Claims Adjuster Sr – Accident Benefits

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Claims Adjuster Sr – Accident Benefits based in Canada.

As a Senior Claims Adjuster, you will play a key role in investigating, evaluating, negotiating, and resolving insurance claims independently, with minimal supervision. You will manage claims from initial assessment through to final settlement, ensuring accurate coverage decisions and fair outcomes for all parties involved. Working across residential and commercial property and casualty claims, you will assess damages, determine liability, and establish appropriate reserves. You will collaborate with claimants, witnesses, clients, and other stakeholders to facilitate efficient resolutions. Your expertise will help maintain strong client relationships while ensuring high standards of service, accuracy, and compliance. This is an opportunity to contribute your technical expertise in a dynamic, customer-focused environment with a strong emphasis on quality and professional development.

• Investigate and manage property and casualty insurance claims, including residential and commercial cases, with minimal supervision.
• Inspect reported claims and contact claimants and other relevant parties promptly to gather the necessary information.
• Assess claim circumstances, determine coverage, identify causes of loss, evaluate compensable damages, and establish appropriate reserves.
• Review insurance policies, supporting documentation, and other records to determine the extent of coverage.
• Prepare estimates for repair and replacement costs and assess the financial impact of claims.
• Conduct interviews with claimants, witnesses, and other involved parties to establish the facts surrounding each claim.
• Negotiate and settle both first-party and third-party claims in accordance with policy terms and client expectations.
• Manage salvage and subrogation activities when required.
• Build and maintain strong client relationships to encourage trust, satisfaction, and continued business referrals.
• Contribute to quality assurance initiatives, meet reporting deadlines, and support organizational objectives.
• Travel when required and perform additional responsibilities as assigned.

Requirements:

• A bachelor's degree from an accredited college or university is preferred.
• A valid IIA-AIC designation is required.
• An appropriate insurance adjuster licence is required.
• At least two years of relevant claims adjustment experience, or an equivalent combination of education and professional experience.
• Strong knowledge of insurance policies, coverage assessments, claims investigation, damage evaluation, and settlement procedures.
• Excellent written and verbal communication skills, including the ability to conduct interviews, negotiate settlements, and present findings effectively.
• Proficiency in Microsoft Office and general computer applications.
• A demonstrated commitment to timely and accurate reporting, with strong attention to detail.
• Excellent customer service, interpersonal, and relationship management skills.
• Strong organizational and time management abilities, with the capacity to manage competing priorities and meet deadlines.
• The ability to work independently with minimal supervision while also collaborating effectively within a team.
• Sound judgment, discretion, analytical thinking, and the ability to manage work-related pressure.
• Physical capability to perform field inspections when required, including prolonged standing or walking, bending, kneeling, climbing, and working outdoors in varying weather conditions.
• Ability to lift and carry up to 50 pounds, push or pull up to 100 pounds, and drive for up to four hours per day.

Benefits:

• Full-time employment opportunity.
• Remote work arrangement, with the position listed as telecommute in Prince Edward Island, Canada.
• Opportunities to develop professionally and expand your expertise in insurance claims management.
• A supportive and people-focused working environment.
• Commitment to work-life balance and employee well-being.
• Inclusive and accessible recruitment and workplace practices, with reasonable accommodations available where applicable.
• Compensation determined according to professional experience, qualifications, and internal pay equity considerations.
• Opportunity to contribute to a quality-driven organization serving clients across diverse industries.