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Claims Examiner

1 month ago

Toronto, Ontario, Canada Burns & Wilcox Full time

The Claims Examiner is responsible for proactively managing a portfolio of claim files and working collaboratively with the Claims Team to maintain adequate production levels and customer relationships.

This is an exciting opportunity to be work within a rapidly expanding and newly developing claims company under the global H.W. Kaufman Group umbrella.

The Ideal Candidate:

  • You're organized and a master multi-tasker. You are attentive to detail and can effectively manage your time and priorities in a fast-paced environment.
  • You're analytical. You connect the dots and apply what you learned to solve problems.
  • You take initiative. You don't wait until you are told what to do. You anticipate project needs and are resourceful in getting the required information to get your job done.
  • You're a collaborative and business savvy individual willing to work across business units with a variety of stakeholders, demonstrating curiosity to learn beyond your own function.
  • You're a team-player. Our office has a collaborative atmosphere where learning from others and teaching others is important.
  • You're professional and client-oriented. We service clients across the globe and take pride in our professional work environment and reputation.
  • You take ownership of the success of the organization and your actions contribute directly to our growth and profitability.

Responsibilities:

  • Working as a Third-Party Administrator in the investigation, analysis, and direct oversight of full case load of nationwide first party property, liability and inland marine claims, with the opportunity to expand responsibilities into other lines of business.
  • Target identification of subrogation opportunities and lead recovery efforts.
  • Review independent adjuster reports for accuracy, and direct the investigation of your claims.
  • Promptly communicate with Lloyd's of London brokers and underwriting and claims personnel of other Carrier clients to provide outstanding customer service and results.
  • Promptly communicate with insureds, claimants, retail agents, general agents, independent adjusters and attorneys as necessary. Strategize and take action to obtain best possible results for claims.
  • This position requires a high degree of knowledge with regard to all aspects of first and third party coverage.
  • Must be able to review insurance policy coverage, and prepare reservation of rights or declination letters when appropriate.
  • Be an organized, effective communicator, and possess excellent analytical, writing, negotiation, and follow-up skills.
  • Prepare proposed expense and loss reserve/settlement reports that exceed authority for submission to insurers and Lloyd's Managing Agents.
  • Provide technical assistance and direction to your team members and be a party to their success.
  • Contribute to the capture of critical data and to the development of analytical reports to our clients.

Qualifications:

  • Post-secondary education
  • Ability to read, understand, and apply policy terms
  • Primarily, at least 5 years of third-party liability experience, and additionally first-party property and/or inland marine adjusting experience will be an advantage.
  • Insurance designations and commitment to ongoing insurance education preferred
  • Exemplary customer service
  • Ability to accurately handle a full case load in a fast paced environment
  • Ability and willingness to commit to extended schedules following significant catastrophe losses
  • Outstanding organizational skills and maintenance of diary system
  • Competence in using MS Word, MS Excel, MS Outlook and the ability to learn new IT applications such as carrier or TPA systems

About Our Company

Kaufman Claims is a subsidiary of the H.W. Kaufman Group. Our family of companies comprises a vast network of over 50 offices across the globe. From brokerage, underwriting, premium financing and real estate to claims and loss control, together we are shaping the future of insurance.

Our Commitment

The H.W. Kaufman Group is committed to treating all people in a way that allows them to maintain their dignity and independence with a view to providing integration and equal opportunities for all. The H.W. Kaufman Group welcomes applications from all qualified individuals and will accommodate applicants' disability-related needs in accordance with the respective provincial human rights codes throughout all stages of the recruitment and selection process. If you require a disability-related accommodation in order to participate in the recruitment process, please inform the Recruiter or contact our Human Resources department at or 416.774.2477. Information received relating to accommodation will be addressed confidentially.

We thank all applicants in advance for their interest; however, only those candidates selected for an interview will be contacted.