Remote Claims Processing Jobs in Ontario (NOW HIRING)

The Field Claims Adjuster, Property is responsible for delivering a consistent and exceptional claims experience through the fair and equitable handling of moderate to high complexity property claims. This role involves investigating and adjusting claims, interpreting and explaining policy coverage, documenting claim activity, and managing files from initial report through resolution. The successful candidate will provide timely, professional service while ensuring accuracy, compliance, and strong member support throughout the claims process. Frequent travel may be required.

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 property claims of moderate complexity.
• 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 an 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.
• Understanding of Provincial and National Building Codes along with a solid understanding of residential and commercial construction terminology, techniques, and best practices.
• Demonstrating developing to proficient skills to review repair estimates, create narrative scopes and generate intermediate to senior level estimates using an estimating software system.
• Provide ongoing technical advice, guidance, peer coaching and mentoring to claims staff.
• Working in partnership with other claims staff in both an individual and team-oriented capacity including the handling of both task based and full handle files. Support CAT plan as necessary, including potentially assisting on claims outside of your service area.

• Valid driver's license with an acceptable driving record, and 2+ years of insurance adjusting or related experience.
• Chartered Insurance Professional (CIP) designation, or actively working toward completion, along with required licensing commitments where applicable.
• Strong knowledge of property estimating software (XactAnalysis preferred), with the ability to interpret and quantify property damage estimates.
• Ability to meet the physical demands of the role, including climbing roofs, entering confined spaces, carrying up to 50 pounds, working independently, and working outdoors in varying weather conditions.
• Flexible and adaptable, with the ability to travel regularly and work outside standard business hours when required.
• Exceptional customer service, communication, investigative, analytical, and problem-solving skills, with strong attention to detail and accuracy.
• Strong organizational, time management, negotiation, decision-making, and teamwork skills, with the ability to prioritize in a fast-paced environment.
• Post-secondary education is considered a strong asset.
• Ability to communicate effectively in French is considered an asset.