Examiner - Claims

About This Role

The Claims Examiner will be a key member of the National Insurance Operations team, reporting to the Claims Manager. This role involves collaborating with partners and clients to resolve property and casualty claims, ensuring policy wordings are interpreted correctly and claims are managed efficiently within authority limits.

Responsibilities

• Secure telephone statements and details of damages from customers
• Review and interpret policy wordings and parameters to determine if coverage is in-force and triggered by the loss
• Manage claims settlement process with independent adjusters, providing recommendations and direction for negotiation and settlement within authority provided by insurers
• Perform in-house adjustment of claims within authority granted by provincial authorities and insurers
• Set and maintain accurate loss and expense reserves based upon investigation and/or recommendations, including validating independent adjusters’ or insurers’ reserve calculations and advising of discrepancies
• Perform business interruption calculations
• Provide feedback to Underwriters, Risk Management, and Brokerage teams on claims frequency and physical hazards
• Maintain and action abeyance files and payment schedules
• Draft and distribute correspondence to insureds, insurers, third party claimants, adjusters and other industry members

Requirements

• General Insurance Level 2 License required (must obtain within 3 months of hire)
• Clear professional communication, both verbal and written
• Knowledge of MS products including Word, Excel, Outlook

Nice to have:

• Working towards your CIP or CAIB
• Proven experience working with Claims in the insurance industry

Benefits

• 14 Paid Wellness Days
• 3 weeks’ vacation
• Company-matching savings programs
• 100% employer-paid group benefits for eligible employees

Important Details

• Hours: Full-time 37.5 hours per week
• Work format: Remote options available in Canada

About the Company

Western Financial Group is a proudly Canadian company driven by purpose and rooted in care. It was named a 2025 Top Insurance Employer by Insurance Business Canada and is home to more than 2,300 team members supporting over one million customers across 200+ locations across Canada. The company supports over 160+ charities in 2024–2025 through the Western Financial Group Communities Foundation, with over 1,500 volunteer hours.