12201保险理算员和索赔审查员 Insurance adjusters and claims examiners- FLYabroad NOC 2021

12201 – 保险理算员和索赔审查员 Insurance adjusters and claims examiners- FLYabroad NOC

飞出国 NOC2021:12201 保险理算员调查保险索赔并确定保险单涵盖的损失或损害金额。他们受雇于保险公司的理赔部门或担任独立理算员。保险索赔审查员审查保险理算员调查的索赔并授权付款。他们受雇于保险公司的总公司或分公司。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.

12201 保险理算员和索赔审查员示例职业名称 - 飞出国 Example titles- FLYabroad NOC

  • 理算员 / Adjuster
  • 索赔审查员 / Claims examiner
  • 理赔代表 / Claims representative
  • 保险理算员 / Insurance adjuster
12201 包含 Inclusions
  • 生产检验员 / Production examiner

12201 保险理算员和索赔审查员 主要职责 Main duties- FLYabroad NOC

12201 该小组执行以下部分或全部职责 This group performs some or all of the following duties:

12201 保险理算员 Insurance adjusters

  • 调查保险索赔的情况以确定索赔的有效性 / Investigate circumstances surrounding insurance claims to determine validity of claim
  • 检查汽车、房屋或其他财产损失 / Inspect automobile, home or other property damage
  • 取证并咨询索赔人、事故目击者、医生和其他相关人员,并检查记录或报告 / Take statements and consult with claimants, accident witnesses, doctors and other relevant individuals and examine records or reports
  • 确定保险单涵盖的损失或损害金额 / Determine amount of loss or damages covered by insurance policies
  • 协商解决索赔 / Negotiate settlement of claims
  • 准备调整报告 / Prepare adjustment reports.

12201 保险索赔审查员 Insurance claims examiners

  • 审查、检查、计算和授权保险理算员调查的保险索赔 / Review, examine, calculate and authorize insurance claims investigated by insurance adjusters
  • 检查理算师的报告和类似的保险索赔或先例,以确定保险范围 / Examine adjusters’ reports and similar insurance claims or precedents to determine extent of insurance coverage
  • 确保索赔有效,并根据公司惯例和程序进行结算 / Ensure claims are valid and settlements are made according to company practices and procedures
  • 咨询律师、医生或其他相关人士讨论保险索赔 / Consult lawyers, doctors or other relevant individuals to discuss insurance claims
  • 批准汽车、火灾、人寿、残疾、牙科或其他保险索赔 / Approve automobile, fire, life, disability, dental or other insurance claims.

12201 保险理算员和索赔审查员就业要求 Employment requirements- FLYabroad NOC

  • 需要完成中学学业 / Completion of secondary school is required.
  • 要求具有学士学位、大专文凭或一些大专学历,或在理赔部门担任文员的几年经验或其他一般保险经验 / 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.
  • 需要几年的在职培训并完成保险行业课程和培训计划 / Several years of on-the-job training and completion of insurance industry courses and training programs are required.
  • 独立理算师需要获得就业所在省或地区的保险监督局颁发的省级执照 / Independent adjusters require a provincial licence issued by the Superintendent of Insurance in the province or territory of employment.

12201 附加信息 Additional information

  • 通过加拿大保险协会或其省级同行完成教育课程,保险理算师和理赔审查员将获得特许保险专业人士 (CIP) 的专业认可,并获得额外的大学课程,成为特许保险专业人士 (FCIP) / Completion of educational programs through the Insurance Institute of Canada or its provincial counterparts entitles insurance adjusters and claims examiners to professional recognition as a Chartered Insurance Professional (CIP), and with additional university courses, as a Fellow Chartered Insurance Professional (FCIP).

12201 排除 Exclusions

12201 保险理算员和索赔审查员职业名称 - 飞出国 All titles- FLYabroad NOC

  • 理算员 / Adjuster
  • 理算员 - 保险 / Adjuster - insurance
  • 理算实习生 - 保险 / Adjuster trainee - insurance
  • 汽车理赔技术调解员 / Automobile claims technical adjuster
  • 意外伤害保险理算员 / Casualty insurance adjuster
  • 理赔员 - 保险 / Claims adjuster - insurance
  • 理赔审批人 - 保险 / Claims approver - insurance
  • 理赔顾问 / Claims consultant
  • 索赔审查员 / Claims examiner
  • 理赔审查员 - 保险 / Claims examiner - insurance
  • 索赔调查员 / Claims investigator
  • 索赔调查员 - 保险 / Claims investigator - insurance
  • 理赔代表 / Claims representative
  • 理赔代表 - 保险 / Claims representative - insurance
  • 残疾索赔审查员 - 保险 / Disability claims examiner - insurance
  • 救灾理赔员 - 保险 / Disaster relief claims adjuster - insurance
  • 现场理算员 - 保险 / Field adjuster - insurance
  • 火灾保险理算员 / Fire insurance adjuster
  • 运费理算员 - 保险 / Freight adjuster - insurance
  • 团体人寿索赔审查员 - 保险 / Group life claims examiner - insurance
  • 健康和牙科索赔审查员 - 保险 / Health and dental claims examiner - insurance
  • 保险理算员 / Insurance adjuster
  • 保险检查员 / Insurance inspector
  • 责任理算员 - 保险 / Liability adjuster - insurance
  • 损失审查员 - 保险 / Loss examiner - insurance
  • 海事理赔员 - 保险 / Marine claims adjuster - insurance
  • 海上保险理算员 / Marine insurance adjuster
  • 医疗索赔评估员 - 保险 / Medical claims assessor - insurance
  • 机动车理赔员 - 保险 / Motor vehicle claims adjuster - insurance
  • 生产检验员 / Production examiner
  • 财产理算师 - 保险 / Property adjuster - insurance
  • 公共理算师 - 保险 / Public adjuster - insurance
  • 铁路理赔员 - 保险 / Railroad claims adjuster - insurance
  • 结算管理助理 / Settlement management associate
  • 结算专员 / Settlement specialist
  • 理算工作人员 - 保险 / Staff adjuster - insurance
  • 电话理算员-保险 / Telephone adjuster - insurance
  • 实习理算员 - 保险 / Trainee adjuster - insurance
  • 工伤赔偿调解员 - 保险 / Workers’ compensation adjuster - insurance

广泛的职业类别(BOC)
1 – 商业、金融和行政职业
TEER类别(即主要分组)
2 – 职业通常需要大学文凭或两年或两年以上的学徒培训;或监督职业
Major group次主要分组
12 – 行政和财务主管以及专门的行政职业
Sub-major group次要分组
122 – 会计、保险和相关商业行政职业
Minor group单元组
1220 – 会计、保险和相关商业行政职业

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