- Review and interpret policy wordings and parameters to determine if coverage is in-force and triggered by the loss
- Manage claims settlement process with independent adjusters; providing recommendations and direction for negotiation and settlement within authority provided by insurers
- Perform in house adjustment of claims within authority granted by provincial authorities and insurers
- Set and maintain accurate loss and expense reserves based upon investigation and/or recommendations; including validating independent adjusters' or insurers' reserve calculations and advising of discrepancies
- Perform business interruption calculations
- Provide feedback to Underwriters, Risk Management, and Brokerage teams on claims frequency and physical hazards
- Maintain and action abeyance files and payment schedules
- Draft and distribute correspondence to insureds, insurers, third party claimants, adjusters and other industry members
- General Insurance Level 2 License required, RIBO license an asset
- Working towards your CIP or CAIB preferred
- Minimum 5 years' experience working with Claims in the insurance industry
- Clear professional communication, both verbal and written
- Knowledge of MS products including Word, Excel, Outlook
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Claims Examiner - Toronto, Canada - Western Financial Group
Description
Here is what a typical day looks like
The value you bring
Hours: Full Time – 37.5 hours/week
Location: Remote within Canada
Salary Range: $65,000 - $89,000
Requisition #: 80584
What if I don't meet every requirement?
If you're excited about the role but your experience doesn't check every box – we still encourage you to apply. You may be the right person for this role – or we might have another that suits you even better
At Western, we are dedicated to building a diverse, inclusive, and authentic workplace in the communities we work and live in If you have questions or require accommodation, please reach out to us.
Health and Wellness
We take pride in providing programs that add value to our people's lives – after all, they are our greatest asset. Eligible employees receive a competitive compensation package consisting of 3 weeks' vacation, 14 wellness days, company matching investment and savings programs, and 100% employer-paid group benefits, including a health care spending account.
For over 20 years, supporting our local communities has been a part of everything we do – it's engrained in our culture though the Western Financial Group Communities Foundation.
