Claims Examiner

Title:

Claims Examiner

Company:

Everest Insurance Company Of Canada

Job Category:

Claims

Job Description:

About Everest:
Everest Group, Ltd. (Everest), is a leading global reinsurance and insurance provider, operating for nearly 50 years through subsidiaries in North America, Latin America, the UK & Ireland, Continental Europe and Asia Pacific regions. Throughout our history, Everest has maintained its discipline and focuses on creating long-term value through underwriting excellence and strong risk and capital management. Our strengths include extensive product and distribution capabilities, a strong balance sheet, and an innovative culture. Our most critical asset is our people. We offer dynamic training & professional development to our employees. We also offer generous tuition/continuing education reimbursement programs, mentoring opportunities, flexible work arrangements, and Colleague Resource Groups.

At Everest we hold ourselves accountable to advance diversity, equity, and inclusion in our people, our skills, and our ideas. We prioritize building a workforce that spans cultures, backgrounds, and experiences at every level. This is a priority we bring to life through the diverse representation of leaders and colleagues across Everest. We view this as a strength and believe that our work culture is significantly enhanced when diverse groups of people come together.

About the Role:

Everest Insurance Company of Canada, a specialty commercial lines property and casualty insurance market, member of the Everest Group, Ltd., is seeking a motivated and energetic individual to join our Company in the position of Claims Examiner.  This position will be based out our Toronto office on a hybrid work schedule (3 days in office/2 days remote).

Responsibilities include but not limited to:

• Direct handling of liability and commercial property claims of minor to complex severity

• Investigate, analyze, evaluate and adjust assigned claims in the most efficient, effective way while delivering a customer-centric experience

• Exercise judgement to determine policy verification and coverage determination

• Work to have a timely resolution to claims by developing case strategy; developing a case evaluation; and escalating issues as appropriate

• Proactive and timely establishment and maintenance of claim reserves

• Proactive and timely customer service both internally and externally responding to enquiries and participating in customer marketing efforts as required

• Ability to work collaboratively with Everest’s panel counsel in helping bring claims to a timely and efficient resolution

• Leading negotiation of claims directly with claimant or their counsel;

• Participate in the litigation process including attendance at mediations, pre-trial conferences, settlement conferences and other litigation events, if necessary

• Monitor and manage outside vendors, including independent adjusters and counsel within accepted budgets and protocols

Qualifications, Education & Experience:

• Knowledge of the insurance industry with ideally 3 to 5 years of claims handling experience

• Extensive coverage evaluation skills

• Superior oral and written communication skills, including the concise presentation of often complicated facts along with analysis and recommendations

• Bilingualism, French and English, an asset but not required

• Experience in liability claims an asset

• Legal background or CIP an asset.

Our Culture 

At Everest, our purpose is to provide the world with protection. We help clients and businesses thrive, fuel global economies, and create sustainable value for our colleagues, shareholders and the communities that we serve. We also pride ourselves on having a unique and inclusive culture which is driven by a unified set of values and behaviors. Click here to learn more about our culture. 

• Our Values are the guiding principles that inform our decisions, actions and behaviors. They are an expression of our culture and an integral part of how we work: Talent. Thoughtful assumption of risk. Execution. Efficiency. Humility. Leadership. Collaboration. Diversity, Equity and Inclusion.  

• Our Colleague Behaviors define how we operate and interact with each other no matter our location, level or function: Respect everyone. Pursue better. Lead by example. Own our outcomes. Win together.  

All colleagues are held accountable to upholding and supporting our values and behaviors across the company. This includes day to day interactions with fellow colleagues, and the global communities we serve.

LI-Hybrid

LI-CK1

Type:

Regular

Time Type:

Full time

Primary Location:

Toronto - Insurance Canada

Additional Locations: