Claims Adjuster

  • Category
    Office, clerical & administrative - Administration
  • Job type
    Temporary/Contract
  • Location
    Vancouver, British Columbia

Claims Adjuster

Duties:


Conducts initial investigation of claims against BC Hydro to identify the cause and liable parties of the incidents. Resolves and declines claims against BC Hydro.

Major Responsibilities and Duties (to fulfill major purpose):

1. Conducts initial investigation of claims against BC Hydro to identify the cause and liable parties of the incident by searching and assessing claims information from BC Hydro applications (such as PowerOn, CROW, DAD and SAP modules). Decides acceptance or rejection of claims based on established guidelines, policies and the Electric Tariff. Refers non-standard and accepted claims to Claims Adjuster 2. Notifies claimants of declined claims. Responds to disputed claim refusals by explaining to claimants the reasons for denying the claims. Escalates disputed claims if new evidence is submitted to Claims Adjuster 2 for review.

2. Conducts initial investigation to identify the cause and liable parties for damage-to-plant (DTP) incidents by searching and assessing information from in-house sources (such as work order packages, trouble order and accident reports) and other external sources (such as RCMP and Fire Department reports). Refers incidents of moderate value to Claims Adjuster 2. Compiles reports on damages to plant (such as statements, photographic evidence, plans and sketches). Obtains billing and contact information for identified liable parties by searching a variety of internal and external sources. Forwards a letter of intent to identified liable parties for incidents for cost recovery.

3. Validates repair and/or replacement costs for OMA and low dollar value damage-to-plant incidents value by consolidating various reports and source documents (such as time sheets, contractor invoices and material requests). Follows up on questionable labour, material and other expenses associated with the work conducted. Provides corporate overhead loadings for the invoice to Sundry Billing to create invoice and ensures depreciation costs are applied for capital assets.

4. Negotiates payment with liable parties of damage-to-plant incidents by addressing and providing answers related to liability, costs appearing on the invoice and payment plan options, deciding on a reduction of the invoice amount according to established guidelines, forwarding overdue collection notification to customers and preparing briefing notes to be used in preserving limitation periods for recovery of costs.

5. Documents files and writes briefing notes for management review for decision-making regarding write-offs and whether or not to negotiate and provides straight forward research support to Legal Services throughout litigation process. Carries out straightforward research to assist management to prepare for mediation, settlement conferences and trials.

6. Provides support to Claims Adjuster 2 roles by performing such duties as preparing claims and collections files, preparing settlement documents and payments to claimants for accepted claims and preparing claims files for negotiation and litigation sessions.

7. Prepares monthly ad hoc reports for management; for example, work trends within the department; comparisons of current data versus prior year data.

8. Performs duties of a minor nature related to the above duties that do not affect the rating of the job.

Skills, Knowledge and Abilities Required:

• Understanding of overhead and underground utility standards.
• Understanding of work done by field crew, contractors and designers.
• Understanding of BC Hydro operating procedures and assets for Distribution and Transmission.
• Understanding of relevant corporate policies, Distribution Instructions and Electric Tariff.
• Understanding of other utilities, and insurance companies and their procedures.
• Understanding of Provincial/Federal and Insurance policies.
• Understanding of the legal processes related to collections.
• Understanding of the IBEW collective agreement – to be able to interpret all costs paid out by BC Hydro (i.e., including vehicle charges).
• Understanding of FOI requirements related to collections work.
• Ability to understand and apply GAAP/IFRS (accounting principles such as depreciation and overhead loadings, bad debt write offs and internal controls).
• Working knowledge of corporate systems and programs (such as DTRS, DTOR, CROW, Gateway, PASS, PowerOn, DAD, SAP (Incident Management System (IMS) and North Star Financials), Cognos BPR and PassPort).
• Working knowledge of external source systems (e.g., land title search, permits from municipalities, google and BC Assessment).
• Strong computer skills in Microsoft applications (such as Word, Excel, PowerPoint and Access).
• Ability to handle difficult and angry customers.
• Excellent telephone communication skills.
• Basic negotiation skills.
• Excellent written communication skills.
• Excellent analytical ability and investigative skills.
• Ability to key with speed and accuracy.
• Ability to work in a high volume and deadline orientated environment.
• Ability to drive a motor vehicle.

Working Conditions:

Works in a normal office environment. Occasional travel may be required for site visits.
Experience, Training and Education (demonstrating requirements):

Degree in a related field such as Business Administration or equivalent experience, training and education, plus one (1) year of related experience in accounting, billing (electrical and non-electrical), collections and payment; or a Diploma in Accounting or in a related field or equivalent experience, training and education, two (2) years of related experience in accounting, billing (electrical and non-electrical), collections and payment.

B6526
 

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