Claims adjustment

Title: Claims Adjuster

A representative authorized to act in the claims adjustment sector is authorized to act with respect to personal and commercial claims.

 

Title: Claims Adjuster in Personal-lines Damage Insurance

A representative authorized to act in the Claims Adjustment in Personal-lines Damage Insurance sector class is only authorized to act with respect to claims pertaining to:

1. property and civil liability of a domestic nature of a natural person or an independent worker at his residence;

2. residential buildings containing not more than six dwellings.

 

Title: Claims Adjuster in Commercial-lines Damage Insurance

A representative authorized to act in the Claims Adjustment in Commercial-lines Damage Insurance sector class is only authorized to act with respect to claims of commercial businesses, including in respect of independent workers.

How to obtain a representative’s certificate

 

Step 1: Satisfy the minimum qualifications

The minimum qualifications for the damage insurance sector are as follows:

• Diploma of Collegial Studies from Québec (DCS);

• Diploma of Collegial Studies (DCS) Insurance and Financial Advisory Services;

• Attestation of collegial studies in damage insurance recognized in an agreement entered into for that purpose between the AMF and a Québec college-level institution;

• Two university certificates of 30 credits each from a Canadian university;

• Bachelor’s degree, specialized graduate diploma (D.E.S.S.), Master’s degree or doctoral degree from a Canadian university;

• Decision issued by the AMF recognizing a level of education equivalent to the Diploma of Collegial Studies;

• Comparative evaluation for studies done outside Québec issued by the ministère de l’Immigration et des Communautés culturelles du Québec indicating a level of education equivalent to a diploma of collegial studies or graduate diploma;

• Secondary school diploma or equivalent level of education and a decision issued by the AMF recognizing at least 3 years of full-time work experience.

 

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Step 2: Pass the AMF examinations

The AMF requires future professionals to pass the following examinations, based on the sector or sector class in which they plan to practice, in order to ensure they have the necessary skills to properly advise clients.

An examination is valid for two years from the date passed. A failed exam may be rewritten three times.

The AMF offers reference manuals and tools to help you prepare for the examinations.

If you wish to write an AMF examination, you must complete and submit the appropriate registration application.

Skill code	Exams	Full class	Claims adjustment in personal-lines damage insurance	Claims adjustment in commercial-lines damage insurance
05-115	Integrate into practice the general principles of law applicable to damage insurance and the rules governing the activities of claims adjusters	X	X	X
05-511	Settle personal property insurance claims based on the client’s coverage	X	X
05-512	Settle personal-lines and commercial-lines automobile insurance claims based on the client’s coverage	X	X	X
05-406	Analyzing commercial-lines insurance products, in particular civil liability insurance products for an enterprise and deposit products	X		X
05-409	Analyzing direct and indirect damage insurance products and complementary products for enterprises	X		X
05-502	Settling claims in commercial-lines damage insurance	X		X

 

• Rewrites: Exams to be rewritten in case of failure
• Adding a sector class: Exams required
• Changing sectors: Exams required to change from damage insurance to claims adjustment

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Step 3: Complete a probationary period

Once you have passed all the required examinations, you must complete a probationary period where you will apply, in a real but supervised setting, the knowledge and skills necessary to practice your profession. Trainees must work a minimum of 28 hours per week. All successfully completed examinations must be valid when beginning the probationary period, which extends for:

• 12 weeks for the Damage Insurance sector

• 6 weeks for the Personal-lines Damage Insurance sector class

• 6 weeks for the Commercial-lines Damage Insurance sector class

 

Step 4: Apply for a representative’s certificate in the sector or a sector class

In order to obtain a representative’s certificate, you must submit an application to the AMF before the validity of your examinations expires. If the validity expires during your probationary period, you have 30 days from the end of this period to apply.

While your application is being processed, and on receipt of a notice to this effect from the AMF, the probationary certificate will remain in effect for a maximum of 45 days as of the end of the probationary period.

It should be noted that before issuing a representative’s certificate the Authority will take into account information related to the applicant's degree of honesty (criminal record, bankruptcy, etc.) as well as information related to the job held in case of dual employment

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Exceptions

• Representatives who are already certifie

• Representatives from another Canadian province or territory (In French only)

 

Rules for Reinstatement

• Reinstatement of a certificate in the year following the surrender or non-renewal

• Reinstatement of a certificate within three years following the surrender or non-renewal 

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