Claims Specialist- Casualty

Gore Mutual Insurance.; Ayr; On-site; CAD 70,000 - 90,000; Full time

Job summary

A leading mutual insurance company in Ontario is seeking a Claims Specialist to manage high-severity casualty claims and mentor junior staff. The ideal candidate has over 10 years of experience in casualty file handling, strong negotiation and analytic skills, and relevant insurance designations. This role offers the opportunity to significantly impact claims operations and drive success within the team.

Qualifications

• Minimum 10 years of casualty file handling required.
• Experience in mentoring and technical evaluation.
• Proficient in investigation, evaluation, negotiation and settlement of claims.

Responsibilities

• Investigate, evaluate, negotiate, and resolve complex casualty claims.
• Mentor junior and intermediate level adjusters.
• Provide directions to legal counsel on litigated claims.

Skills

Negotiation skills

Analytic skills

Problem-solving skills

Education

University or college degree

CIP

FCIP

CRM

Job description

Next Horizon is here. Fueled by investments in talent and technology, our bold strategy to transform is nearly complete.

At Gore Mutual, we’ve always set ourselves apart as a modern mutual that does good. Now, we’re proudly building on that legacy to transform our company—and our industry—for the better.

Our path forward sharpens our focus on business performance, driven by leading technology, innovation and an agile, high-performing culture. With Gore Mutual and Beneva announcing their intent to merge in 2026, we’ll be uniting two well-established, financially strong, and trusted brands to become the strongest mutual insurer in Canada, ensuring Canadians have purpose-driven insurance options for generations to come. Come join us.

Claims Specialist, Casualty

Are you ready to make a significant impact in the world of casualty claims?

As a Claims Specialist, you will be at the helm of managing high-severity and complex casualty claims, including those in litigation. Your role will be pivotal in ensuring fair and efficient resolutions, conducting comprehensive file reviews, and mentoring junior claims handlers. Join our dynamic team and leverage your expertise to navigate intricate cases, collaborate with cross-functional teams, and stay ahead of industry trends. Your contributions will directly shape the future of our claims operations and drive our success.

What will you do?

• Investigate, evaluate, negotiate, and successfully resolve complex Casualty claims
• Proactively manage your desk by adhering to deadlines, keeping clear notes, and maintaining timely and accurate reserves
• Provide precise direction to legal counsel on litigated claims ensuring a positive outcome
• Effectively manage claim costs using strategic oversight, identifying cost-savings opportunities in alignment with operational and financial goals
• Actively mentor junior and intermediate level adjusters with a focus on technical skill development, while delivering constructive feedback to assist in building a high-performing team
• Deliver group presentations on relevant casualty topics as requested
• Support special projects as needed

Qualifications:

• Minimum 10 yrs casualty file handling required
• Prior experience in mentoring and technical evaluation
• Strong analytic and negotiation skills
• University or college degree
• CIP, FCIP or CRM designations an asset
• Proficient in investigation, evaluation, negotiation and settlement of claims
• Strong problem-solving skills
• Demonstrated willingness for continued development

Education Required

• CIP
• CIP Partial Completion
• College
• CRM
• FCIP
• FCIP - Partial Completion
• University Degree