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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in administering complex liability claims, including negotiation, settlement, and compliance with relevant legislation and policy wordings. Proven ability to lead and mentor a team while ensuring adherence to industry best practices and quality control standards.
Highest-signal resume keywords
Claims AdministrationLiability Claims AdjustmentCase Law AnalysisTeam LeadershipInsurance Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims InvestigationClaims NegotiationClaims SettlementCoverage InterpretationQuality Control StandardsDetermining ValuesDetermining NegligenceClaims ReviewPayout Decision MakingWorkflow Monitoring
Soft Skills
Effective Oral CommunicationMentoringTeam DevelopmentCollaborationProblem Solving
Certifications & Qualifications
Two-Year Diploma in Relevant Field
Industry Keywords
Liability InsuranceProperty and Casualty ClaimsInsurance TheoryPolicy WordingsLegislation ComplianceFair Practices OfficeCommercial General LiabilityTort ClaimsClaims Adjustment PrinciplesInsurance Trends
About the role
Key responsibilities & impact- Provide day-to-day team leadership and technical guidance to Liability Specialists
- Administer liability claims across commercial, personal lines, and farm insurance
- Interpret and apply coverage under multiple SGI CANADA property lines, related legislation, policy wordings, and case law
- Work closely with the legal team on liability claims
- Administer complex, high-value, and sensitive claims
- Manage claim intake, investigation, negotiation, and settlement
- Guide adjusters, brokers, management, and legal counsel on complex and sensitive claims
- Make or provide direction on payout and reimbursement decisions for high-value claims
- Verify claim coverage and validity
- Interview witnesses, legal representatives, and other external parties as required
- Lead internal process-improvement meetings
- Maintain historical abuse files and coordinate their maintenance and settlement with legal
- Create, review, and respond to claim decision and denial requests
- Investigate and provide input on ministerial and Fair Practices Office inquiries
- Conduct claims reviews and audits
- Coordinate liability-claims administration, scheduling, dispatching, workflow monitoring, and stakeholder reporting
- Research case law to support decision-making
- Maintain knowledge of industry trends, regulations, and liability best practices
- Develop, maintain, and coordinate training for Liability Specialists
- Analyze quality-control data and support equitable file distribution
- Develop and refine quality-control standards and monitor results
- Approve claim payments and administer claim payments and settlements
- Resolve challenging and complex claims issues
- Collaborate with regional adjusters to ensure consistent liability-claims handling and settlement
- Mentor, train, and support the development of team members
- Apply health, safety, emergency-management, transformation, and strategic initiatives
Requirements
What you’ll need- Two-year diploma from an accredited post-secondary education institution in a relevant field of study, such as Business or Health Sciences, or defined equivalency
- 5–7 years of claims experience handling complex property and casualty claims
- Knowledge of insurance coverages and benefits for liability claims adjustment
- Knowledge of related legislation, general policy wordings, and business policy wordings
- Knowledge of insurance theory and claims adjustment principles, practices, methods, and techniques
- Knowledge of claims adjustment and settlement processes and procedures
- Knowledge of case law pertaining to commercial general liability and tort claims
- Skill in determining values, depreciation, and repair or replacement costs
- Skill in determining negligence and extent of quantum in liability claims
- Effective oral communication with all management levels
- Ability to analyze case law and legal opinions
Benefits
Comp & perks- Hybrid work flexibility after probation, with scheduled work-from-home and office rotation
- Permanent, full-time employment
- Accommodation support during the recruitment process
- Workplace focused on respect, inclusion, reconciliation, diversity, growth, and belonging
- Career with purpose and opportunities for growth
- Confidential handling of accommodation information