In-House Claims Adjuster

• Investigate, evaluate, and determine settlement value or denial of liability for Canadian and US-based incidents that occur within the Company. This includes specific time and attention given to significant commercial auto claims or incidents at our facilities.

• Manage the litigation process through the retention of on-site adjusters and counsel. Adhere to the line of business litigation guidelines to include budget, bill review and payment.

• Attend mediations and settlement conferences as necessary
• Direct and manage defense counsel to settle litigated claims
• Provide monetary authority and strategy to counsel to ensure client’s money and claims are protected
• Negotiate and settle large exposure commercial general liability, auto liability and property claims
• Manage and push for timely subrogation opportunities within the file
• Prepare written status and large loss reports for clients
• Ability to interpret routine and complex policy contracts and coverage.

• Hire, engage and manage third party service providers including but not limited to on-site adjusters, environmental remediation vendors, tow companies, reconstruction engineers, defense counsel etc. as necessary. Review and validate any charges provided by these service vendors for accuracy and reasonableness. Challenge these when appropriate.

• Following the prescribed payment and settlement authority process within the Company, establish appropriate reserves for both indemnity and expense and review on a regular basis to ensure adequacy.

• Make recommendations to set reserves at an appropriate level for claims outside of authority level, and ensure all reserves are made within the month of the date of the occurrence.

• Document and manage claims (i.e. upload statements, updated diaries, write reports) from inception through closure. This includes engaging proactively with internal company operational or commercial stakeholders as well as external service providers. Claims are to be closely managed and reviewed every couple of weeks.

• Ensure appropriateness of all payments and ensure payments are processed and coded properly to pay vendors and stakeholders on a timely basis.

• In addition to complex commercial auto liability, this position is responsible for managing and adjusting incidents or claims that arise at the company’s facilities, with customer property and with cargo mishap.

• Exchange information with clients, claimants, insurance brokers, inspectors, authorities, internal operations and commercial managers. Communication style and delivery is expected to be courteous, respectful and timely.

• Attend meetings and educational seminars for professional development and maintaining required licenses.

• Overall, provide superior customer service to both internal and external stakeholders / customers.

• Advise all stakeholders on a timely basis on expectations surrounding particular claims and projected outcomes.
• Collaborate with other departments, such as operations, safety, commercial sales and finance, to streamline processes and enhance customer experience and claim resolutions.
• Conduct quarterly file reviews with leadership team as well as with Insurer. Prepare comprehensive reports as required. Identify and communicate specific claim trends and account and/or policy issues to management.

• Identify and support the development of enhancements to Company’s claims processing procedures and guidelines, ensuring compliance with industry regulations, insurer requirements and company policies. This may include being a part of regular training and development programs for claims, operations, and safety staff to keep them informed about industry changes and best practices.

• Facilitate the incident and claim management in real time, should the business require assistance. This includes taking a rotational share of the ‘on-call’ claims reporting phone to support after-hours incidents.

• Overall, this position requires full management of each claim within the case load. This includes all the administration required within the handling of the claim, including by not limited to: immediate claim set up in the system, reserve establishment on a timely basis, collection of all relevant and pertinent information on the claim, daily diary review of open active claims, coding of internal business unit deductibles, deductions of deductibles assessed to drivers, accurate review, coding, processing and timely payment of invoices associated with the claim.

• This position may require work to be completed outside of normal working hours. Incidents can happen on evenings and weekends and this position is expected to be available to the business, if so required.

• High School Diploma or equivalent (GED) required for all positions
• Post secondary education would be an asset but not required
• Relies on extensive experience and judgment to plan and accomplish goals with a minimum 5 years of complex/major commercial auto claims experience including proficiency in investigation and resolution of severe to major casualty claims
• Sound knowledge in the following areas:

• claims handling concepts, practices, and techniques, to include but not limited to coverage issues, and product line knowledge
• functional knowledge of law and insurance regulations in various jurisdictions
• Investigate, evaluate, and determine settlement value or denial of liability for severe to major-level commercial auto claims
• Moderate to major Bodily Injury claims experience required
• Litigation experience in Canada and US preferred.
• Knowledge of current case law, statutory law, DOI regulations, etc. that apply to claims practices and issues within North America considered an asset.
• Proactive, independent, dependable, and takes initiative with consistent follow through
• Strong written and verbal communication skills conducted in a timely manner with diverse audiences
• Superior time management skills with capability of working with and meeting deadlines
• Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced, dynamic work environment
• Self-starter with the ability to independently manage a high-volume caseload of claims with minimal
• Excellent team player with interpersonal skills
• Exhibit discretion with sensitive and confidential information
• Display a comfort level working with key people at all levels within an organization
• Literacy in the Microsoft suite of platforms (Word, Excel, Powerpoint, Teams). Ability to learn and work within other necessary IT platforms as required.

• Medical, Dental, Vision, Life Insurance, and many more health and wellness benefits
• Paid vacation, sick time, and company holidays
• Paid time off for volunteer activities to help give back to our communities
• Pension Plan
• Tuition Reimbursement Program to achieve your educational goals
• Continuous learning and career development

• We make safety a part of every decision
• We make safety personal
• We have the courage to intervene

Trimac Transportation