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    AVP, North American Claims Group - Toronto, ON, Canada - Allied World

    Allied World
    Allied World Toronto, ON, Canada

    2 weeks ago

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    Description

    Job Description - AVP, North American Claims Group

    Job Description

    AVP, North American Claims Group

    Description

    Job Objectives:

    The Assistant Vice President will be responsible for the adjustment of Canadian Commercial Property and Energy claims and provide oversight for the Canadian Third-Party Administrator, within a minimum authority level, with specific responsibility of investigating, negotiating, monitoring, and settling claims.

    Duties and Responsibilities:

    • Maintain computer claim files of Property/Energy claims
    • Analyze claim notices for proper coding, coverage and potential exposure
    • Prepare claim correspondence as necessary
    • Investigate, follow-up, and otherwise monitor the development of claims
    • Establish and authorize adequate reserves amounts based on exposure
    • Negotiate settlements and or cost-sharing agreements within specified authority
    • Set up and authorize claim settlements within specified authority
    • Authorize ALAE and Legal payments within specified authority
    • Engages and manages consultants as required to assist in determining facts, causation, damages, and exposure monitors the costs to ensure they are reasonable and necessary.
    • Liaise with underwriters, actuaries, legal counsel and outside vendors
    • Prepare claim reports as required
    • Coordinate initial investigation for subrogation potential on losses
    • Prepare and present case evaluations to supervisor for underwriting/management
    • Coordinate strategies for resolving coverage disputes
    • Assist in projects and reports as required
    • Provide claim oversight and authority to the Canadian TPA
    • Perform Claim/TPA audits annually
    • Assist with analyzing company exposure following a Catastrophe
    • Meet with existing or prospective clients and brokers
    • Train and mentor junior staff
    • Provide Underwriters with technical support
    • Travel as required for depositions, client meetings, company events, and/or market meetings
    Qualifications

    Requirements:

    • A minimum of 15 years experience handling Property/Energy insurance claims or related relevant experience in the Canadian Market
    • Some prior field experience is preferred
    • Technical knowledge of handling underlying complex Property/Energy claims
    • Excellent negotiation and communication skills
    • Technical writing experience
    • Proficient in Microsoft Office products
    • Ability to analyze coverage and instruct and collaborate with counsel regarding litigation strategy and claim resolution, and resolve claims and otherwise act within the scope of delegated authority
    • Experience with Litigated Claim files

    About Fairfax Fairfax is a holding company which, through its subsidiaries, is engaged in property and casualty insurance and reinsurance and investment management.

    About Allied World Allied World Assurance Company Holdings, Ltd, through its subsidiaries, is a global provider of insurance and reinsurance solutions. We operate under the brand Allied World and have supported clients, cedents and trading partners with thoughtful service and meaningful coverages since 2001. We are a subsidiary of Fairfax Financial Holdings Limited, and we benefit from a worldwide network of affiliated entities that allow us to think and respond in non-traditional ways. Our capital base is strong, our solutions anticipate rather than react to changing trends, and our teams are focused on establishing long-term relationships that are mutually beneficial. Learn more about how we can help you manage your risk by visiting: Web: | Facebook: | LinkedIn: Our generous benefits package includes: Health and Dental Insurance, 401k plan, and Group Term Life Insurance . Allied World Insurance Company is an Equal Opportunity and Affirmative Action Employer . All qualified applicants will be considered for employment without regard to an individual's race, color, national origin, religion or belief, sex, age, genetic information, marital or civil partnership status, family status, sexual orientation, gender identity, or their protected veteran or disability status . Please visit for further information on Allied World .

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