Claims Examiner

7 days ago

Toronto, Ontario, Canada QBE Insurance Full time
Claims Examiner QBE Insurance Toronto, Canada Posted 4 days ago Hybrid Job Permanent Competitive

Primary Details
Time Type: Full time

Worker Type: Employee At QBE, our purpose is to enable a more resilient future. Are you passionate about working for one of the world's largest insurers that offers excellent opportunities to grow your career and with offices in 28 countries? Leveraging our deep expertise and insights, QBE offers commercial, personal and specialty products and risk management solutions to help people and businesses manage risks. Today, we employ more than 13,000 people around the world. QBE Europe SA/NV is headquartered in Brussel and while we are international in our outlook, we are also proudly local in our operations. QBE's European Operations, which accounts for over 27% of QBE Group turnover, is a leading specialist in London market and European commercial lines business. Active in both the Lloyd's and company market, QBE offers considerable diversity to the broking community. We are a socially responsible company and give our customers the ability to invest a portion of their premiums in environmentally and socially beneficial projects. With our comprehensive product offering and underwriting expertise, we are able to cover a wide range of business risks, helping our clients to identify them and minimise their exposure. CLAIMS EXAMINER - Multi-Line The opportunity What if we could all have a positive impact - at work and in the world? At QBE Canada we're looking for an experienced Claims Examiner to join our Canadian team. This opportunity enables the individual to manage complex claims and be part of a collaborative team Your new role
  • Examine intermediate to complex property & casualty claims while providing outstanding Claims handling service (focus on ability to handle property claims)
  • Prepare and be able to present a complete file strategy, coverage analysis, disposition, and business case
  • Ensure that estimates and billings are calculated correctly by clients and brokers and that QBE's share has also been correctly calculated
  • Identify and investigate coverage issues so as to ensure that the company's liability is in line with its contractual commitments
  • Identify subrogation, contribution and other recovery issues and ensure that these are successfully pursued where appropriate
  • Manage disputed Claims and other material Claims issues in order to resolve and settle claims fairly
  • Ensure that Claims fees and advices are responded to within agreed timeframes to ensure good service
  • Provide a professional service to brokers and clients which supports the reputation of the Company
  • Respond to internal and external stakeholder requests in accordance with service standards Flag complaints as required and Treat Customers Fairly
  • Maintain knowledge of the Claims Portfolio and provide information to others on request to ensure the effective monitoring of Claims to support Underwriting and Claims decision
  • Reserve accurately to ensure that the Company's liability is clear at all times
  • Ensure accurate and timely update of the company's systems as and when required
  • Deal with MI reports when required to maintain status quo and to help reasonably control costs and control leakage
  • Maintain efficient handling of their own caseload to ensure the prompt, timely and effective handling of Claims
About you
  • Strong investigative skills
  • Solid understanding of a variety of property and casualty coverage wordings, including First Party Property, Construction (Course of Construction and Wrap Liability), Commercial General Liability.
  • Basic accounting skills
  • Ability to understand and analysis scopes of damage
  • Minimum of 3 to 5 years' experience in commercial insurance claims
  • Strong critical thinking and investigation skills
  • Knowledge of insurance law and legislation (and related court proceedings and protocols, including mediation/arbitration procedures are an asset
  • Ability to work independently and as a contributing team member
  • Strong negotiation and communication skills
  • Effective presentation skills
  • Relationship Management skills
  • Able to use MS office applications, Word, Excel and Access
  • Able to produce MI and detailed reports at various levels
  • CIP or FCIP qualified or progress towards completion of insurance qualifications or equivalent. Bilingualism (French/English) is an asset.
Why QBE? At QBE, we want our people to feel rewarded and inspired to perform at their best. We understand that one size doesn't fit all and that priorities can change depending on your life stage. That is why our blend of wellbeing initiatives and benefits offer flexibility to suit what matters most to you. It's in the culture of our business, our QBE DNA, to support our people. Everything we do is underpinned by our QBE DNA - because we know it's not just what we do that matters, it's how we do it that makes the difference. At QBE, we view our people as our most precious asset. We understand the importance of fostering a work environment that is responsive to the changing needs of today's workforce. QBE aims to build a workplace that is fair and inclusive because we want to attract and retain the best people to do the job, we have adopted flexible working across the company and welcome this conversation. Some of the award's QBE are proud to have won, been a finalist for, and shortlisted for include: 5-star Diversity, Equity and inclusion (DEI) awards, 2023 Winner - Insurance Business Canada Employer of the Year 2022 Winner - Insurance Insider British Claims Awards 2022 Winner - InsurTech Award Insurance Times Claims Excellence Awards 2022 Winner - Claims Product Solution of the Year Working Families Best Practice Awards 2021 Finalist for: Best COVID-19 Response Insurance Post British Insurance Awards 2022 Shortlisted for: Best Customer Care, Diversity & Inclusion Initiative of the Year 2022, Specialist Insurer of the Year (for Construction), General Insurer of the Year Inclusion of Diversity We are striving to create a workplace culture where all our people feel included, and we are committed to building a diverse workforce that is reflective of the communities we operate in. We know that diversity of thought, background and experience enables better decision making, improves the quality of our delivery and helps us to meet the needs of our customers. ESG & Sustainability At QBE, we believe that integrating sustainability into our business helps us deliver on our purpose of enabling a more resilient future. Our three key focus areas include fostering an orderly and inclusive transition to a net-zero economy, enabling a sustainable and resilient workforce and partnering for growth through innovative, sustainable and impactful solutions. For further information regarding QBE's sustainability targets, including our net-zero pledges and inclusion of diversity targets, and our award-winning impact investment initiative 'Premiums4Good', please visit our Sustainability homepage and read our latest Sustainability Report (Link). About QBE QBE is an international insurer and reinsurer, listed on the Australian Securities Exchange and headquartered in Sydney. We employ more than 11,000 people, with a local presence in 28 countries. We are driven by our purpose of enabling a more resilient future - helping those around us build strength and embrace change to their advantage. We've been cultivating resilience since 1886, when our founders started a marine insurance company in Australia to give early pioneers a safeguard against uncertainty. Today, we're still giving our customers confidence to explore, innovate and take measured risks, secure in the knowledge they're covered by a strong insurer. We work hard to build a culture that best supports our people, and not only represents our business, but the world around us. As a business insurance specialist, QBE European Operations offers a range of insurance products from the standard suite of property, casualty and motor to the specialist financial lines, marine and energy. All are tailored to the individual needs of our small, medium and large customer base. What next? If you have a passion to contribute to QBE's vision of enabling a more resilient future for our customers and the community, we encourage you to APPLY NOW Simply click the apply" button to submit your CV and other relevant documents, and a member of our friendly Talent Acquisition team will be in contact to discuss your interest further if you meet the requirements of the role. Please make the Talent Acquisition aware should there be any reasonable accommodation that may need to be made for the interview and the remainder of the recruitment process. How to Apply: To submit your application, click "Apply" and follow the step by step process. Equal Employment Opportunity: QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.

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