12201 Insurance adjusters and claims examiners

What this occupation covers

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.

Official main duties

The NOC profile lists 11 main duties for this code.

• 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.
• 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.

Do not copy these lines into your reference letter. The letter has to describe what you actually did, in your employer’s words. DUTYPROOF flags wording lifted from the NOC as something to review, and an officer reading a letter that mirrors the NOC reads it the same way.

What DUTYPROOF screens for

This is DUTYPROOF’s screening threshold, not IRCC’s decision. For this NOC, screening requires at least 2 of its 11 official duties to be evidenced in your own words, plus the required letter elements. IRCC asks that you performed the actions in the occupation’s lead statement and a substantial number of its main duties — so treat the duty coverage as the number that matters, not the badge.

Job titles filed under this code

A title on this list does not by itself put your experience in this code — the duties in your letter decide that.

adjuster · adjuster - insurance · adjuster trainee - insurance · automobile claims technical adjuster · casualty insurance adjuster · claims adjuster - insurance · claims approver - insurance · claims consultant · claims examiner · claims examiner - insurance · claims investigator · claims investigator - insurance · claims representative · claims representative - insurance · disability claims examiner - insurance · disaster relief claims adjuster - insurance · field adjuster - insurance · fire insurance adjuster · freight adjuster - insurance · group life claims examiner - insurance · health and dental claims examiner - insurance · insurance adjuster · insurance inspector · liability adjuster - insurance

Employment requirements

• 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.