Claims Specialist
Role Overview
The Claims Specialist reports to the Manager, Claims and guides clients through the claims process.
The role advocates for clients and works with insurers, adjusters, and other partners to support fair, timely, well-communicated outcomes.
The role calls for knowledge of personal and commercial insurance, policies, products, and customer service.
Key Skills for This Role
Full Job Posting
Role overview
The Claims Specialist reports to the Manager, Claims and guides clients through the claims process.
The role advocates for clients and works with insurers, adjusters, and other partners to support fair, timely, well-communicated outcomes.
The role calls for knowledge of personal and commercial insurance, policies, products, and customer service.
Responsibilities
- Coordinate with claims staff, sales and service, clients, carriers, and stakeholders to support positive outcomes.
- Be the primary claims contact and provide professional, empathetic guidance throughout the claims lifecycle.
- Manage complex, sensitive, high-severity, and escalated claims.
- Explain coverage, deductibles, documents, timelines, and next steps; advocate for clients when disputes arise.
- Monitor claim activity, communicate with clients, and follow up with insurers, adjusters, counsel, restoration firms, and providers.
- Improve processes and service standards; contribute to training and knowledge sharing.
- Maintain accurate claims-system records in accordance with internal, privacy, and regulatory requirements.
- Provide technical guidance and coaching to Claims Representatives and support the Claims Manager.
Requirements
- RIBO license required or ability to obtain it.
- At least 5 years of insurance experience; claims experience is preferred.
- High school or equivalent required; post-secondary education is an asset.
- In-depth personal and commercial property, auto, and liability policy knowledge, including Directors & Officers and Errors & Omissions coverages.
- Strong leadership, relationship-building, policy interpretation, customer service, and communication skills.
- Strong organization and portfolio-management skills, with ability to manage competing priorities and deadlines.
- Critical thinking, client advocacy, negotiation, problem-solving, and conflict-resolution skills.
Additional assets
- Ability to host staff training sessions is an asset.
- CAIB or CIP designation, or working toward one, is an asset.
About Cowan Insurance Group
Cowan Insurance Group is a Canadian-owned insurance and risk-management company offering commercial and personal insurance, group benefits, and wealth management services.
Workplace
- The posting describes a hybrid working environment.
Benefits
- Benefits include a competitive salary, benefits coverage from day one, a company-matched retirement savings plan, paid training and development, and community involvement.
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