Intermediate Claims Examiner

• Manage and oversee the investigation of claims, including Legal Expense Insurance, Commercial General Liability (CGL), Wrap-Up Liability, and other liability claims, through the direction of external adjusters and legal counsel;
• Analyze and evaluate claim information, including liability, damages, and causation, to determine the extent of exposure;
• Assess and interpret policy coverage, liability, and quantum, providing sound and well-reasoned claims analysis;
• Effectively implement and manage litigation strategies on assigned files, including oversight of defence counsel and litigation budgets;
• Prepare comprehensive, high-quality reports and recommendations for Underwriters and facilitate the accurate administration of claim payments through trust accounts;
• Establish and manage claim reserves within delegated authority, recommend reserve adjustments where appropriate, and maintain clear, thorough, and well-documented file notes summarizing claim activity and strategy;
• Maintain accurate time recording of claims activities to support reporting, governance, and client billing practices;
• Deliver exceptional client service while collaborating effectively with brokers, insureds, clients, third-party claimants, and other stakeholders throughout the claims process; and
• Provide mentorship and guidance to junior staff, supporting professional development and maintaining claims handling standards.

• University degree or college diploma;
• Minimum of 5 years of liability claims experience;
• Completion of, or progress toward, the Chartered Insurance Professional (CIP) designation is preferred;
• Holds, or is close to obtaining, an Ontario Insurance Adjuster’s Licence, or an equivalent licence from another Canadian province;
• Demonstrated experience in commercial liability claims examining or adjusting;
• Prior experience as an Independent Adjuster or as a Third Party Administrator (TPA) and working under delegated authority for Lloyd’s Syndicates, is considered a strong asset;
• Ability to work independently and effectively assimilate technical and learning materials from multiple sources;
• Strong oral and written communication skills, with well-developed listening abilities;
• Proven collaborative team player, with a preference for working in a team-oriented environment;
• Excellent negotiation skills, with sound judgment and diplomacy;
• Strong client service orientation, with the ability to respond to and support client and stakeholder needs;
• Highly effective time management and organizational skills, with the ability to manage competing priorities; and
• Bilingualism (English/French) and the ability to monitor and handle claims in French would be considered an asset.

DWF