Part Time Insurance Fraud Investigator Jobs in Alberta

The Inside Large Loss Claims Adjuster plays a key role in delivering exceptional and consistent claims experience through the fair and equitable handling of complex, large-loss property claims. This position is responsible for interpreting and explaining policy coverage, maintaining accurate claim documentation, and managing claims efficiently from initial report through to resolution. The role also ensures timely service and clear communication throughout the claims process.

Job Responsibilities

• Provide direction and support to our members, throughout the claims process, by providing exceptional service delivered with empathy.
• Ensure timely and proactive communication, through voice to voice, digital and written correspondence, ensuring that all inquiries are effectively dealt with in a timely and professional manner.   
• Adjustment of complex and large loss property claims.
• Review and interpret policy wordings, determine policy coverage, and communicate coverage decisions to members.
• Establish timely and accurate loss and expense reserves through the life of the claim through evaluation and reconciliation of relevant information from sources such as appraisers, independent adjusters, and contractors.  
• Ensure a comprehensive investigation is conducted on all files to determine coverages and liability, while adhering to Wawanesa's adjusting guidelines, and recognizing when to engage appropriate internal and external resources. Collect evidence to support recovery efforts.
• Coordinate and manage services with vendors and service providers such as appraisers, independent adjusters, and contractors.
• Negotiating and conveying claim settlements within authority limits. Communicating claim decisions promptly and effectively, while still delivering exceptional member experience.
• Maintain an effective and current diary system and document claim file activities in accordance with established procedures.
• Demonstrating and maintaining excellent knowledge and understanding of policy coverages, while complying with regional regulatory and licensing requirements (as applicable). Remaining current with legislative changes and trends in the insurance industry.
• Demonstrating highly proficient skills to review repair estimates, create narrative scopes and generate advanced level estimates using an estimating software system.
• Provide ongoing technical advice, guidance, peer coaching and mentoring to claims staff.
• Support CAT plan as necessary, including potentially assisting on claims outside of your service area.
• Perform other duties as assigned.

• 3+ years' experience in residential insurance. Commercial and farm insurance experience is a strong asset.
• Experience with databases and insurance technology, including AI.
• Experience interpreting and quantifying property damage estimates.
• Chartered Insurance Professional (CIP), or working towards designation, with appropriate designations where required an asset.
• Exceptional customer service skills which demonstrate empathy and concern for member satisfaction.
• 2 years insurance adjusting or equivalent experience.
• Post-secondary degree is preferred.
• Chartered Insurance Professional (CIP), or working towards designation and where required, dedicated to reach the proper licensing requirements.
• Excellent communication skills, including tailoring messaging to different audiences.
• Excellent time management and organizational skills with the ability to prioritize in a fast paced, changing environment.
• Demonstrated investigative, analytical, and problem-solving skills.
• Detail oriented with a high degree of accuracy regarding data entry.
• Excellent time management and organizational skills with the ability to prioritize in a fast paced, changing environment.
• Excellent negotiation, decision making and critical thinking skills.
• Strong teamwork skills with the ability to collaborate with others.
• Demonstrated exceptional customer service skills with empathy and concern for member satisfaction.