The Digital Marketing Agency
Intermediate Claims Examiner
Location
Canada
Posted
59 days ago
Salary
$66.4K - $83K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Intermediate Claims Examiner
DWF
Why join us? Our Canadian office is currently recruiting for a Claims Examiner to join our growing team. In this role, the successful candidate will perform Third Party Administrator (TPA) responsibilities, providing delegated claims administration and management services on behalf of Lloyd’s Syndicates. Acting under delegated authority, the Claims Examiner will deliver claims handling and related administrative services in accordance with contractual agreements, service level standards, and client-specific requirements, with a particular focus on Legal Expense Insurance, General Liability and Wrap‑Up Liability claims. The incumbent will be responsible for the timely and effective resolution of mid-size to large, complex claims, with an emphasis on achieving cost-effective settlements and timely outcomes on behalf of DWF Claims (Canada) Ltd. and its international and domestic clients. This position may be performed remotely from anywhere in Canada. Responsibilities - Manage and oversee the investigation of claims, including Legal Expense Insurance, Commercial General Liability (CGL), Wrap‑Up Liability, and other liability claims, through the direction of external adjusters and legal counsel; - Analyze and evaluate claim information, including liability, damages, and causation, to determine the extent of exposure; - Assess and interpret policy coverage, liability, and quantum, providing sound and well‑reasoned claims analysis; - Effectively implement and manage litigation strategies on assigned files, including oversight of defence counsel and litigation budgets; - Prepare comprehensive, high‑quality reports and recommendations for Underwriters and facilitate the accurate administration of claim payments through trust accounts; - Establish and manage claim reserves within delegated authority, recommend reserve adjustments where appropriate, and maintain clear, thorough, and well‑documented file notes summarizing claim activity and strategy; - Maintain accurate time recording of claims activities to support reporting, governance, and client billing practices; - Deliver exceptional client service while collaborating effectively with brokers, insureds, clients, third‑party claimants, and other stakeholders throughout the claims process; and - Provide mentorship and guidance to junior staff, supporting professional development and maintaining claims handling standards. What will help you succeed in this role? - University degree or college diploma; - Minimum of 5 years of liability claims experience; - Completion of, or progress toward, the Chartered Insurance Professional (CIP) designation is preferred; - Holds, or is close to obtaining, an Ontario Insurance Adjuster’s Licence, or an equivalent licence from another Canadian province; - Demonstrated experience in commercial liability claims examining or adjusting; - Prior experience as an Independent Adjuster or as a Third Party Administrator (TPA) and working under delegated authority for Lloyd’s Syndicates, is considered a strong asset; - Ability to work independently and effectively assimilate technical and learning materials from multiple sources; - Strong oral and written communication skills, with well‑developed listening abilities; - Proven collaborative team player, with a preference for working in a team‑oriented environment; - Excellent negotiation skills, with sound judgment and diplomacy; - Strong client service orientation, with the ability to respond to and support client and stakeholder needs; - Highly effective time management and organizational skills, with the ability to manage competing priorities; and - Bilingualism (English/French) and the ability to monitor and handle claims in French would be considered an asset. What we offer The salary range for this position starts at $80,000 per annum and will be determined based on relevant experience and qualifications. We are committed to ensuring that each member of our team feels valued and duly rewarded during their time at DWF. We are an equal opportunities employer that celebrates diversity and we are committed to creating an inclusive environment for all. We aim to create a positive experience for all candidates and offer any adjustments or additional support needed. If you're excited about the opportunity but your experience doesn’t align perfectly with all the requirements, please apply anyway. You may be the right candidate for the role or others across the wider team. About us DWF is a leading global provider of integrated legal and business services. Our approach delivers efficiency, price certainty and transparency for our clients across the world without compromising on quality or service. Our purpose is to deliver positive outcomes to our colleagues, clients and communities and we foster a culture that places our colleagues at the centre of all that we do.
