Senior Claims Adjuster, Accident Benefits

Gore Mutual Insurance; Cambridge; Hybrid; CAD 70,000 - 90,000; Full time

Job summary

Gore Mutual Insurance is seeking an experienced Adjuster for their Accident Benefits team. The role involves investigating and settling claims, managing reserves, and mentoring junior team members. This hybrid position requires in-office work twice a week in Cambridge or Toronto.

Qualifications

• Minimum 5 years of Accident Benefits claims adjusting experience required.
• CIP/FCIP designation or working towards it preferred.

Responsibilities

• Investigate, evaluate, and settle moderate to high severity Accident Benefits claims.
• Provide direction to legal counsel until resolution.
• Prepare large files for discussion with claims leadership.

Skills

Customer Service

Analytical Skills

Negotiation Skills

Detail Oriented

Organizational Skills

Teamwork

Education

CIP/FCIP designation

Tools

Microsoft Office

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.

Our Accident Benefits team is looking for an experienced Adjuster to join the team. In this role, you will investigate, evaluate, and settle moderate to high severity Accident Benefits claims. Our Senior Advisors are responsible for maintaining accurate and timely reserves, preparing large files for presentation to our claims leadership team when setting and amending reserves, and provide direction to legal counsel on litigated claims. There is also the opportunity to provide coaching and mentorship to junior team members to develop their skills and support their advancement within the unit.

What will you do?

• Investigate, evaluate, and settle moderate to high severity Accident Benefits claims.
• Provide direction to legal counsel until resolution.
• Proactively manage your desk by adhering to deadlines, keeping clear notes, and maintaining timely and accurate reserves
• Prepare large files for discussion and review with our claims leadership team when setting and amending reserves.

What will you need to succeed?

• Minimum 5 years of Accident Benefits claims adjusting experience in the P&C insurance industry is required.
• CIP/FCIP designation or working towards designation is preferred.
• Proficient use of Microsoft Office applications
• Excellent customer service, analytical and negotiation skills
• Detail oriented, highly organized, and ability to prioritize.
• Team oriented, value teamwork and provide mentoring.

Permanent, Full-Time

Hybrid: This is a hybrid role. In-office workdays are required twice per week in our Cambridge or Toronto offices.

#LI-Hybrid

#INDHP #ZR

#IndHP

Gore Mutual Insurance 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. If you are selected for an interview and require accommodation, please advise the HR representative who will consult with you to determine an appropriate accommodation.

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