Claims Examiner

Optimum General Insurance; North Bay; Hybrid; CAD 60,000 - 85,000; Full time

Benefits offered by this job

Hybrid work model

Centrally located offices accessible

Competitive compensation package

Work-life balance

Employee-focused culture with high-eng

Monthly team-building

Job summary

Optimum Insurance is seeking a Claims Examiner to join our Claims team in Canada. Reporting to the Assistant Vice President, Claims, you will manage property and casualty claims from initial investigation through final resolution, handling varying levels of complexity while delivering excellent customer service and fair settlements.

This role offers a collaborative environment, a hybrid work model, and opportunities to develop expertise in claims handling.

Qualifications

• Experience handling property and casualty claims.
• Strong analytical, negotiation, and decision‑making skills.
• Excellent verbal and written communication.
• Ability to manage multiple files and competing priorities.
• Proficiency with Microsoft Office applications (Word and Excel).
• Valid driver’s license.

Responsibilities

• Investigate and manage property and casualty claims.
• Obtain and review loss details and supporting documentation.
• Analyze policy coverage and determine claim eligibility.
• Evaluate damages and negotiate fair settlements.
• Communicate with policyholders, brokers, third parties, vendors, independent adjusters, and legal counsel.
• Coordinate and oversee independent adjusters and external service providers.
• Authorize and issue claim payments within established authority levels.
• Attend mediations, hearings, examinations under oath, and other proceedings as required.
• Maintain accurate claim documentation and timely file management.
• Collaborate with underwriting and other internal departments as required.
• Remain current on industry trends, policy wordings, legal developments, and claims best practices.

Education

College diploma or university degree

Tools

Microsoft Word

Microsoft Excel

Job description

Optimum Insurance is seeking a Claims Examiner to join our Claims team.

Reporting to the Assistant Vice President,Claims you will be responsible for handling property and casualty claims, from initial investigation through to final resolution. Depending on your level of experience, you will manage claims of varying complexity while delivering exceptional customer service and ensuring fair and equitable settlements in accordance with policy wording and company guidelines.

This position is ideal for an experienced claims professional looking to further develop their expertise in a collaborative and supportive environment.

What You'll Do

• Investigate and manage property and casualty claims.
• Obtain and review loss details and supporting documentation.
• Analyze policy coverage and determine claim eligibility.
• Evaluate damages and negotiate fair settlements.
• Communicate effectively with policyholders, brokers, third parties, vendors, independent adjusters, and legal counsel.
• Coordinate and oversee the work of independent adjusters and external service providers, as required.
• Authorize and issue claim payments within established authority levels.
• Attend mediations, hearings, examinations under oath, and other proceedings as required.
• Maintain accurate claim documentation and timely file management.
• Collaborate with underwriting and other internal departments as required.
• Remain current on industry trends, policy wordings, legal developments, and claims best practices.

What We're Looking For

• College diploma or university degree.
• Experience handling property and casualty claims.
• Strong analytical, negotiation, and decision-making skills.
• Excellent verbal and written communication skills.
• Ability to manage multiple files and competing priorities.
• Excellent organizational and time-management skills.
• Proficiency with Microsoft Office applications, including Word and Excel.
• Ability to work independently while contributing effectively within a team environment.
• Valid driver's licence.

Preferred Qualifications

• CIP designation or active enrollment in the CIP program.
• Experience involving litigation, dispute resolution, or complex claims handling.
• Knowledge of building construction principles.
• Bilingualism (English and French) is considered an asset.
• Experience providing direction to independent adjusters, experts, or legal counsel.
• Experience
• Intermediate to senior-level claims experience.
• Typically, 3+ years of claims handling experience will be considered; stronger or more extensive experience will be viewed favorably.

Why Join Optimum?

At Optimum Group, we are proud to be a wholly owned Canadian company with international operations and a people-first culture.

• We offer:
• Hybrid work model (3 days in office).
• Centrally located offices accessible by public transit.
• Competitive compensation package.
• Strong commitment to work-life balance.
• Employee-focused culture with high engagement.
• Monthly team-building and social activities.

Join a company where your expertise is valued, your growth is supported, and your contributions make a real impact.