Related Guides
Related Categories
Related Job Pages
More Claims Specialist Jobs
Claims Resolution Adjuster II (PST/MST)
AllstateNational General Insurance, a division of Allstate, describes itself as one of the largest insurers in the United States. The company provides personal and commercial auto, recreat
At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. Job Description A day in the life of a Claims Resolution Adjuster 2 and what it takes to do the job! As a Claims Resolution Adjuster 2, your main focus will be investigating automobile accidents involving single or multiple vehicles which result in property damage and/or bodily injury. You will have the convenience of working remotely from your home while efficiently handling your responsibilities. You will assess coverage, liability, and damages while providing exceptional customer service throughout your day. Customer communication will take place through different channels, including voice calls, email, and text messages. Through the utilization of innovative platforms and tools, you will engage in negotiation processes to reach fair injury settlements with all parties involved. The Claims Resolution Adjuster 2 will primarily be responsible for the liability investigation and ultimate decisions, identifying injured parties beyond who is listed at FNOL, and recognizing impactful risk potential on claim files. They will be responsible for supporting the claimant throughout the vehicle restoration process and providing feedback on the Auto process in general. The Claims Resolution Adjuster and Casualty Adjusters will work hand-in-hand throughout the claims process. You’ll wear a few hats to fill a few roles throughout your day that all require a level of experience: The Customer Service Expert – you’ll live into Allstate’s Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each Casualty claim. You lead with empathy, always. The Investigator – you’ll confidently and independently investigate casualty (and applicable LOB (line of business)) claims by performing detailed reviews of damage and interpreting policies to determine coverage. The Effective Communicator – you’ll use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process. You’ll also incorporate a specific approach to claim handling to offer the customer their preference of communication to efficiently discuss their claim needs and keep them updated on the claim progress. The Negotiator – you will evaluate and negotiate claims settlements with customers, vendors, third party carriers and claimants, in accordance with all legal and business standard methodologies. With negotiations, you will incorporate tactics in handling challenging and complex situations. The Problem Solver – you’ll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills. The Recorder – you’ll protect the company financially by executing policies along policy agreements, and you keep a clear record of your work in a claims system that you will be trained on. You’ll accomplish this by ensuring timely and accurate documentation is completed as you work on each claim. Preferred Qualifications: - 2+ years claims adjusting experience determining liability - California claim handling experience, a plus - Claims investigation and negotiation experience is preferred - Experience with liability investigations, investigating coverage, PD coverage, set MOI, rental and resolving liability a plus - Proficient communication skills, especially over the phone, to establish rapport and assess claims accurately - Strong critical thinking and problem-solving skills to evaluate and negotiate injury claims successfully Remote Work: This position is not available to residents of California, Washington, Alaska, Hawaii and Puerto Rico. Schedule: 8 hours shift between the hours of 8:00am - 6:00pm PST or MST zone. This will be Monday – Friday with potential Saturday duty rotation. This position is a permanent remote home-based role. Your home office does not need to be near an Allstate office, but it does need to be in the United States. When you work from home full time, you’ll need: - A dedicated workspace in your residence that is private and free from distractions - A minimum internet bandwidth of 50 MB down/5 MB up - Appropriate work surface and seating. What will Allstate provide? - A technology bundle that includes all equipment needed to perform your work from home (laptop, monitors, headset, keyboard, mouse) - Connectivity reimbursement of $80 per month to offset some of the cost of internet Notice of Licensing Requirement - As a condition of employment, your office/area may require you to obtain an adjuster and/or an appraiser license which includes passing an additional background check with the Department of Labor. If applicable, you will be required to secure license(s) within 60 days of hire. - If required, the Hiring Manager will work with you along with the Centralized Licensing team to ensure that you are properly licensed. #LI-BC1 Skills Business Communications, Claims Resolution, Critical Thinking, Fraud Investigations, Information Collection, Insurance Claims, Insurance Claims Investigations, Liability Investigations, Negotiation, Time Management Compensation Compensation offered for this role is 50,000.00 - 75,050.00 annually and is based on experience and qualifications. The candidate(s) offered this position will be required to submit to a background investigation. Joining our team isn’t just a job — it’s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger – a winning team making a meaningful impact. Allstate generally does not sponsor individuals for employment-based visas for this position. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company’s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee’s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
Sr Claim Examiner-Liability
Crawford & CompanyWe’re Crawford, a global leader in claims management, where every claim represents a person and a community we help restore. At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us. We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values.
📢 We’re Hiring: Senior Claims Examiner – Liability 🌍This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise. ✅ Why Join Crawford & Company? 💻 Great Work From Home Opportunity 💼 Excellent Crawford Benefits that Empower Financial, Physical, and Mental Wellness 🎯 Great Bonus Opportunity 💰 Generous Employee Referral Bonus Program 🛍️ Access to Multiple Employee Discounts We’re looking for a Senior Claims Examiner – Liability with a passion for claims management to join our team! 📜 Licensing is a requirement. ✔️ Proven expertise in managing complex liability claims. 🔍 Role Overview: 🕵️ Investigate and settle advanced, large‑loss, and complex claims promptly and equitably under minimal supervision, while working within established authority on moderate‑to‑difficult claims 📑 Review coverages, determine liability and compensability, secure information, arrange property damage appraisals, and settle claims using claims best practices. 📊 Evaluate and set reserves using independent judgment, assist supervisors and defense attorneys in preparing cases for litigation, and support team development by conducting training and mentoring new hires. Why Crawford? Because a claim is more than a number — it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community – one claim at a time. At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us. We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com. When you accept a job with Crawford, you become a part of the One Crawford family. Our total compensation plans provide each of our employees with far more than just a great salary - Pay and incentive plans that recognize performance excellence - Benefit programs that empower financial, physical, and mental wellness - Training programs that promote continuous learning and career progression while enhancing job performance - Sustainability programs that give back to the communities in which we live and work - A culture of respect, collaboration, entrepreneurial spirit and inclusion Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.
• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. • Negotiating settlement of claims within designated authority. • Communicating claim activity and processing with the claimant and the client. • Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
Join our network of independent alteration professionals specializing in formalwear and tailoring. What You'll Do • Alter suits, tuxedos, dress pants, and formal jackets (hemming, tapering, shoulders, waist, sleeves) • Work with women's formalwear including gowns, cocktail dresses, and bridesmaid dresses • Conduct fittings, take precise measurements, and communicate timelines clearly • Deliver high-quality finishing and maintain an organized workspace suitable for fittings We also receive requests for wedding dresses, prom dresses, evening gowns, and other special event garments. Requirements • Experience with formalwear alterations and/or tailoring • Strong garment construction knowledge + precision measuring • Machine + hand sewing proficiency • Professional communication and customer service Benefits / Highlights • Work from home (independent contractor role) • Local client requests provided through the platform • Flexibility to accept the jobs that fit your schedule • Opportunity to grow repeat clients and reviews through your profile


