Workers Comp Claims Specialist at National Interstate Insurance managing a large inventory of complex claims and conducting comprehensive investigations. Supporting decision - making processes for coverage and liability determinations while maintaining strong relationships with stakeholders.
About the role
- Claims Specialist handling a complex portfolio of high-severity Bodily Injury and Liability claims for TD Insurance. Collaborating with legal and governance partners for claim strategy.
Responsibilities
- Manage a portfolio of complex, severe, and litigated Bodily Injury/Liability claims in alignment with TDI legal and governance frameworks.
- Conduct advanced liability evaluations, risk assessments, reserve analyses, and resolution strategies.
- Exercise settlement authority responsibly to achieve fair outcomes and protect shareholder value.
- Provide coaching, direction, and technical support to L2/L3 Analysts.
- Serve as a subject matter expert in BI reserving, litigation strategy, jurisprudence interpretation, and technical consistency.
- Prepare for and participate in NTAC (National Technical Authority Committee) meetings, including trial plans, budgets, and technical assessments.
- Prepare for and participate in Large Loss Authority reviews, including MCU worksheets and strategic file presentations.
- Ensure all recommendations and documentation meet governance and audit expectations.
- Monitor changes in legislation, case law, and market practices affecting BI/Liability claims.
- Provide insights and recommendations to leadership on emerging risks and potential procedural or policy improvements.
- Partner with Legal Services, Actuarial, Underwriting, Governance & Control, and external defence counsel to align strategies and drive quality outcomes.
- Support FRC and CAT queues during surge events, ensuring continuity of service and technical excellence.
- Champion best practices that strengthen operational efficiency, customer experience, and claim quality.
- Foster a positive, inclusive, and high‑performance culture aligned with TD values.
Requirements
- University degree in Law, Business, Criminology, Insurance, or related field
- CIP/FCIP designation (or active progression) strongly preferred
- 3–5 years of progressive experience in Casualty/Bodily Injury claims, including litigated or high‑severity files
- Proven expertise in BI reserving, risk assessment, and litigation management
- Strong understanding of tort law, liability principles, and litigation processes
- Exceptional analytical, critical thinking, and negotiation skills
- Excellent communication and relationship‑building abilities
- Demonstrated judgment and commitment to governance and ethical decision‑making
- Ability to manage competing priorities in a fast‑paced environment
Benefits
- Health and well-being benefits
- Savings and retirement programs
- Paid time off
- Banking benefits and discounts
- Career development
- Reward and recognition programs
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