Examiner- Claims II

Proudly Canadian. Driven by Purpose. Rooted in Care. Join a national team where people, purpose, and community come first. Western Financial Group 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. Claims Examiner II The Claims Examiner will be a key member of the National Insurance Operations team, reporting to our Claims Manager. You will collaborate with partners and clients to resolve property and casualty claims. Here Is What a Typical Day Looks Like 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 on 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 The value you bring RIBO license required (must obtain within 3 months of hire) Working towards your CIP or CAIB preferred Minimum 5 years’ experience working with Claims in the insurance industry Clear professional communication, both verbal and written Knowledge of MS products including Word, Excel, Outlook Role Details Hours: Full-time 37.5 hours per week Location: Remote options available in Ontario Compensation Range: $68,000 - $80,000 Requisition #: 83065 Current Vacancy: Yes Why Western? Western’s people‑first culture, grounded in our guiding principles of Truthfulness, Fairness, Value, and Loyalty, is recognized across Canada and strengthened by our commitment to wellness, flexibility, and meaningful community impact. Highlights Include 14 Paid Wellness Days, 3 weeks’ vacation, company‑matching savings programs, and 100% employer‑paid group benefits for eligible employees Over 1,500 volunteer hours supporting 160+ charities in 2024–2025 through the Western Financial Group Communities Foundation. Our Commitment to Inclusion: At Western, we strive to create an accessible, equitable, and inclusive workplace where everyone feels valued and can thrive. As an equal opportunity employer, we encourage applicants of all backgrounds to apply, even if your experience doesn’t perfectly match every qualification. If you need assistance or an accommodation during the hiring process, please contact [email protected] or visit our Careers page. Our Human‑First Hiring Approach: We do not use artificial intelligence to screen, assess, or select applicants. All applications are personally reviewed by Western’s Talent Acquisition Consultants. As part of our hiring process, we use standardized, scientifically validated skills assessments (non‑AI), and all results are reviewed by our hiring team. Ready to Apply? If making a meaningful impact in your community and growing your career in a supportive, purpose‑driven environment excite you, we’d love to hear from you.

The Claims Examiner resolves property and casualty claims by interpreting policy wordings and managing the settlement process with independent adjusters. They are responsible for setting accurate loss reserves, performing business interruption calculations, and providing feedback to underwriting and risk management teams.

Candidates must have a minimum of 5 years of insurance claims experience and a RIBO license (or obtain one within 3 months). Progress toward CIP or CAIB certifications is preferred.

• 14 Paid Wellness Days • 3 Weeks’ Vacation • Company-matching Savings Programs • 100% Employer-paid Group Benefits

• Microsoft ExcelSouhaitée
• Microsoft WordSouhaitée
• Microsoft OutlookSouhaitée

Relevées dans la description du poste. Confirmez les exigences importantes ci-dessus.

• Claims Settlement
• Policy Interpretation
• Loss Reserve Management
• Business Interruption Calculations
• Property And Casualty Claims
• Professional Communication
• Microsoft Word
• Microsoft Excel
• Microsoft Outlook
• In-house Adjustment

• Finance & Accounting
• Legal
• Customer Service & Support

Formation minimale

Diplôme professionnel

Expérience minimale

5+ ans

Postuler avant le

3 oct. 2026

Langue de l’offre

anglais

Heures de travail

38 heures par semaine

Niveau d’expérience

Mid-Senior level