Senior Claims Examiner (Ontario)

Senior Claims Examiner (Ontario)

30 Oct
|
DGA Careers
|
Ontario

30 Oct

DGA Careers

Ontario

Our client, a well-established Canadian liability insurer, is looking for a Claims Examiner to join its claims team on a contract basis. This is a hands-on, self-directed role for someone who can step in and be productive from day one.
Retired or semi-retired professionals who are open to returning for a defined term, are encouraged to apply.
About the Role You'll manage a portfolio of complex, often litigated liability files. You are the decision-maker on each claim: you direct adjusters and defence counsel, set reserves, and control negotiations through to settlement or defence.
Key Responsibilities Review initial claim documentation, confirm coverage, apply legal and claims analysis, and set and amend reserves
Instruct adjusters and defence counsel on an ongoing basis and make settle/deny/defend decisions
Ensure evidence and information are properly collected and preserved
Authorize mediation and pre-trial expenses, and represent the organization at mediations and pre-trials
Lead negotiations with plaintiff counsel, mediators, pre-trial judges and claimants
Make settlement decisions up to the posted reserve and authorize payments
Handle complex and specialty files, including serious injury, surgical and medical liability matters, privacy breaches and class actions
Interpret policy wording and provide analysis and recommendations on non-claim matters




Provide guidance on general risk management questions and work with internal risk and insurance teams
Liaise with Finance to verify transactions
Train junior staff and present on claims matters when required
What We're Looking For 5-10+ years of liability claims experience, with a strong working knowledge of CGL, occupiers' liability and litigated files
Solid understanding of the litigation process: statements of claim, mediation and pre-trial preparation
Sound judgment, analytical thinking and common sense. You can read a policy, confirm coverage, set a reserve and defend your reasoning
Comfortable challenging counsel's recommendations when needed
Explicit, concise written and verbal communication, including the ability to summarize complex reports in a few words
CIP, FCIP and/or CRM completed or in progress
Professional liability or medical malpractice experience is an asset, but not required
Experience at an insurer, independent adjusting firm, or a self-insured organization will be considered
Advanced Microsoft Office skills (Outlook, Word, Excel)
Valid G driver's licence and access to a vehicle
Details Contract: approx.12 to 15 months
Location: Toronto area, hybrid (2 days per week in office)
Hours: Monday to Friday, 8:30 AM to 4:30 PM
Compensation: $75 000 to 120 000 Depending on experience can be examiner or Senior examiner level.

#J-18808-Ljbffr

📌 Senior Claims Examiner (Ontario)
🏢 DGA Careers
📍 Ontario

Reply to this offer

Impress this employer describing Your skills and abilities, fill out the form below and leave Your personal touch in the presentation letter.

Subscribe to this job alert:

Get the latest job offers by email for: senior claims examiner (ontario) / ontario

Subscribe to this job alert:

Get the latest job offers by email for: senior claims examiner (ontario) / ontario