NOC 12201 - Insurance adjusters and claims examiners

Job Summary

Assess and process insurance claims by evaluating coverage, liability, and damages. Communicate with claimants and service providers to resolve claims efficiently and accurately.

Number of Positions

5

Main Duties

• Investigate reported losses by gathering evidence, interviewing claimants and witnesses, and inspecting property or vehicles as required
• Review policy terms and coverage to determine entitlement and applicable limits
• Analyze documentation such as medical reports, police reports, repair estimates, and receipts to assess claim validity
• Determine liability, calculate damages, and recommend approval, denial, or settlement amounts
• Negotiate settlements with claimants, legal representatives, and service providers while ensuring compliance with policy and regulatory requirements
• Prepare and maintain detailed claim files, reports, and correspondence using clai...