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Claims Examiner

Posted on: Sep 16, 2024

Posted by: RMA

Summary

The Rural Municipalities of Alberta (RMA) represents Alberta’s 69 counties and municipal districts as an independent association. Since 1909, the association has helped rural municipalities achieve strong, effective, local government. The RMA provides advocacy, insurance, and business services, including cooperative procurement through the Canoe Procurement Group of Canada.

RMA Insurance was incorporated in 1955 to provide Alberta municipal jurisdictions with access to reasonably priced and comprehensive insurance protection. Innate to the program is its ability to leverage its large insurance volumes, which increases its bargaining power with various insurance carriers. RMA Insurance has steadily expanded to include members such as local authorities, schools, seniors’ housing, and other non-profit organizations.

The RMA is seeking an Insurance Claims Examiner.

JOB DESCRIPTION

The Claims Examiner is responsible for directing and/or performing investigation, evaluation, negotiation, and disposition of various types of claims including large loss or issue-oriented, or which involve a great deal of complexity in an examining capacity. The Claims Examiner will have access to highly confidential member and association information, and it is expected and required information be held in the strictest confidence.

This is a full-time, permanent position.

Key Responsibilities

Appoint, control and direct internal and external service providers, adjusters, legal counsel, and other experts as per industry standards. Ensure coordinated and timely investigation through communication with adjusters, lawyers, and engineers. Manage both defense and coverage counsel experts. Management of external counsel in performing coverage analysis and resolution strategies. On litigated claims this would include development and implementation of defense strategies as well as Alternative Dispute Resolution.
May need to meet and negotiate with members and give direction to experts in various fields depending on the needs of the situation.
Able to exercise strong judgment with minimum direction in resolving complex or contentious situations.
Review and interpret property and liability policy wordings, acts, regulations, and legislation in order to confirm coverage.
Set reserves and authorize payment within scope of authority and settle claims in the most cost effective and timely manner possible.
Control indemnity and expenses through proactive claims handling techniques, including the pursuit of subrogation where applicable.
Ensure all claims negotiations are conducted with integrity and that settlements are accurate and fair.
Attend training as necessary to ensure skills evolve with changes in the industry.
Assist the Claims Manager, as necessary.

Requirements

Minimum 5 years claims adjusting or examining experience.
Experience in Liability/Casualty/Property claims adjusting with associated technical expertise.
Strong Business Planning and negotiation skills.
Flexibility and ability to problem solve.
Enthusiastically support change, share experiences, and actively seek new challenges.
Strong communication skills, including listening, interviewing, negotiating, and must be able to flex style appropriate to audience.
Demonstrated organizational skills with the ability to prioritize and manage conflicting priorities in an effective manner.
Proactive and positive approach to member service ensuring that all enquiries are effectively dealt with in a timely manner.
Strong interpersonal skills enabling an ability to effectively deal with conflict and difficult situations.
Strong commitment to the association goals and philosophy.
An understanding of the concept of Reciprocal Insurance Exchanges and the unique Insured; Insurer client relationship they present.

Knowledge, Skills and Abilities

Education:

University Degree, College Diploma
CIP or FCIP, or equivalent experience.
Valid Alberta Driver’s License

The Claims examiner reports to the Manager of Claims and works closely with the Claims Examiners, Claims Adjusters and other member of the RMA Insurance team.

The RMA is an equal opportunity employer. Any applicant that meets the qualifications above is encouraged to apply. Priority will be given to those already legally entitled to work in Canada.

Applicants who are extended an employment offer will be required to complete a pre-employment check. All employment offers are contingent upon the successful completion of this pre-employment process

To apply, please send a resume and cover letter in PDF format outlining how you meet the above qualification requirements , to the attention of Shannan McAuley at shannan@RMAlberta.com. This posting will remain open until a suitable candidate is found.

We thank all applicants, but due to the high volume of responses expected, only those selected for an interview will be contacted. No phone calls, please.

Job Type

Full time

Employer Contact

No employer contact listed.

Salary Range

No salary range listed.

Closing Date

October 11, 2024

Posting ID: 27878