Intermediate CGL & Bodily Injury Claims Adjuster

Mississauga, ON

Our insurance client is currently looking for a Liability Adjuster. This role will require primarily 1 day in office (Mississauga) the other four days will be hybrid, unless other requirements arise, during mediations etc.

Summary of Role & Responsibilities

This role is crucial for the thorough investigation, evaluation, negotiation, and resolution of serious Commercial General Liability (CGL) and bodily injury claims. The position requires advanced claims-handling skills, as well as regular communication and coordination with various stakeholders, including internal and external vendors, clients, and involved parties.

Key Responsibilities:

• Coverage Verification: Confirm the validity of coverage for each claim.
• Liability and Injury Investigation: Conduct a detailed investigation into the circumstances of the loss, focusing on both liability and serious bodily injuries.
• Vendor Coordination: Provide clear instructions and oversight to external and internal vendors (e.g., adjusters, legal counsel, and engineers).
• Exposure Calculation and Reserves: Assess the probable ultimate exposure of each claim and adjust reserves accordingly.
• File Management: Maintain an up-to-date, proactive diary system to monitor claim files, ensuring comprehensive documentation with updated case law, medical, and liability information.
• Mentorship and Leadership: Coach and support junior adjusters, sharing best practices and guiding them through complex claim scenarios.
• Reporting and Committee Participation: Prepare Major Loss/Reinsurance Reports and actively contribute to Claims Committee discussions.
• Compliance with Best Practices: Adhere to service standards and compliance requirements, as outlined in industry best practices.
• Settlement Participation: Engage in settlement initiatives, participating in private and mandatory mediations to facilitate claim resolutions.

Necessary Knowledge, Skills, and Attributes:

• Regulatory and Contractual Knowledge: Strong understanding of regulatory obligations, medical terminology, vocational rehabilitation, and dispute resolution.
• Audit Experience: Skilled in conducting and managing both internal and external audits.
• Attention to Detail: Meticulous and organized, ensuring thorough documentation and file management.
• Effective Communication: Excellent oral and written communication abilities.
• Interpersonal and Leadership Skills: Able to build relationships, work well with teams, and demonstrate potential for leadership.
• Adaptability: Ability to work both independently and collaboratively in a team setting.
• Technical Skills: Proficient in Microsoft Office and general computer literacy.
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Educational and Professional Requirements:

• Experience: Minimum of 3-5 years in CGL and bodily injury claims, with strong expertise in coverage (duty to defend vs. indemnify), product liability, occupier’s liability, and environmental losses.
• Specialized Knowledge: Familiarity with municipality-related losses and construction wrap-up claims is advantageous.
• Education: University or College Degree.
• Certifications: CIP designation or actively pursuing.

This position requires periodic travel to participate in mediations, pre-trials, and trials, contributing significantly to claim settlements and resolutions.