Casualty Claims Examiner

Elevate Your Career as a Casualty Claims Examiner at Portage Mutual Insurance

About Portage Mutual: Where Your Talent Makes a Difference

Imagine a workplace where your contributions are not only valued but also directly impact the lives of Canadians. At Portage Mutual Insurance, we're more than just a trusted national property and casualty insurer—we're a community of passionate individuals dedicated to serving our policyholders since 1884. Owned by our policyholders, we proudly offer competitive home, auto, commercial, and farm insurance products 100% through our broker network across Canada. Join a company rooted in tradition, driven by innovation, and powered by a people-first culture.

Why Portage Mutual?

At Portage Mutual, we believe that our people are our greatest asset. Here, you'll find:

• Total Rewards: We care about your well-being and financial security. That's why we offer a competitive salary, incentive plan, comprehensive health benefits, a pension plan and generous paid time off, including personal days.
• Career Growth & Development: Propel your career forward with access to diverse learning resources, tuition reimbursement for relevant programs, and bonuses recognizing your achievements in pursuing insurance designations.
• Flexibility: We support work-life integration by offering a flexible environment where you can choose to live wherever you prefer in Canada. Enjoy the freedom to select remote, in-office, and hybrid work arrangements that best suit your lifestyle.
• Inclusivity and Belonging: Be a part of a supportive and diverse team that embraces your unique perspective and empowers you to succeed. We're dedicated to creating a workplace where every employee feels welcomed, valued and respected.
• Making a Difference: Find purpose in your career by aligning with an organization that shares your values and is committed to making a difference in the communities we serve.

The Opportunity: Casualty Claims Examiner

As a Casualty Claims Examiner, you'll investigate, evaluate, reserve, negotiate and resolve assigned automobile and commercial general liability injury losses by:

• Reviewing new claims, developing thorough investigation strategies, securing statements, collecting key documentation (including medical records, authorizations, and estimates), and accurately assessing liability and exposure.
• Communicating professionally with policyholders, medical practitioners, legal counsel, service providers, and other third parties to understand injury details, clarify treatment plans, and confirm the information necessary to determine coverage and claim viability.
• Applying advanced knowledge of automobile injury liability and medical terminology while leveraging industry tools, negotiation techniques, and expert resources – such as independent medical evaluations and structured settlements – to achieve fair, timely, and well reasoned claim resolutions.

We're looking for a detail-oriented, service-focused team player who demonstrates integrity, sound judgement, and a strong commitment to delivering exceptional customer service.

What You'll Do:

• Review new losses, develop investigation plans, and gather essential evidence including statements, photos, diagrams, and official reports.
• Communicate with insureds, third parties, witnesses, and service providers to understand loss details and validate claim information.
• Obtain medical records, authorizations, expert input, and other documentation needed to evaluate injuries and damages.
• Analyze liability, assess coverage by reviewing complex policy wordings, and stay informed on legal and legislative developments.
• Complete detailed damage assessments, evaluations, and worksheets.
• Negotiate fair settlements within authority limits and present recommendations to leadership when higher approval is required.
• Collaborate with legal counsel, when necessary, provide direction on litigation strategy, and participate in discovery or dispute resolution proceedings.
• Maintain thorough, litigation-ready file documentation and ensure accurate reserves, payments, and regulatory data entry.
• Build strong relationships with brokers, address inquiries, resolve issues, and represent the company professionally at industry events.

What You'll Bring:

• Minimum of 5 years experience with automobile adjusting with exposure to accident benefit claims handling.
• Proficient in Microsoft Office Suite and relevant claims systems (e.g., Guidewire), with the ability to adapt to new technologies.
• Consistently applies accuracy, thoroughness, and meticulousness in all aspects of work.
• Strong critical thinking and problem-solving skills to assess the strengths and weaknesses of each claim within authority limits.
• Excellent verbal and written communication skills.
• High level of confidentiality.
• Ability to work independently or as a collaborative team and is self-motivated to work in a fast-paced changing environment.
• Post secondary education in business or related medical field.
• CIP designation completed, actively in progress, or willing to work towards.

Ready to Make an Impact?

If you're seeking a rewarding career with a company that values its employees and is committed to making a difference, we invite you to apply If you have the qualifications we are seeking and would thrive in a work environment where you are valued and respected, please apply

Portage Mutual Insurance is committed to providing accommodations for people with disabilities during all phases of the recruiting process, including the application process. If you require accommodation because of a disability, we will work with you to meet your needs. If you are selected for an interview and require accommodation, please advise the HR representative who will consult with you to determine an appropriate accommodation.

Please submit your resume and cover letter

We thank you for your interest in Portage Mutual Insurance, however, only those selected for an interview will be contacted. (No agencies please).