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    • Assess insurance claim coverage, liability, and quantum.
    • 3 + years of insurance claims experience or a related role is required;
    • View all DWF jobs - Toronto jobs
    • Salary Search: Claims Examiner salaries in Toronto, ON
    • Comprehensive benefits package - extended health and dental coverage, life insurance, travel insurance, vision care and wellness initiatives.
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    • It is the intent of Specialty Claims to provide top-level claims service, to respond quickly to inquiries, and to resolve outstanding claims as soon as…
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    • By joining Specialty Claims Canada and Specialty Program Group Canada, you’ll become part of a rapidly growing company focused on providing innovative insurance…
    • Optional employee & spouse life insurance available.
    • Attend meetings and seminars to keep abreast of changes in the insurance field as needed.
    • Comprehensive, flexible medical and dental benefits.
    • Previous claims experience in construction and medical malpractice (MedMal) is considered an asset.
    • Corresponds/communicates with adjusters and examiners regarding status of claims and reserves, and assisting as required.
    • Customer focused and service oriented.
    • Experience in the insurance industry (an asset).
    • Correspond/communicate with adjusters and examiners regarding the status of claims and reserves.
    • Ability to read and interpret insurance policies and act as liaison with Underwriting as needed.
    • Handle Accident & Health claims as part of the A&H team,…
    • Working closely with claimants, claim adjudicators, medical professionals, third party administrators and departments to monitor the claim process, develop…
    • Strong understanding of travel insurance policies and benefits considered an asset.
    • In this role, you will review, investigate, and adjudicate travel insurance…
    • Free travel medical insurance for you and your immediate family.
    • Employee-exclusive discounts on travel, insurance, memberships, and more.
    • Strong understanding of travel insurance policies and benefits considered an asset.
    • In this role, you will review, investigate, and adjudicate travel insurance…
    • Acquires, analyzes, interprets and evaluates documentation including medical, employment, government, financial and banking information.
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Job Post Details

Claims Examiner - job post

DWF
3.0 out of 5 stars
Toronto, ON
$80,000–$90,000 a year
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Job details

Pay

  • $80,000–$90,000 a year

Location

Toronto, ON

Full job description

Why join us?:
Our Canadian office is currently recruiting for a Claims Examiner. The Claims Examiner will perform customer service and claims functions within all lines of commercial business, but with particular emphasis on General Liability Claims and Professional Liability claims. The incumbent will ensure timely disposition of mid-size to large claims with the purpose of achieving timely resolution / cost effective settlements on behalf of DWF Claims Canada Ltd. and its clients, both international and domestic.
Responsibilities:

  • Review, examine, calculate, investigate, and settle legal expense insurance claims and wrap up liability claims
  • Assess insurance claim coverage, liability, and quantum.
  • Act as a lead client account manager on various Legal expense insurance and liability claims programs
  • Ensure claims are valid and settlements are made according to company practices and client service level agreements.
  • Effectively implement litigation management programs on assigned files
  • Set reserves within authority and make claim recommendations concerning reserve changes to the appropriate client(s), as well as documenting files with clear, well written file notes summarizing activities on each file
  • Provide outstanding customer service and work well with London brokers, insurers, clients, third party claimants and other stakeholders as necessary in the adjustment of claims
  • Assist with the mentorship of junior staff
  • Collaborate with head office personnel out of the United Kingdom.
What will help you succeed in this role?:
  • A bachelor's degree in business, finance, or a related field is required;
  • 3 + years of insurance claims experience or a related role is required;
  • Completion of or pursuing a CIP designation is required;
  • Completion of or pursuing the Ontario Insurance Adjusters License
  • Knowledge of Lloyds of London market is preferred
  • Ability to work independently and assimilate learning materials on many different subjects from various sources;
  • Strong oral and written communication skills as well as listening skills;
  • Committed team player with a preference to work in a collaborative setting;
  • Excellent negotiation skills with an aptitude for diplomacy;
  • This is a hybrid role, however, must be willing to be physically present in the office to monitor phone lines when required

What we offer:

The salary range for this position is $80,000-$90,000 per annum, dependent on years/relevance of individual experience.

We are committed to ensuring that each member of our team feels valued and duly rewarded during their time at DWF.

We are an equal opportunities employer that celebrates diversity and we are committed to creating an inclusive environment for all. We aim to create a positive experience for all candidates and offer any adjustments or additional support needed. If you're excited about the opportunity but your experience doesn’t align perfectly with all the requirements, please apply anyway. You may be the right candidate for the role or others across the wider team.

About us:
DWF is a leading global provider of integrated legal and business services. Our approach delivers efficiency, price certainty and transparency for our clients across the world without compromising on quality or service. Our purpose is to deliver positive outcomes with our colleagues, clients and communities and we foster a culture that places our colleagues at the centre of all that we do.
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