Job description Claims Examiner in the Regina–Moose Mountain Region

Find out what work is like for a claims examiner in Canada. This work description is applicable to all Insurance adjusters and claims examiners (NOC 12201).

Insurance adjusters and claims examiners

Description

Insurance adjusters investigate insurance claims and determine the amount of loss or damages covered by insurance policies. They are employed in claims departments of insurance companies or as independent adjusters. Insurance claims examiners examine claims investigated by insurance adjusters and authorize payments. They are employed at head offices or branches of insurance companies.

Job duties

Here are some of the main activities and tasks that Insurance adjusters and claims examiners have to perform, and some of the physical demands they involve:

  • Insurance adjusters
  • Investigate circumstances surrounding insurance claims to determine validity of claim
  • Inspect automobile, home or other property damage
  • Take statements and consult with claimants, accident witnesses, doctors and other relevant individuals and examine records or reports
  • Determine amount of loss or damages covered by insurance policies
  • Negotiate settlement of claims
  • Prepare adjustment reports.
  • Insurance claims examiners
  • Review, examine, calculate and authorize insurance claims investigated by insurance adjusters
  • Examine adjusters' reports and similar insurance claims or precedents to determine extent of insurance coverage
  • Ensure claims are valid and settlements are made according to company practices and procedures
  • Consult lawyers, doctors or other relevant individuals to discuss insurance claims
  • Approve automobile, fire, life, disability, dental or other insurance claims.

Physical demands

Physical demands are the physical activities that the job requires the worker to do. Physical demands are selected according to the likeliness that workers will have to perform them for at least half of the time they spend at work.

Work environment

The work environment refers to the physical setting in which people work. The characteristics and conditions of the work environment are selected according to the likeliness that workers will be exposed to them at least once a week.

Physical proximity from others

Physical proximity from others refers to the physical distance between individuals in the workplace. The likeliness that the job requires to perform tasks while being physically close to other people is rated on a scale with 3 levels: "Somewhat close", "Close" and "Very close".

Related job titles

Here are some other related job titles that are found in the same occupational category (NOC 12201), and a list of similar occupations:

  • adjuster
  • claims examiner
  • claims representative
  • insurance adjuster

Similar occupations Help - Similar occupations

Similar occupations

This section lists other occupations that are part of the same broad occupational category as Insurance adjusters and claims examiners in the National Occupational Classification (NOC). These occupations involve similar core qualifications but involve different responsibilities. To see more similar occupations, use the Job Transition Tool.

Sources Occupational and Skills Information System & National Occupational Classification

Labour Market Information Survey
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