Ontario Medical Examiners jobs

Introduction

Specialty Claims Canada “Specialty Claims” is the in-house claims management department of Specialty Programs Group Canada “SPG Canada”. Specialty Claims prides itself on managing claims on behalf of the Cansure, Totten, i3, and Beacon brands. We manage claims for both our Canadian and London based market partners under a delegated authority. 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 practicable. Specialty Claims believes that the investment in a Claims management team and the efficiency of scale, combined with the integration of data, knowledge, and training with the underwriting operations will greatly benefit all stakeholders including our broker partners.

Specialty Program Group Canada (SPGC) is a fast-paced insurance Managing General Agency (MGA) and Delegated Underwriting Authority Enterprise (DUAE) that provides innovative underwriting solutions and claims handling for our network of brokers across Canada through our trade brands: Cansure, Totten Group, i3 Underwriting, Beacon, Anderson McTague & Associates, Mode, Avro, and Specialty Claims Canada. Our success as Canada’s largest MGA and DUAE is based on our innovation, hospitality-level service, and living our values every day. We are a thriving, growing organization, providing stable and fulfilling careers for over 500 people across Canada.

Overview

We are looking for an experienced Claims Examiner to join our growing team. In this role, you will be responsible for managing and adjudicating Personal, Commercial, and Specialty Lines Property and Casualty claims across all Canadian provinces, ensuring each claim is handled with accuracy, fairness, and a commitment to exceptional service.

You will play a key role in assessing coverage, analyzing reports from adjusters, experts, and legal counsel, and providing recommendations to Domestic and Lloyd’s of London Underwriters on complex claims. Working closely with Underwriters, Brokers, and various stakeholders, you will ensure that company protocols and reserving guidelines are adhered to throughout the claims handling process.

This is a hybrid/remote position out of any of our offices (BC, NS, NB, ON, QC). While preference will be given to candidates who can be hybrid, we are also open to candidates in all Canadian provinces.

Responsibilities

In this position you will:

• Analyze and assess coverage of Personal and Commercial Property and Casualty Claims
• Reviewing and analyzing reports from various service providers including adjusters/experts/lawyers
• Reporting to and making recommendations to various Underwriters on complex claims (Domestic and Lloyds of London Underwriters)
• Ensuring that company claims protocols and guidelines are adhered to throughout the claims handling process including setting and maintaining loss and expense reserves
• Liaise with Underwriters, Brokers and other stakeholders in a professional and efficient manner

Qualifications and Characteristics

You’re a good fit if you have:

• 3 – 5+ years of Property and Casualty Claims Adjusting/Claims Handling experience
• or currently pursuing Chartered Insurance Professional (CIP) or Canadian Accredited Insurance Broker (CAIB) designations
• Currently hold at least a Level 2 Insurance Broker or Adjuster License in your home jurisdiction
• Excellent verbal and written communication skills
• Strong investigative and analytical skills including understanding all policy wordings
• Effective interpersonal and relationship building skills
• Able to work well independently
• Ability to prioritize tasks, meet various deadlines and keep organized
• While not required, French language skills are considered an asset.

Benefits

By joining Specialty Claims Canada and Specialty Program Group Canada, you’ll become part of a rapidly growing company focused on providing innovative insurance solutions to support independent brokers in Canada. As a member of our team, you’ll benefit from:

• Dental care
• Extended health care
• Paid time-off
• RRSP match
• Vision care

Salary Range

The expected salary range for this position is from $60,000 – 90,000 and will be impacted by factors such as the successful candidate’s skills, experience and working location, as well as the specific position’s business line, scope and level. Specialty Program Group Canada and affiliated brands are proud to offer comprehensive benefit and total compensation packages which include extended health and dental benefits, disability insurance, RRSP matching, paid time off benefits, and a variety of potential bonus opportunities.

APPLY NOW