Claims Examiner

2 weeks ago


Toronto, Canada QBE Insurance Full time

**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 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 workfo



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