Claims Examiner - Professional Liability

For over three decades, our client has focused on providing insurance and risk related solutions to professional services firms in public practice within Canada and Bermuda. Their products and services allow insured members to mitigate insurance-related risks of the profession and provide them with peace of mind and confidence to focus on their practice. Our client is committed to being experts in their respective fields, including accounting, law, and insurance.

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Our client is seeking a Professional Liability Claims Specialist.  As a Professional Liability Claims Specialist, you'll be exposed to a wide range of firms and a diverse array of challenges facing the profession.  You will benefit from and contribute to a unique body of knowledge and expertise steeped in 35 years of dedicated focus on protecting and defending our clients across Canada.  This is a unique and dynamic role!

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About the Role

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As a Professional Lines Claims Specialist, you will manage a portfolio of professional liability insurance claims for our 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 and legal pleadings.  

§  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.

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Your key daily interactions will include:

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§  Colleagues on the Claims & Legal team.

§  Accounting firms and employees.

§  Internal and external experts and consultants.

§  Internal and external lawyers.

§  Third party insurance adjusters.

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About You

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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:

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§  5+ years work experience in managing professional liability insurance claims

§  A law degree LL.B./J.D. and member in good standing with LSO;

§  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).

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