Occupational Profiles

This group performs some or all of the following duties:
 

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.

• Completion of secondary school is required.
• A bachelor's degree, college diploma or some post-secondary education or Several years of experience as a clerk in the claims department or other general insurance experience is required.
• Several years of on-the-job training and completion of insurance industry courses and training programs are required.
• Independent adjusters require a provincial licence issued by the Superintendent of Insurance in the province or territory of employment.