Claims Examiner
Overview
Do you enjoy building relationships and working collaboratively in a team environment with both internal, external and global stakeholders? We are hiring a Claims Examiner in Toronto who will be responsible for handling, evaluating, reserving and resolving multi-line claims with a primary focus on Commercial Property, COC, and other specialty lines of business in accordance with established company policy and providing strong administrative support to the claims department.
Your job
Key Accountabilities and Tasks:
• Confirm and interpret coverage under applicable insurance contracts including identifying coverage issues, protecting Temple's rights and resolution of coverage issues.
• Ensure claims are investigated, managed and assessed promptly and professionally including determination of potential and ultimate loss exposures, probable ultimate cost reserving, and managing claims to an appropriate conclusion.
• Develop, analyze and maintain claim information to ensure reserves are maintained at appropriate levels and adverse exposure developments are recognized and acted upon in a timely manner.
• Accountability for entry/maintenance of claim file data on the Temple claims system including posting reserves, issuing payments, summary memos, activity logs and file document management.
• Retain and instruct/direct independent adjusters, counsel and other external claim service providers.
• Determine repair costs, replacement costs and depreciation values of commercial structures in consultation with appropriate experts.
• Schedule/attend mediations, appraisals and other Alternative Dispute Resolution (ADR) meetings in Canada and USA.
• Proactively manage claim file abeyance process.
• Present claims before various committees/groups (consisting of management team and claims leadership) for evaluation/authority and prepare Large Loss Reports for committee/group..
• Validate the accuracy of payment requests and make prompt payments.
• Participate in cross-functional initiatives and projects on behalf of Claims, at the request of VP, Temple Claims.
• Promote and implement a best practices, customer service orientation in the provisions of claims services to internal and external clients.
• Report to reinsurers and respond to claim queries from reinsurers as required.
• Keep abreast of current legal trends and legislative changes including continuing education through participation in relevant courses and seminars.
• Assist with mentoring and training Temple claims team staff.
Your profile
Required Education:
• University Degree; law, business or finance degree is an asset.
• Chartered Insurance Professional (CIP) / Fellow Chartered Insurance Professional (FCIP) / Certified Risk Manager (CRM) designations are an asset
Preferred Experience:
• Minimum 7 to 10 years multi-line claims experience, with a focus on commercial property claims.
Specialized Knowledge and Skills:
• Excellent written and oral communication skills
• Strong computer ability and working knowledge of Microsoft Word/Excel/PowerPoint/Outlook.
• Excellent analytical, negotiating and investigative competencies.
• Highly organized, detailed oriented and demonstrated ability to interpret standard techniques and practices.
• Strong work ethic with good self-discipline and independently motivated
• Ability/willingness to learn, change and experiment
• Demonstrate accuracy and an eye for attention to detail.
• Ability to work independently and in a team environment and to function well under pressure.
• High degree of flexibility and adaptability to changing environment and situations.
Good business and general insurance acumen.
In addition to an exciting job opportunity, we offer the following:
• Exposure to challenging projects and development opportunities to grow your skills and career with both local and global colleagues and partners are available.
• A comprehensive total rewards financial program which includes extensive flexible benefits and pension.
• A hybrid work environment in an inspiring physical workplace setting.
• Educational Assistance Programs that continue to recognize your on-going success.
Click on the link to apply...
Our base salary range for this role is between $85,000 to $111,000 per year, plus an opportunity for an annual company bonus based upon a percentage of eligible pay. The salary estimate displayed represents the typical salary range for candidates hired in this position. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have and comparison to internal equity.
This role is located in our Toronto office on 390 Bay St, and we operate in a 3 day in-office hybrid work model. This job posting is for an existing vacancy.
We do not use AI in our recruitment process - applications are reviewed by our team to ensure a fair and personalized experience.
