Claims Examiner

Responsibilities

The Claims Examiner is responsible for proactively managing a portfolio of claim files and providing technical assistance to team members of varying levels of experience within the Kaufman Claims team.

This is an exciting opportunity to be part of a rapidly expanding and newly developing claims company under the global H.W. Kaufman Group umbrella.

The Ideal Candidate

• You’re organized and a master multi-tasker. You are attentive to detail and can effectively manage your time and priorities in a fast-paced environment.
• You connect the dots and apply what you learned to solve problems.
• You take initiative. You don’t wait until you are told what to do. You anticipate project needs and are resourceful in getting the required information to get your job done.
• You’re a collaborative and business savvy individual willing to work across business units with a variety of stakeholders, demonstrating curiosity to learn beyond your own function.
• You’re passionate about learning. You have a unique opportunity to work alongside our nationwide underwriting and claims experts to gain a wide exposure to insurance trends. You are highly motivated and willing to learn a new claims management system, while providing adjuster support/data entry in a dynamic and ever changing role.
• You’re a team-player. Our office has a collaborative atmosphere where learning from others and teaching others is important.
• You’re professional and client-oriented. We service clients across the globe and take pride in our professional work environment and reputation.
• You take ownership of the success of the organization and your actions contribute directly to our growth and profitability.

Responsibilities

• Working for a Third Party Administrator in the Investigation, analysis, and direct oversight of full case load of first party property claims
• Assess first party property and third party liability claims on a nationwide basis
• Target identification of subrogation opportunities and lead recovery efforts
• Review independent adjuster reports for accuracy
• Promptly communicate with Lloyd’s of London brokers and underwriting and claims personnel of other Carrier clients to provide outstanding customer service and results
• Promptly communicate with insureds, claimants, retail agents, general agents, independent adjusters and attorneys as necessary. Strategize and take action to obtain best possible results for claims
• This position requires a high degree of knowledge with regard to all aspects of first and third party coverage
• Must be able to review insurance policy coverage, and prepare reservation of rights or declination letters when appropriate
• Be an organized, effective communicator, and possess excellent analytical, writing, negotiation, and follow-up skills
• Prepare proposed expense and loss reserve/settlement reports that exceed authority for submission
• Provide technical assistance and direction to your team members and be a party to their success
• Contribute to the capture of critical data and to the development of analytical reports to our clients

Qualifications

• Ability to read, understand, and apply policy terms
• Bachelor’s degree
• Minimum of 5 years of first-party property and third-party liability adjusting experience
• TPA experience an advantage
• Insurance designations and commitment to ongoing insurance education preferred
• Exemplary customer service
• Ability to accurately handle a full case load in a fast paced environment
• Ability and willingness to commit to extended schedules following significant catastrophe losses
• Outstanding organizational skills and maintenance of diary system
• Competence in using MS Word, MS Excel, MS Outlook and the ability to learn new IT applications such as carrier or TPA systems

Compensation Package

• Competitive base compensation
• Health benefits
• Employer paid continuing education courses and designations
• Many exciting opportunities for career advancement

About Our Company

Kaufman Claims is a subsidiary of the H.W. Kaufman Group. Our family of companies comprises a vast network of over 50 offices across the globe. From brokerage, underwriting, premium financing and real estate to claims and loss control, together we are shaping the future of insurance.

Our Commitment

The H.W. Kaufman Group is committed to treating all people in a way that allows them to maintain their dignity and independence with a view to providing integration and equal opportunities for all. The H.W. Kaufman Group welcomes applications from all qualified individuals and will accommodate applicants’ disability-related needs in accordance with the respective provincial human rights codes throughout all stages of the recruitment and selection process. If you require a disability-related accommodation in order to participate in the recruitment process, please inform the Recruiter or contact our Human Resources department at HRCanada@burns-wilcox.ca or 416.774.2477. Information received relating to accommodation will be addressed confidentially.

We thank all applicants in advance for their interest; however, only those candidates selected for an interview will be contacted.

Equal Opportunity Employer

The H.W. Kaufman Group of companies is an equal opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, gender, gender identity, age, national origin, disability, veteran status, marital status, sexual orientation, genetic information or any other status or condition protected by the laws or regulations in the locations where we operate.