Claims Examiner - Auto

Jobgether; Canada; Remote; CAD 70,000 - 100,000; Full time

Benefits offered by this job

Remote work within Canada

Full-time employment

Career development

Collaborative workplace culture

Work-life balance

Job summary

Jobgether partner in Canada is seeking a skilled Claims Examiner - Auto to manage complex auto claims from initial investigation through resolution. You will review policy coverage, assess liability, evaluate damages, and coordinate with independent adjusters and vendors, while communicating with insured parties and brokers.

The ideal candidate has five+ years of auto claims experience, strong knowledge of policies and laws, and the ability to work independently in a collaborative team.

Qualifications

• 5+ years of claims management experience.
• In-depth knowledge of auto policies, coverage, claims principles.
• Bachelor’s degree preferred.
• Relevant professional certification preferred.
• Ability to obtain adjusting licenses.
• Knowledge of medical terminology for claim evaluation.
• Understanding of deductibles and SIRs.
• Strong written and verbal communication and negotiation skills.
• Proficiency with computers and MS Office.
• Strong organizational and interpersonal skills.
• Ability to collaborate within a team and manage complex claims.
• Commitment to meeting service expectations.

Responsibilities

• Manage complex auto claims, including bodily injury cases.
• Review coverage, investigate, determine liability, and evaluate damages.
• Oversee the litigation process for claims in court.
• Coordinate vendor activity with independent adjusters and other vendors.
• Report significant claims to excess insurers when required.
• Develop action plans to meet regulatory deadlines and move claims toward resolution.
• Identify subrogation and risk transfer opportunities, including salvage.
• Communicate decisions and progress to insured parties, clients, agents, and brokers.
• Support QA programs and perform additional duties as assigned.
• Travel when required.

Skills

Claims management

Auto insurance knowledge

Communication skills

Negotiation skills

Microsoft Office

Team collaboration

Regulatory compliance

Attention to detail

Education

Bachelor’s degree

Professional certification

Tools

Microsoft Office

Document management

Job description

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for aClaims Examiner - Auto based in Canada.

This role is responsible for managing complex personal and commercial auto insurance claims, from initial investigation through to resolution. You will review policy coverage, assess liability, evaluate damages, and ensure that each claim is handled accurately and efficiently. The position involves working on bodily injury and litigated claims, coordinating with independent adjusters and other vendors, and communicating with insured parties, clients, and brokers. You will also identify recovery opportunities and ensure regulatory deadlines and service expectations are met. This is an opportunity to apply advanced claims expertise in a collaborative, service-focused environment while contributing to quality and timely outcomes.

Accountabilities

• Manage complex personal and commercial auto claims, including bodily injury cases, ensuring files are accurately documented and correctly coded.

• Review insurance coverage, investigate claims, determine liability, and evaluate the extent of damages.

• Oversee the litigation process for claims that proceed to legal action.

• Coordinate vendor activity, including engaging independent adjusters to support claim investigations.

• Report significant claims to excess insurers when required.

• Develop and maintain action plans to meet regulatory contact deadlines and move claims toward timely, appropriate resolution.

• Identify and pursue subrogation and risk transfer opportunities, including securing and disposing of salvage.

• Communicate claim decisions, actions, and progress to insured parties, clients, agents, and brokers as appropriate.

• Support quality assurance programs and perform additional duties as assigned.

• Travel when required.

Requirements:

• At least five years of claims management experience, or an equivalent combination of education and experience.

• In-depth knowledge of personal and commercial auto insurance policies, coverage, claims principles, and applicable laws.

• Bachelor’s degree from an accredited college or university preferred.

• Relevant professional certification preferred, depending on the line of business.

• Ability to obtain and maintain the adjusting licenses required for the position.

• Knowledge of medical terminology relevant to claim evaluation and Medicare compliance.

• Understanding of deductibles, sub-limits, self-insured retentions (SIRs), carrier programs, and large-deductible programs.

• Strong written and verbal communication skills, including presentation and negotiation abilities.

• Proficiency with computers and Microsoft Office applications.

• Excellent organizational and interpersonal skills, with strong attention to detail.

• Ability to collaborate effectively within a team and manage complex claims independently.

• Commitment to meeting or exceeding service expectations.

Benefits:

• Remote/telecommuter work arrangement within Canada.

• Full-time employment.

• Opportunities for professional growth and career development.

• A collaborative, service-oriented workplace culture.

• Work-life balance and an environment that supports colleagues in developing their skills and careers.