Claims Processor evaluating and processing pet insurance claims for Pets Plus Us across Canada. Reviewing veterinary histories, policy eligibility, coverage, and compensation decisions.
About the role
- Senior claims specialist analyzing, negotiating, and settling auto and general liability claims. Supporting clients, brokers, litigation, and Independent Adjusters for Canadian TPA Helmsman.
Responsibilities
- Analyze, investigate, evaluate, negotiate, and settle automobile and general liability claims
- Determine coverage and claim disposition
- Establish and regularly review indemnity and expense reserves
- Recommend reserve levels for claims outside authority limits
- Identify and communicate claim trends and account or policy issues to management, underwriting, and risk services
- Prepare comprehensive reports as required
- Proactively manage case resolution
- Participate in market meetings, mediations, arbitrations, and settlement negotiations within authority
- Manage litigation through counsel retention, budgets, bill review, and payment
- Support claims marketing by meeting with brokers, risk managers, and reinsurers
- Prepare for and facilitate client claim reviews
- Oversee claims managed by Independent Adjusters to maintain Helmsman quality standards
- Attend client and broker meetings and provide support for client management activities
- Travel approximately 10–15%
Requirements
- Bachelor's and/or advanced degree/diploma; experience may be substituted for education
- 3–5+ years of related claims experience, including automobile and/or general liability claims
- Highly advanced knowledge of claims handling concepts, practices, and techniques, including coverage issues and product line knowledge
- Superior verbal and written communication skills
- Intermediate analytical, decision-making, and negotiation skills
- Proficiency in Punjabi is considered an asset
- Experience with cargo and/or commercial transportation claims is a strong asset
- Valid Ontario Adjuster's License is considered a strong asset
- Completed CIP designation or active pursuit of CIP preferred
- Litigation experience is a strong asset
- Functional knowledge of law and insurance is an asset
- Approximately 10–15% travel required
Benefits
- A premier flexible work environment (a combination of on-site & remote work) supporting employees' work-life balance
- Competitive health & dental benefits plan
- Market-leading pension plan
- Competitive time off policy
- External education & tuition reimbursement programs
- Employee & Family Assistance Programs
- Variable compensation (bonus), allowances, and benefits are excluded from the published base salary range but may be offered
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