Senior Claims Adjuster, Accident Benefits Specialist

6 days ago


Cambridge, Ontario, Canada Gore Mutual Insurance Full time

About Our Next Horizon Journey

Gore Mutual Insurance is at the forefront of a bold new phase in our company's history. We've undergone a transformative journey in under three years, investing in top talent and leading technology to redefine what it means to be a modern mutual insurer that does good.

Our Path Forward

We're focused on delivering exceptional business performance, powered by innovation and an agile, high-performing culture. Our goal is to become a purpose-driven, digitally led national insurer.

About the Role

We're seeking an experienced Accident Benefits Claims Adjuster to join our team. In this role, you'll investigate, evaluate, and settle moderate to high severity Accident Benefits claims. You'll be responsible for maintaining accurate and timely reserves, preparing large files for presentation to our claims leadership team, and providing direction to legal counsel on litigated claims.

Key Responsibilities

  • Investigate, evaluate, and settle moderate to high severity Accident Benefits claims.
  • Provide direction to legal counsel until resolution.
  • Proactively manage your desk by adhering to deadlines, keeping clear notes, and maintaining timely and accurate reserves.
  • Prepare large files for discussion and review with our claims leadership team when setting and amending reserves.

Requirements

  • Minimum 5 years of Accident Benefits claims adjusting experience in the P&C insurance industry.
  • CIP/FCIP designation or working towards designation is preferred.
  • Proficient use of Microsoft Office applications.
  • Excellent customer service, analytical, and negotiation skills.
  • Detail-oriented, highly organized, and ability to prioritize.
  • Team-oriented, value teamwork, and provide mentoring.

Work Arrangement

This is a hybrid role that includes the flexibility to work remotely, with in-person meetings in our Cambridge, Ontario office.



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