PCA – Residential Claim Specialist

Jobtailor; Markham; On-site; CAD 90,000 - 130,000; Full time

Job summary

Jobtailor in Markham, Ontario, is seeking an experienced Property Claims Manager to lead complex residential and high-value claims from investigation to settlement. You will manage investigations, assess damages, determine liability, negotiate settlements, and deliver exceptional client experiences.

Collaborating with internal teams, vendors, legal representatives, and external partners, you will oversee on-site inspections, CAT-event responses, and strategic claim updates to senior leadership

Qualifications

• 5+ years of property claims experience, including complex residential/high-value claims.
• Experience managing large-loss, high-risk claims from investigation to settlement.
• Experience supporting high-net-worth or private client insurance portfolios preferred.
• Proven ability to conduct claim investigations, assess damages, determine liability, and negotiate settlements.
• Experience conducting on-site property inspections and field investigations.
• Demonstrated ability to present claim strategies, trends, and updates to senior leadership and executive stakeholders.
• Ability to manage increased claim volumes during CAT events and severe weather-related losses.
• Expert knowledge of residential property claims handling, insurance policies, and industry best practices.
• Strong understanding of coverage analysis, liability assessment, compliance, and risk management.
• Experience identifying potential fraud indicators and adherence to procedures.
• Excellent analytical, negotiation, decision-making, and stakeholder management skills.
• Ability to manage multiple complex claims while delivering an exceptional client experience.

Responsibilities

• Manage complex, high-risk residential property claims from investigation through final settlement.
• Conduct claim investigations, assess damages, determine cause of loss, and negotiate claim settlements.
• Deliver a personalized and exceptional customer experience while managing sensitive and complex claim matters.
• Collaborate with internal partners, vendors, contractors, legal representatives, and other stakeholders to achieve timely claim resolutions.
• Apply advanced claims expertise to assess coverage, manage costs, minimize leakage, and identify potential fraud.
• Ensure accurate documentation, regulatory compliance, and adherence to claims policies and procedures.
• Act as a Subject Matter Expert by providing guidance, training, and mentorship to team members on complex residential claims.
• Build and maintain relationships across Claims, Legal, Underwriting, and external partners.
• Support business initiatives, process improvements, risk management activities, and operational excellence objectives.
• Present strategic claim updates, trends, and recommendations to senior leadership and executive stakeholders.
• Manage increased claim volumes during catastrophe events and weather-related losses while maintaining service standards.
• Conduct on-site property inspections and meet with clients, witnesses, and vendors when required.
• Promote a collaborative, customer-focused, and high-performing team culture.

Skills

Property claims management

Claim investigation and assessment

Negotiation and settlement

Stakeholder management

Analytical skills

Problem solving

Communication skills

On-site inspections

Leadership/mentorship

Education

CIP designation

Job description

• Manage complex, high-risk residential property claims for high-net-worth clients from investigation through final settlement
• Conduct claim investigations, assess damages, determine cause of loss, and negotiate claim settlements
• Deliver a personalized and exceptional customer experience while managing sensitive and complex claim matters
• Collaborate with internal partners, vendors, contractors, legal representatives, and other stakeholders to achieve timely claim resolutions
• Apply advanced claims expertise to assess coverage, manage costs, minimize leakage, and identify potential fraud
• Ensure accurate documentation, regulatory compliance, and adherence to claims policies and procedures
• Act as a Subject Matter Expert by providing guidance, training, and mentorship to team members on complex residential claims
• Build and maintain relationships across Claims, Legal, Underwriting, and external partners
• Support business initiatives, process improvements, risk management activities, and operational excellence objectives
• Present strategic claim updates, trends, and recommendations to senior leadership and executive stakeholders
• Manage increased claim volumes during catastrophe events and weather-related losses while maintaining service standards
• Conduct on-site property inspections and meet with clients, witnesses, and vendors when required
• Promote a collaborative, customer-focused, and high-performing team culture

Requirements

• 5+ years of property claims experience, preferably handling complex residential and high-value property claims
• Experience managing large-loss, high-risk claims from investigation through settlement
• Experience supporting high-net-worth or private client insurance portfolios is preferred
• Proven ability to conduct claim investigations, assess damages, determine liability, and negotiate settlements
• Experience conducting on-site property inspections and field investigations
• Demonstrated ability to present claim strategies, trends, and updates to senior leadership and executive stakeholders
• Ability to manage increased claim volumes during CAT events and severe weather-related losses
• Expert knowledge of residential property claims handling, insurance policies, and industry best practices
• Strong understanding of coverage analysis, liability assessment, claims regulations, compliance requirements, and risk management principles
• Experience identifying potential fraud indicators and handling claims in accordance with established procedures
• Excellent analytical, problem-solving, decision-making, negotiation, and stakeholder management skills
• Proven ability to manage multiple complex claims while delivering an exceptional client experience
• Strong organizational and communication skills with the ability to work independently and exercise sound judgment
• CIP designation or other relevant insurance accreditation preferred

Core Competencies

Demonstrates expert knowledge in managing complex residential property claims, including conducting investigations, assessing damages, and negotiating settlements. Proven ability to deliver exceptional client experiences while ensuring compliance with industry regulations and best practices.

Highest-signal resume keywords

• Property Claims Management
• Claim Investigation and Assessment
• Negotiation and Settlement
• Regulatory Compliance
• Stakeholder Management

ATS Optimization Keywords

Hard Skills

• Complex Residential Claims Handling
• Coverage Analysis
• Liability Assessment
• Fraud Detection
• On-Site Property Inspections
• Claims Regulations
• Risk Management Principles
• Claims Documentation
• High-Value Property Claims
• Large-Loss Claims Management

Soft Skills

• Analytical Skills
• Problem-Solving
• Decision-Making
• Organizational Skills
• Communication Skills

Certifications & Qualifications

• CIP Designation

Industry Keywords

• High-Net-Worth Clients
• Claims Policies and Procedures
• Customer Experience
• Operational Excellence
• Catastrophe Events