Claims Specialist- Casualty

Gore Mutual Insurance; Cambridge; Hybrid; CAD 80,000 - 100,000; Full time

Job summary

A leading mutual insurance company in the Region of Waterloo is seeking a Senior Claims Specialist to manage high-severity casualty claims. The role involves investigating, negotiating, and ensuring fair resolutions of claims while mentoring junior staff. Candidates should have a minimum of 10 years of experience in casualty claims handling and possess strong analytical and negotiation skills. This is a full-time hybrid position offering a meaningful opportunity to impact the claims process.

Qualifications

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

Responsibilities

• Investigate, evaluate, negotiate, and successfully resolve complex casualty claims.
• Proactively manage your desk by adhering to deadlines and maintaining accurate reserves.
• Effectively manage claim costs and identify cost-savings opportunities.

Skills

Claims handling

Negotiation skills

Analytical skills

Mentoring

Problem-solving

Education

University or college degree

CIP, FCIP or CRM designations

Job description

Overview

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 Senior 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 10yrs senior 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
• Travel may be required

Permanent, Full-Time

Hybrid: This is a hybrid role.

Accessibility

Gore Mutual Insurance Company is committed to providing accommodations for people with disabilities during all phases of the recruiting process, including the application process. If you require accommodation because of a disability, we will work with you to meet your needs. Contact us and a human resources representative will consult with you to determine an appropriate accommodation. Should you request an accommodation during the interview process, please notify your Talent Acquisition Consultant.