Casualty Claims Specialist

InsuranceWorks.ca; Oakville; Hybrid; CAD 80,000 - 120,000; Full time

Job summary

A leading insurance company is seeking a Claims Manager to oversee complex liability files and provide exceptional customer service. This role requires extensive experience in commercial claims and strong communication skills. The successful candidate will manage claims from investigation to settlement, ensuring adherence to company protocols and policies. The position offers a competitive salary, bonus eligibility, and a hybrid work model, fostering a supportive and inclusive environment.

Benefits

Base salary and annual bonus eligibility

Retirement savings and share plan

Health benefits and wellness programs

Competitive vacation package

Employee-driven diversity and inclusion programs

Qualifications

• Strong knowledge of complex Casualty PD liability claims.
• Technical competence in Commercial insurance.
• Exposure to US claims, E&O, D&O claims is an asset.

Responsibilities

• Investigate, evaluate, and settle complex PD liability files.
• Communicate directly with key clients and brokers on claims.
• Ensure timely and accurate setting of file reserves.

Skills

Communication

Decision Making

Problem Solving

Education

7+ years of previous claims experience

5+ years in Commercial Claims

Tools

Excel

Word

PowerPoint

Outlook

ClaimCenter

Job description

Job Responsibilities

1. Support GCS Value Proposition daily and with every interaction by providing excellent customer and stakeholder communication on claim matters.
2. Provide superior customer service to clients and stakeholders.
3. Investigate, evaluate, and settle complex PD liability files, including some BI, Commercial General Liability Casualty, and possibly E&O, D&O, and US claims with claimants or their representatives.
4. Handle a varied pending, including files in both pre-litigation and litigation, as well as out-of-province claims.
5. Communicate directly with key clients and brokers regarding all claim-related issues and other assistance as required.
6. Interpret and confirm insurance coverage using relevant case law and a thorough understanding of policy wordings.
7. Ensure timely and accurate setting of file reserves, in line with company protocols.
8. Maintain control over expenses through proactive handling techniques.
9. Review and analyze third-party adjuster reports to ensure proper claim disposition, manage costs, and provide exceptional customer service.
10. Provide instructions to vendors and TPAs to adjust claims.
11. Ensure vendors and TPAs adhere to company policies and procedures.
12. Document and summarize file activity clearly.
13. Understand and adhere to Aviva’s claim procedures and guidelines.
14. Collaborate effectively with other departments within Aviva.
15. Maintain an expert understanding of the claims experience while aligning with the technical strategic direction.
16. Seek new and incremental improvements daily for the customer.

Qualifications

• 7+ years of previous claims experience.
• 5+ years of experience in Commercial Claims, with strong knowledge of complex Casualty PD liability claims.
• Exposure to US claims, E&O, D&O claims is an asset.
• Technical competence in Commercial insurance.
• Excellent verbal and written communication skills.
• Proficiency in Excel, Word, PowerPoint, Outlook, and ClaimCenter.
• Sound decision-making and problem-solving skills.

What You'll Get

• A compelling rewards package including base salary, annual bonus eligibility, retirement savings, share plan, health benefits, wellness, and volunteer opportunities.
• A competitive vacation package with the option to purchase 5 extra days off per year.
• Employee-driven programs focused on diversity and inclusion.
• Corporate wellness programs supporting physical and mental health.
• Hybrid flexible work model.

Please note that we may use AI tools in our recruitment process. This is a new position posted internally and externally. Aviva Canada has an accommodation process for employees with disabilities; please contact your Talent Acquisition Partner for arrangements.