Senior Bodily Injury Examiner

OTIP RAEO; Waterloo; Hybrid; CAD 80,000 - 110,000; Full time

Job summary

A leading company in the insurance sector is seeking a Senior Bodily Injury Examiner to manage complex claims exceeding $250,000. This role emphasizes customer service, quality assurance, and compliance with regulatory standards. Ideal candidates will have significant experience in claims handling and possess strong negotiation and investigation skills.

Benefits

Rewarding salary and bonuses

100% premium coverage for group benefits

Defined benefit pension plan

100% coverage of continuing education fees

Access to learning resources

Flexible work-from-home options

Opportunities for advancement

Qualifications

• 7-10 years of experience in casualty claims handling.
• Ability to hold an adjuster’s license.
• Knowledge of property and casualty industry.

Responsibilities

• Investigate and settle complex property and casualty claims.
• Maintain quality service and adhere to organizational standards.
• Control and direct work performed by outside experts.

Skills

Investigation skills

Negotiation skills

Communication skills

Organizational skills

Education

Post-secondary education or college diploma in a related field

Tools

Microsoft Office

Job description

With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us.

At the OTIP Group of Companies (OGC), we believe that something special happens when employees feel valued for the work they do, supported as the people they are, and included in the very fabric of the organization: they bring their best to work every day. And that's why we mean it when we say we put our people at the centre of everything we do. Join us as we grow our way into a future that reimagines what it means to deliver meaningful benefits, support, and service.

Job Description

The Senior Bodily Injury Examiner is responsible for the investigation, quantification, analysis, adjustment, and settlement of complex property and casualty claims in excess of $250,000. This role will focus on quality and customer service, by assessing and assigning the appropriate expert and vendor to each claim. The adjustment will be conducted in an efficient and effective manner to control the indemnity, spend, and expenses without compromising the delivery of superior customer service. This includes establishing prompt relationships with insured members, detailed investigation of coverage, liability, and quantum, ensuring fiduciary and contractual compliance, and adhering to organization service standards, operational targets, and core competencies.

What You’ll Do :

• Deliver a superior customer experience by responding to all general inquiries, initiating and maintaining contact with insured members, and assisting with commodity claims overflow.
• Confirm coverage for incoming claims by reviewing and compiling facts, obtaining technical reports from various parties as required, investigating questionable claims, studying case law for liability and benefit determination, completing contractual coverage analysis, assessing quantum, reviewing subrogation opportunities, negotiating, and resolving severity casualty matters.
• Maintain quality service and adhere to organizational standards while dealing with all aspects of file handling including reserving, expense and loss control, liability assessments, and creating defined disposition plans for future handling leading to file closure.
• Control and direct work performed by outside experts, medical practitioners, lawyers, and service providers to completion.
• Represent stakeholders professionally at meetings, court hearings, mediations, and other forums with a view of resolution and/or settlement when appropriate.
• Maintain confidentiality of claims information at all times to protect operations and insured members.
• Ensure data integrity, issuance of payments to vendors, insureds, and experts, and maintain well-organized claim files while ensuring data accuracy.
• Adhere to partner guidelines, contracts, and insurance regulations to ensure legal and regulatory compliance.
• Participate actively in coaching and training sessions and collaborate with team members and management.

Qualifications

Let’s Talk About You :

• A post-secondary education and/or college diploma within a related field.
• Ability to hold an adjuster’s license.
• Thorough knowledge of the property and casualty industry.
• 7-10 years of experience in casualty claims handling including litigation file management.
• Experience in handling losses more than $250,000.
• Knowledge of medical rehabilitation concepts and medical case law.
• Superior investigation and negotiation skills.
• Excellent verbal and written communication skills to effectively work with internal and external stakeholders.
• Superior organizational skills to manage competing priorities, including project management skills.
• Current working knowledge of Microsoft Office.
• Ability to learn and adapt in a fast-paced environment, including working with various computer programs, databases, and software.
• Ability to work independently and as part of a collaborative team environment.
• Ability to communicate in French is an asset.

We also consider your potential. If you believe you have what it takes to do the job, but your experience doesn’t exactly match the qualifications above, we encourage you to apply and tell us why you would be a great fit.

Additional Information

Some of the Perks We Offer :

• Rewarding salary and bonuses that truly value your dedication.
• Industry-leading group benefits with 100% premium coverage (excluding LTD) starting on your first day.
• Defined benefit pension plan for a confident retirement.
• 100% coverage of approved continuing education and licensing fees (including RIBO courses in Ontario).
• Access to learning resources, including LinkedIn Learning for professional development.
• Flexible work-from-home and hybrid options.
• Opportunities for advancement to unlock your potential.

Let’s work together! If interested, please apply online.

OTIP and its group of companies strive to create an accessible and inclusive work environment. We will remove barriers and provide accommodations for persons with disabilities upon request.

We protect what matters most to our members and value what matters most in our workplace. We foster a diverse, equitable, and inclusive environment and are committed to learning and evolving to celebrate our differences. You are who you are, and our differences make us unique.

We are an equal opportunity employer and encourage applications from all qualified individuals.