Adjuster, 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 Recovery Adjuster is responsible for handling Recovery files of small to moderate severity and complexity for all lines of business including Auto Property Commercial and Liability files. The adjuster will be responsible for investigating reviewing evaluating negotiating and settling Recovery files for all business lines.

The adjuster will be expected to demonstrate strong judgment and analytical skills in order to maximize recovery results and provide superior customer service while adhering to Gore Mutuals internal policy and procedures while ensuring accurate reserving is in place and the anticipated Subrogation recovery is updated accordingly in the file. Files may be pursued through inter-company arbitration or litigation.

In addition to maximizing recoveries the adjusterwill also manage and guide their files on controlling expenses by ensuring accuracy and consistency in invoices received and paid accordingly.

What you will do:

HANDLE LOW TO MODERATE COMPLEXITY 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 on notice and send the Demand and Subrogation documents to the responsible parties.
• Engage legal counsel as soon as the need is identified and when appropriate.
• Ensure that 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.
• This role will also require that they prepare detailed reports for the Recovery Team Leader or Specialist for settlement authority requests and abandonment requests.

ATTEND SETTLEMENT CONFERENCES MEDIATIONS PRE-TRIALS 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 in a timely manner using Alternative Dispute Resolution such as mediation/arbitration when possible.
• Prepare files for pre-arbitration officer for inter-company arbitration process and attend hearings when possible and where pre-arbitration does not resolve the matter.

PROVIDE DIRECTION TO CLAIMS HANDLERS ON RECOGNITION AND SUPPORT FOR RECOVERY:

• Collaborate with and provide direction to front line staff based on the claim circumstances around what evidence is required to enhance our chances of a successful recovery.
• Ensure evidence is secured and/or retained and that the initial subrogation investigation is addressed.

CONTROL RECOVERY EXPENSES:

• Review all invoices received for accuracy and legitimacy issue payment accordingly.
• Obtain budgets from recovery vendors prior to engaging their services to ensure it makes economic sense to pursue the recovery.
• Ensure the expense of investigating and pursuing the recovery claim is not more than 35% of the value of the potential recovery amount.

NEGOTIATE SETTLEMENT OF RECOVERY FILES:

• Negotiate directly with responsible parties their insurers or other representatives to arrive at the highest possible settlement amount in a timely manner.
• Ensure releases are properly worded before signing on behalf of Gore Mutual and that the Insureds interests and Gores interests are protected.
• Ensure that Recovery payments are received within a timely manner and the insureds deductible is reimbursed accordingly if applicable.

What you need to Succeed:

• College or University degree required
• 1-3 years Auto Claims Property Claims or Casualty Claims experience required
• 1-3 years of Subrogation experience preferred
• CIP designation or in-progress preferred

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.