Claims Examiner - Professional Liability
About the Role
As a Professional Lines Claims Specialist, you will manage a portfolio of professional liability insurance claims for portfolio of accounting clients. An advocate for the accounting profession, you will be responsible for providing policyholders with a rigorous defence, while ensuring prudent and effective cost containment and oversight.
§ Assess coverage: Analyze relevant policies to determine coverage available. Identify the allegations and assess coverage to determine the extent to which coverage may apply to the claim.
§ Investigate: Research, gather and analyze documentation in relation to the claim, including interviews, evidence, expert reports, legal pleadings, building codes, construction products and building systems.
§ Evaluate liability and damages: Working with internal and external experts, assess the extent of potential liability and damage.
§ Financial management: Maintain accurate and timely reserves based on best available information, actively and effectively mitigate and manage costs and expenses.
§ Engage and oversee experts: Engage internal and external professionals and other consultants to support effective and timely claim resolution, including accountants, auditors, and internal and external counsel.
§ Mediate, Negotiate & Settle: Within company policies and guidelines, including authority statements, you will identify potential litigation and non-litigation strategies and determine the best course of action. You will support the full claims lifecycle including mediations, pre-trial conferences and other procedures, negotiations and settlements required to bring the claim to resolution.
§ Document: Maintain a full and complete chronology of events for each claim.
Your key daily interactions will include:
§ Colleagues on the Claims & Legal team;
§ Accounting firms and employees;
§ Internal and external experts and consultants;
§ Internal and external lawyers;
§ Third party insurance adjusters.
About You
You are an experienced, results-focused professional with the empathy, intelligence, and drive to help our clients through a sometimes-lengthy claims process. You are active in your profession and likely to be a member of the Chartered Insurance Professional Society (CIP or FCIP).
You bring
§ 10+ years’ work experience in managing professional liability insurance claims
§ An undergraduate degree from an accredited university.
§ Exceptional analytical, critical and strategic-thinking skills.
§ Very strong administrative, time management and organizational skills.
§ Proactive problem-solving capacity, finding creative solutions to meet the objective.
§ Shrewd negotiating capabilities;
§ Effective relationship management, establishing trust, using discretion and acting professionally, to maintain effective working relationships.
§ Outstanding written and verbal communication, and
§ Strong proficiency in basic office software (Office 365 or equivalent).
We are:
- A niche company
- Experts in our field
- Driven by member value
- On the brink of exciting change
We offer:
- Competitive compensation
- RSP matching
- Wellness allowance
- Vacation & non statutory holidays
- Hybrid work arrangement
- Competitive benefits
If you’d like more information on this amazing opportunity or know someone who would be interested, connect with us today!