Claims Examiner

Terms of Employment:
Full-time / Permanent

Employment Address: 36 Toronto Street, suite 1160, Toronto, ON, M5C 2C5

Hours of Work: 37.5 hours/week

Language:
English

Benefits:
Eligible for dental insurance, extended medical insurance, RRSP Contributions, and discretionary bonuses and/or salary increases in accordance with company policy.

Salary: $81,000 CAD / year

• Review, examine, calculate, investigate, and settle legal expense insurance claims and wrap up liability claims
• Assess insurance claim coverage, liability, and quantum.
• Act as a lead client account manager on various Legal expense insurance and liability claims programs
• Ensure claims are valid and settlements are made according to company practices and client service level agreements.
• Effectively implement litigation management programs on assigned files
• Set reserves within authority and make claim recommendations concerning reserve changes to the appropriate client(s), as well as documenting files with clear, well written file notes summarizing activities on each file
• Provide outstanding customer service and work well with London brokers, insurers, clients, third party claimants and other stakeholders as necessary in the adjustment of claims
• Assist with the mentorship of junior staff
• Collaborate with head office personnel out of the United Kingdom.

• A bachelor's degree in business, finance, or a related field is required;
• 3 + years of insurance claims experience or a related role is required;
• Completion of or pursuing:
  • a CIP designation is required;
  • the Ontario Insurance Adjusters License
• Knowledge of Lloyds of London market is preferred
• Ability to work independently and assimilate learning materials on many different subjects from various sources;
• Strong oral and written communication skills as well as listening skills;
• Committed team player with a תוך preference to work in a collaborative setting;
• Excellent negotiation skills with an aptitude for diplomacy;
• This is a hybrid role, however, must be willing to be physically present in the office to monitor phone lines when required