ensure effective and efficient management of customer service

Unit Management

• Working with the Vice President to formulate, support and implement long-term strategies for the department
• Overseeing and managing work carried out by staff and external consultants
• Developing and managing the unit’s budget.
• Provide effective leadership by motivating, coaching, and mentoring the Claims Administrator.
• Develop, recommend, and implement strategies for loss containment, expense control, and streamlining of processes
• Providing valuable input and insight into future business decisions.
• Represent The MEARIE Group at various functions, including the participation in and/or delivery of presentations
• Other duties as assigned.

Educational Requirements

• Post secondary diploma/degree
• Possessing or working toward a Chartered Insurance Professional (CIP) designation

Skills, Knowledgeamp; Experience

• 5+ years of recent experience as a Liability Adjuster on complex, technical commercial claims, ideally within the utility industry, or utility-related sector, or a similar industry, is a must.
• Knowledge of electricity sector a significant asset.
• Familiarity with vehicle and property adjusting would be a plus
• Preferable to have practical and recent experience providing Managerial oversight/ Supervisory experience/coaching staff in a Claims unit, or aspiration to develop such
• Working knowledge of contract and tort law (relevant acts, regulations, and policies) is mandatory
• Good investigation and problem-solving skills (i.e. complex losses, dealing with fraud, etc.)
• Strong verbal and written communication skills
• Motivated, high energy team player
• Excellent time management and organizational skills
• Strong computer skills (Microsoft Office suite)

Working Conditions

• Professional office environment, in Vaughan
• Some modest travel within Ontario required
• Irregular business hours may apply