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Claims Advisor, P&C Insurance
Desjardins. Serve and maintain business relationships with members and clients for all claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in handling property insurance claims and accident benefit claims, with strong analytical skills to assess damage and determine eligibility for benefits. Proficient in negotiating settlements and maintaining business relationships while ensuring compliance with organizational standards.
Highest-signal resume keywords
Claims InvestigationClaims SettlementAnalytical SkillsNegotiation SkillsFrench Language Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Property Insurance ClaimsAccident Benefit ClaimsDamage AssessmentCost EstimationReport ProductionEligibility AnalysisStatutory Criteria KnowledgeDecision-MakingClaims ProcessingContract Terms Compliance
Soft Skills
Customer FocusEffective CommunicationInterpersonal SavvyAction OrientedNimble Learning
Certifications & Qualifications
College Diploma in Related Field
Industry Keywords
Claims ManagementInsurance IndustryQuality CommitmentsBusiness RelationshipsClient Satisfaction
About the role
Key responsibilities & impact- Serve and maintain business relationships with members and clients for all claims
- Handle medium-complexity property insurance claims and low-complexity accident benefit and bodily injury claims
- Investigate and approve claims
- Solve problems using analytical skills and discipline-specific knowledge
- Develop solutions using sound decision-making
- Negotiate claims settlements and enter into agreements with members, clients, third parties, and others
- Assist members, clients, and practitioners
- Conduct investigations and inspections to assess damage, estimate costs and market value, and produce and review reports and other documents to determine settlement amounts
- Analyze medical, financial, and job information and determine eligibility for benefits based on statutory criteria
- Settle claims according to organizational standards, policies, quality commitments, and contract terms
- Meet deadlines to ensure client satisfaction and avoid penalties
- Negotiate with all parties involved to ensure smooth claims processing
Requirements
What you’ll need- College diploma in a related field
- A minimum of three years of relevant experience
- Other combinations of qualifications and relevant experience may be considered
- Knowledge of French is required
- Ability to conduct claims investigations and inspections
- Ability to assess damage, estimate costs and market value, and produce and review reports and other documents
- Ability to analyze medical, financial and job information and determine eligibility for benefits based on statutory criteria
- Ability to settle claims in accordance with organizational standards, policies, quality commitments, and contract terms
- Ability to negotiate with all parties involved in claims processing
- Action oriented
- Business insight
- Communicates effectively
- Customer Focus
- Interpersonal Savvy
- Nimble learning
Benefits
Comp & perks- Competitive salary and annual bonus
- 4 weeks of flexible vacation starting in the first year
- Defined benefit pension plan that provides predictable, stable income throughout retirement
- Group insurance including telemedicine
- Reimbursement of health and wellness expenses and telework equipment