Senior Claims Examiner - Hybrid (Toronto, 12–15 mo Contract)

DGA Careers Inc.; Toronto; Hybrid; CAD 75,000 - 120,000; Part time

Job summary

DGA Careers Inc. is seeking a Claims Examiner for a contract role in the Toronto area. The position involves managing a portfolio of complex liability files, directing adjusters and defence counsel, setting reserves, and negotiating through to settlements or defense.

Eligible candidates will have 5–10+ years in liability claims, with knowledge of CGL and occupiers' liability, and a solid understanding of the litigation process. Strong analytical, communication, and MS Office skills are essential.

Qualifications

• 5-10+ years of liability claims experience with CGL and occupiers' liability.
• Strong understanding of the litigation process: statements of claim, mediation and pre-trial preparation.
• Advanced Microsoft Office skills (Outlook, Word, Excel).

Responsibilities

• Review initial claim documentation, confirm coverage, apply legal and claims analysis, and set and amend reserves
• Instruct adjusters and defence counsel on an ongoing basis and make settle/deny/defend decisions
• Ensure evidence and information are properly collected and preserved
• Authorize mediation and pre-trial expenses, and represent the organization at mediations and pre-trials
• Lead negotiations with plaintiff counsel, mediators, pre-trial judges and claimants
• Make settlement decisions up to the posted reserve and authorize payments
• Handle complex and specialty files, including serious injury, surgical and medical liability matters, privacy breaches and class actions
• Interpret policy wording and provide analysis and recommendations on non-claim matters
• Provide guidance on general risk management questions and work with internal risk and insurance teams
• Liaise with Finance to verify transactions
• Train junior staff and present on claims matters when required

Job description

DGA Careers Inc. is seeking a Claims Examiner for a contract role in the Toronto area. The position involves managing a portfolio of complex liability files, directing adjusters and defence counsel, setting reserves, and negotiating through to settlements or defense.

Eligible candidates will have 5–10+ years in liability claims, with knowledge of CGL and occupiers' liability, and a solid understanding of the litigation process. Strong analytical, communication, and MS Office skills are essential.