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Claims jobs in Toronto, ON

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    • Evaluate claim documentation, repair estimates, and policy coverage details to determine claim validity.
    • Collaborate with internal teams to resolve complex or…
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    • Train colleagues on complex claims handling.
    • As a Claims Consultant in our Specialty Lines team, you will handle complex multi-line claims through all…
  • View similar jobs with this employer
    • Train colleagues on complex claims handling.
    • As a Claims Consultant in our Specialty Lines team, you will handle complex multi-line claims through all…
    • Identify, assign and manage expert involvement on claims; being mindful of claim cost control measures.
    • Direct handle all condominium assessment claims.
    • Investigates, manages, and settles high complexity property claims and various claims.
    • Good written communications skills to draft claims reports.
    • We are looking for a Clinical Assessment Coordinator who has experience working in the Personal Injury field, specifically in the Canadian system in regards to…
    • Must be team player and have effective communication and project management skills to work with all the internal stakeholders (claims, actuarial, legal,…
    • Claims Support & Advocacy – Guide clients through claims processes and act as their advocate to ensure a smooth experience.
    • Prepare and maintain various reports on property claims.
    • Examine claims files handled by Independent Adjusters when required.
    • Manage challenging coverage claims with tact and professionalism.
    • Obtain approval from Manager on claims above authority.
    • CIP or working towards designation.
    • Has limited claim settlement authority and requires next level approval for claims in excess of their authority limit.
    • Typically reports into a Team Manager.
    • 3+ years of experience in freight claims, cargo claims, OS&D, transportation operations, or LTL logistics.
    • Manage claim documentation, follow-up, settlements…
    • Full investigation, evaluation, analysis, negotiation and settlement of property damage claims.
    • 1-5 years prior claims handling experience coupled with 2-3…
    • Prepare and maintain various reports on property claims.
    • Examine claims files handled by Independent Adjusters when required.
    • Participate in the industry events and various special projects for the benefit of the claims department as identified from time-to-time.
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Nationally Licensed Insurance Claims Adjudicator - GAP Insurance Mechanical Breakdown Insurance
220 Duncan Mill Road, North York, ON M3B 3J5
$60,000–$65,000 a year
Permanent, Full-time

Job details

Here’s how the job details align with your profile.

Pay

$60,000–$65,000 a year

Job type

Permanent
Full-time

Benefits

Pulled from the full job description
Paid time off
Dental care
Life insurance
Casual dress
On-site parking

Full job description

Job Summary

We are seeking a highly skilled and licensed Insurance Claims Adjudicator specializing in GAP Insurance and Mechanical Breakdown Insurance. In this role, you will evaluate, process, and resolve insurance claims related to mechanical breakdowns and GAP coverage, ensuring accurate adjudication while providing exceptional customer service. The ideal candidate will possess strong analysis skills, negotiation abilities, and organizational expertise to manage complex claims efficiently and effectively. This position offers an opportunity to contribute to a dynamic team dedicated to delivering reliable insurance solutions.

Responsibilities

  • Review and analyze insurance claims related to GAP and Mechanical Breakdown Insurance policies.
  • Evaluate claim documentation, repair estimates, and policy coverage details to determine claim validity.
  • Negotiate settlements with policyholders, repair shops, and other stakeholders to reach fair resolutions.
  • Ensure compliance with company policies, industry regulations, and licensing requirements throughout the adjudication process.
  • Maintain detailed records of claim activities, decisions, and correspondence for audit purposes.
  • Collaborate with internal teams to resolve complex or disputed claims promptly.
  • Provide exceptional customer service by communicating clearly and professionally with claimants and stakeholders.
  • Stay updated on industry regulations, policy changes, and best practices relevant to insurance claim adjudication.

Requirements

  • Valid and current insurance licensing as a Claims Adjudicator or similar credential recognized nationally.
  • Proven experience in insurance claims processing, particularly in GAP Insurance or Mechanical Breakdown Insurance.
  • Strong negotiation skills to facilitate fair settlements while managing stakeholder expectations.
  • Excellent customer service skills with the ability to handle sensitive situations professionally.
  • Analytical skills necessary for detailed review of claims documentation and policy coverage.
  • Organizational skills to manage multiple claims efficiently while maintaining accuracy.
  • Ability to work independently and collaboratively within a team environment.
  • Attention to detail and high level of integrity in handling confidential information.

Pay: $60,000.00-$65,000.00 per year

Benefits:

  • Casual dress
  • Dental care
  • Life insurance
  • On-site parking
  • Paid time off

Work Location: In person

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