Claims Examiner(s) - Work from Home

Now, we’re proudly building on that legacy to transform our company—and our industry—for the better.

Effective January 1, 2026, Gore has joined Beneva—the country’s largest mutual insurance company—as part of its Property & Casualty operations in Ontario and Western Canada. During 2026, Gore will combine its operations with Unica Insurance, Beneva’s Ontario-based subsidiary specializing in niche commercial and personal insurance, creating a stronger, more diversified mutual insurer with greater scale and long-term stability.

Every decision and investment remains anchored in long-term benefits to customers, members, and communities. Claims Advisor Accident Benefits- 12 Month Contract

The Accident Benefits (AB) Claims Advisor investigates, evaluates, and manages low- to moderate-complexity claims—particularly those under the Minor Injury Guideline—by confirming coverage, collecting and reviewing documentation, setting reserves, negotiating and settling claims, coordinating medical management, and guiding claimants through the process with clear, timely, and good-faith communication, while also providing front-line support to vendors, clinics, and insureds and ensuring compliance with FSRA and all applicable legal and regulatory requirements.

Reviewing, investigating and documenting medical reports and claim related information and the appropriate setting of AB Claims reserves.

Negotiation and Settlement of claims of low to moderate complexity. Supports claims through the timely review and adjudication of Medical Treatment and Assessment Plans, within authority

Direct communications with claimants/ guardians (phone or written) for medically managed claim files

Communication between internal and external legal counsel, case managers, and outside vendors

Invoicing and administrative tasks

CIP designation is an asset

• 2 years of Claims Handling Experience
• Experience working by phone
• Successful hybrid/work from home experience
• You have the potential to earn more through Gore Mutual’s discretionary bonus program which gives you an opportunity to increase your total compensation, provided the business meets its performance targets and you meet your individual goals.

Gore Mutual is proud to offer a comprehensive total rewards package which includes extended health and dental benefits, disability insurance, retirement plan matching, paid time off, recognition and perk programs.

#Gore Mutual Insurance Company is committed to providing accommodations for people with disabilities during all phases of the recruiting process, including the application process.

If you require accommodation because of a disability, we will work with you to meet your needs.