Claims Specialist, Recovery

Next Horizon is here. Fueled by investments in talent and technology our bold strategy to transform is nearly complete.

At Gore Mutual weve always set ourselves apart as a modern mutual that does good. Now were proudly building on that legacy to transform our companyand our industryfor the better.

Our path forward sharpens our focus on business performance driven by leading technology innovation and an agile high-performing culture. With Gore Mutual and Beneva announcing their intent to merge in 2026 well be uniting two well-established financially strong and trusted brands to become the strongest mutual insurer in Canada ensuring Canadians have purpose-driven insurance options for generations to come.Come join us.

The Claims Specialist Recovery position is pivotal in handling Subrogation files of significant severity and complexity across all lines of business including Auto Property Commercial and Liability. The Claims Specialist will be entrusted with a diverse range of tasks. They will be responsible for investigating reviewing evaluating negotiating and settling Recovery files. Additionally they will serve as the technical resource for all Recovery Adjusters overseeing file handling by the recovery team onboarding new Recovery Staff and training existing staff. The role also includes serving as Recoverys Pre-Arbitration Officer managing all Arbitration matters within the Recovery Team.

This position requires an individual with strong judgment and analytical skills to maximize recovery results while providing superior customer service. The ideal candidate should have experience in litigation and working with external vendors Counsel Engineers etc. in adherence to Gore Mutuals internal policies and procedures. Given that files may be pursued through inter-company arbitration or litigation a robust litigation background involving Subrogation Files is essential.

The successful candidate will be expected to attend Settlement Conferences Mediations Pre-Trials and Trials providing settlement instructions to legal counsel to proactively resolve files as efficiently as possible. Beyond these responsibilities this role involves mentoring and training initiatives for the Recovery team and front-line staff. The Claims Specialist will play an active role in staff engagement creating and delivering onboarding training for new and existing staff to continually educate on new processes and key initiatives.

As the most senior role in Recovery claims handling this position is uniquely positioned to offer insights into new strategic initiatives and opportunities for performance improvement. It is expected to deliver cost control through the management of files in litigation managing risk and exposure to the Company. The Specialist Adjuster is expected to contribute to the overall success of the team and provide their technical expertise in file handling best practices to the Recovery staff.

Job Responsibilities:

• Handle large complex recovery files
• Review investigate and assess new claims as they are referred and ensure that required expert vendors are involved in a timely manner.
• Ensure that responsible parties are placed onnotice and the Demand and Subrogation Documents are sent to the responsible parties accordingly.
• Engage legal counsel as soon as the need isidentified andthat legal limitation dates are protected where we intend to pursue recovery or are still investigating while also ensuring our clients are kept apprised of recovery efforts.
• The Recovery Specialist will also handle Employee Recovery files asrequired.
• Attend settlement conferences mediation pre-trials and trials
• attend settlement conferences mediation pre-trials and trials as required with our legal counsel.
• Provide settlement instructions to legal counsel in pro-active efforts to resolve files as soon as possible using Alternative Dispute Resolution such as mediation/arbitration when possible.
• Mentoring of the Recovery team
• Act as a technical resource for all Recovery Adjusters and lead team training initiatives.
• Participate in succession planning for your role within the Recovery team.
• Oversee handling of files by the Recovery Adjusters and Intermediate Recovery Adjusters to ensure they are given opportunities to learn how to manage complex/litigated files.
• Arrange and lead round table discussions on successful and unsuccessful Recovery files so that all team members can learn from them.
• May assist with the completion of Technical File Reviews and may assist with the triage of new Recovery referrals.

• Act as a Training Resource for First Party Handlers on Recovery
  • Work with Training specialist and L&D to educate front line claims handlers on Recovery opportunities and how they can learn to identify Subrogation and make referrals in a timely manner.
  • Work with leaders of each line to provide regular training to their teams and to keep Recovery a focus for them.

• Pre-Arbitration Officer
  • When required the Recovery Specialist is expected to act as Gore Mutuals Pre-Arbitration officer and handle all pre-Arbitration and Arbitration matters within Recovery if the file is $50000 or less (or more if agreed by both insurers) and the third-party insurer is signatory to CICMA Arbitration agreement on files with an impasse on negotiation.
  • Prepare files for pre-Arbitration for inter-company Arbitration process and attend hearings when possible and where pre-Arbitration does not resolve the matter.

What you need to be successful:

• College or University diploma.
• CIP FCIP CSRP industry designations or law degree is nice to have.
• 5 years of insurance claims subrogation experience.
• Well experienced with Auto claims Property claims and Casualty claims.

Hybrid: We are a hybrid company and work 2 days per week in-office. This role has the flexibility to attend either our Cambridge or Toronto office.

#LI-HYB & #INDHP

Accessibility for applicants

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.Contact usand a human resources representative will consult with you to determine an appropriate accommodation.

Should you request an accommodation during the interview process please notify your Talent Acquisition Consultant.