Remote Claims Examiner

4 weeks ago


Toronto ON, Canada DGA Careers Full time

Senior Claims Analyst-Contract (9364) Location: Toronto
Senior Claims Analyst-Contract
12-18 month contract/2 days a month in office

Every insurer licensed to write automobile liability insurance is a member of this association. Our client ensures the availability of automobile insurance to owners, lessees and licensed drivers of motor vehicles who are eligible.

The Senior Claims Analyst is a claims subject matter expert in AB/BI claims who lends their knowledge to develop claim guides and a complete overview of claims that are deemed reportable. The Senior Claims Analyst will ensure there is sufficient oversight of the claims to protect the financial interests of the Company risk sharing pool and the uninsured motorist funds. This claims expert will review and monitor all large loss claims reported from Members and Servicing Carriers and provide recommendations on claims, while also presenting information to the Claims Committee and senior leadership.

Review large loss claim files and provide recommendations to Servicing Carriers and Members.
Monitor the investigation, defense and final settlement of the Uninsured Automobile Funds (UAF) and Judgement Recoveries in the Atlantic Provinces and provide technical direction to legal counsel.
Monitor the progress and resolution of Run-off claims through the review of regular reports and provide technical guidance and direction to Independent Adjusters.
Review and process vendor invoices and indemnity submissions on Run Off, FARM Legal Reimbursement, UAF and Judgment Recovery files.
Prepare and analyze financial and claims reports, and all financial information associated with claims management including reconciling reserves and payments.
Prepare and present analytical reports, recommendations, and briefing notes to seek advice and/or input from the Claim Committee members on a range of items (ex. complex claims, Claims Guides changes, regulatory issues, etc.).
Facilitate discussion with Claims Committee members on industry trends and risk exposures.
Manage Special Projects:
Lead and participate in Special Projects within the department or cross-functionally.
Conduct research, prepare background information, develop, and implement new/revised process improvements, automation, and modernization and provides input to leadership as needed.
Collaborate with project managers and stakeholders as required.
Prepare reports for senior management and regulators as required.
Undergraduate Degree or Post-Secondary Diploma or equivalent experience.
Certified Risk Manager (CRM) Designation would be an asset.
At least 5 to 7 years of relevant experience in claims management.
Automobile insurance experience across multiple jurisdictions.
Strong knowledge of the automobile insurance regulatory environments nationally.
Advanced proficiency in MS Office (Word, Access, Excel, PowerPoint) and SharePoint.
Experience in Tableau would be an asset.
Ability to work remotely from home (ie. and attend on-site as required.
DGA Careers has been proudly serving the Canadian insurance industry for over 30 years, specializing in providing insurance recruiting services to major insurers, insurance brokerage firms and independent adjusting firms. Our unrivalled professional network across Canada provides us with the ability to reach vital key influencers and passive candidates nationally.

Job Type: Contract
Claims - Accident Benefits , Claims-Bodily Injury



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