My name is Susan Shewchuk-Toth and I just .. recently the
job title of this job has been changed from Adjuster to Personal
Injury Representative II and that more or less runs along the
lines of this new program that was established in January of
1995 called the Personal Injury Protection plan. I've been
doing it for just about two years now for Saskatchewan Government
Insurance. I've always been interested in (if I was going to
go aback to school whatever), I have always been interested
in the medical field or health practice or whatever so it gives
you a good chance to work with care givers in the area and
also working with people. I like to think that most of the
time you have a good rapport with most of the people you're
dealing with and that you can help them when they're at a low
in their life as a result of a motor vehicle accident.
A typical day would consist of, of course, we meet with the
general public now and you, as working dependently, would be
able to set up your appointments each day. It's probably good
to not overbook yourself because the phone can sometimes ring
right off the wall on a given day. Files can come back at you
maybe that perhaps were closed will be reactivated if there
was a relapse or new files will come in, new injuries and you've
taken on more work. It's a matter of, I think, organizing your
day. And in addition to seeing ongoing people from files you
already have, making time for calls on existing files if they
are not coming into the office, or making time for new files
or whatever that will be coming your way.
I start work at 7:30 in the morning and I usually work 'til
4:00. We are allowed a half hour lunch, two fifteen minute
breaks but, I mean, in a day where you are dealing with the
general public you have to basically plan your day around them.
If they can make it in at a certain time and it's a lunch break
for you or it's a coffee break, you may have to readjust your
schedule so that you can see them at a time that works for
both of you.
Do we work a standard day? Our office is open from 7:30 'til
5:00. Most people, appointments will start to come in, they
can start as early as 7:30 but normally 8:00 o'clock the office
is buzzing. But normally, our day is done at the end of the
day at 5:00 o'clock.
I think you have to have compassion. You have to have sympathy
and you have to put yourself on the other side of the desk
from the injured victim. You have to understand that they may
have concerns. They don't know if they're going to be recovering
from the accident or not and you have to walk through it with
them. I think it's just a matter of respecting their rights
and making them feel comfortable with it.
In every office or whatever, it always is good to know that
you have a support system. But in a job of this aspect, I think
more so that you basically run -- you manage your own files.
You can have assistance on your files and you can go .. I have
a senior to report to, or supervisor, or manager when I run
into problems or concerns on a file that I just don't know
which way to go on. But most of the time you're managing your
own file and making sure that the proper things are done at
the proper times and that the people are getting the help or
the assistance required. In this line of work you do have to
work independently and most efficiently as you can because
the longer you leave a problem, if it is going to be a problem,
the worse it will be. So if you can stay on top of the situation
and deal with things in a timely, orderly fashion, and probably
as soon as possible if the situation or the file is promoting
red flags, the sooner it can be dealt with.
When a job is posted for this line of work, whatever, they
do have specifications. They have either equivalency and if
you do have.. at SGI. you can take insurance classes. They're
through the Insurance Institute of Canada and if you take some
of these classes in order to..for an Adjuster II level, for
example, if you have six of the nine classes then you would
automatically have the equivalency for this position. Otherwise
you would have to go through an equivalency exam and if you
were to pass that, then you would move on to a knowledge, skills
and ability examination. And if you get through that then the
final loop would just be having a target selection done and
you would be going through three interviews with various managers
or supervisors in the area. And if that turns out all right
then the job would be yours.
The most challenging part of the job would be if you have
a really complex file. If you're presented with a file and
you're seeing red flags right from the start, perhaps the claimant
is not indicating or.. what he's stating to you seemed a little
off track, or off the wall, whatever, you may have to do some
investigating of your own. And often times as insurance is
.. there is frauds committed. And I think that is the most
challenging part of the job is establishing, getting your facts
together and backing that up because the point of this system
is not to benefit -- monetary from it.
The most satisfying part of the job is being able to help
someone after a motor vehicle accident, have them return successfully
to work, to daily activities, just getting back to the normal
again. They're quite happy when all treatment is said and done
to return back to their lives again and not pretend that it
never happened, but be able to go beyond it, past it.
If you're considering to get into this position, that you
fully understand that you are dealing with people from all
walks of life. Injuries can be minor, to severe, to fatality.
You have to know that you have the personality for one to be
able to handle all these situations, the patience and the understanding
and to be able to cope and realize that sometimes there is
going to be fraudulent claims or things that are presented
to you that make the job seem ridiculous. But I think you have
to manage it all and be able to just overlook the factors and
deal with each situation.