Senior Claims Specialist - Legacy Reinsurance & Casualty

Senior Claims Specialist Legacy Reinsurance & Casualty

Ready to apply your claims expertise to a specialized legacy recovery initiative in the insurance sector This opportunity places you at the centre of complex historical claim reviews coverage analysis and reinsurance recovery activities.

Working within the Reinsurance Claims team you will examine long-standing P&C and casualty claims determine potential recovery opportunities and collaborate with Claims Legal Finance Accounting Actuarial Underwriting brokers reinsurers and other stakeholders to move complex files toward resolution.

What is in it for you:

Salaried rate: $75 per hour.

Incorporated Business Rate: $85.67 per hour.

6-month contract with the possibility of extension depending on project progress and business needs.

Daytime schedule 37.5 hours per week.

Regular business hours generally between 8:00 a.m. and 5:00 p.m.

Hybrid work arrangement requiring approximately 50% on-site presence.

Tuesdays are mandatory in-office days with flexibility regarding the additional on-site days.

Location: Markham Ontario.

Opportunity to contribute to a specialized high-impact legacy claims recovery initiative.

Collaborative environment involving Reinsurance Claims Legal Finance Accounting Actuarial and Underwriting teams.

Responsibilities:

Conduct detailed reviews of legacy ceded claims portfolios to identify potential reinsurance recovery opportunities.

Examine complex historical claim files some of which may date back several decades to understand prior decisions outstanding issues and appropriate next steps.

Analyze claim documentation policy and coverage information reinsurance contracts treaty and facultative arrangements bordereaux financial records legal documentation and historical correspondence.

Determine coverage applicability recovery eligibility and the appropriate recovery strategy for legacy claims.

Validate reinsurance recoverables and quantify potential recovery amounts in accordance with applicable contract terms accounting requirements and internal policies.

Review P&C and casualty claims involving complex coverage litigation regulatory allocation settlement or documentation issues.

Prepare and present reinsurance claims to reinsurers brokers and other counterparties ensuring submissions are complete accurate and appropriately supported.

Manage the collection and resolution of outstanding legacy recoveries by proactively following up with reinsurers brokers claims handlers legal representatives and internal stakeholders.

Investigate and help resolve disputes involving coverage interpretation claim allocation recovery calculations documentation and settlement amounts.

Work closely with the underlying P&C Claims team and Legal team to understand claim history coverage considerations legal proceedings and unresolved issues.

Maintain accurate records of claim submissions recoveries correspondence decisions and recovery status within applicable systems and tracking tools.

Review and reconcile aged balances outstanding recoverables and doubtful accounts in collaboration with Finance and Accounting.

Analyze claim and recovery trends within the legacy portfolio and provide clear status updates findings and recommendations to management.

Collaborate with Claims Finance Accounting Actuarial Underwriting Legal brokers reinsurers and other counterparties to obtain missing information and facilitate recovery outcomes.

Escalate significant collection concerns unresolved disputes coverage issues or financially impaired counterparties to management.

Support audits internal control reviews and data requests by maintaining complete documentation and reliable audit trails.

Identify opportunities to improve recovery processes data quality documentation standards and legacy claim review activities.

Contribute to the development and maintenance of procedures guidelines and best practices relating to legacy claims and reinsurance recoveries.

What you will need to succeed:

Required qualifications

Approximately 710 years of relevant experience in one or more of the following areas:

o P&C insurance claims;

o Commercial or casualty claims handling;

o Complex or litigated claims;

o Reinsurance claims;

o Reinsurance accounting;

o Claims recovery or reconciliation operations.

Strong experience investigating analyzing or managing complex claims files.

Demonstrated ability to review large volumes of historical claim documentation and financial information.

Experience interpreting insurance policy language coverage provisions claim documentation or contractual terms.

Experience reconciling recoverables financial balances reserves settlements or outstanding amounts.

Ability to investigate incomplete aged or complicated files and develop logical well-supported recommendations.

Proficiency with Microsoft Excel and claims insurance financial or reinsurance systems.

Experience preparing analyses reports file summaries or management updates.

Ability to work collaboratively across Claims Legal Finance Accounting and other technical functions.

Ability to work independently and manage complex files with limited historical context.

Preferred qualifications

Direct experience with reinsurance claims ceded claims or legacy reinsurance recoveries.

Knowledge of treaty and facultative reinsurance agreements.

P&C casualty claims handling or adjusting experience.

Experience with commercial liability bodily injury general liability long-tail litigated or other complex casualty claims.

Experience working with legal counsel or reviewing files involving litigation legal proceedings or complex coverage questions.

Understanding of reinsurance recoverables claim allocation bordereaux or aged balance reconciliation.

Experience communicating or negotiating with reinsurers brokers adjusters legal representatives or other counterparties.

A legal or law-related educational background may be considered an asset particularly for candidates with fewer years of direct claims experience.

A CIP FCIP or other relevant insurance designation is considered an asset but is not required.

Life and health insurance claims or reinsurance experience may be considered when accompanied by strong transferable claims analysis contract interpretation and recovery expertise.

Soft skills

Strong analytical and investigative abilities.

Excellent attention to detail.

Sound professional judgment.

Strong written and verbal communication skills.

Effective negotiation and stakeholder-management skills.

Intellectual curiosity and the ability to reconstruct the history of complex files.

Persistence in obtaining documentation and following claims through to resolution.

Ability to explain complex findings clearly and support recommendations with evidence.

Adaptability and willingness to learn unfamiliar claim histories agreements and processes.

Collaborative approach and comfort working closely with multiple internal and external stakeholders.

Why Recruit Action

Recruit Action agency permit AP-provides recruitment services through quality support and a personalized approach. As part of the screening process some applications may be reviewed using artificial intelligence tools. Only candidates who meet the hiring criteria will be contacted.