Claim Examiner

Toronto, Ontario

BRIEF DESCRIPTION:

We are currently seeking a highly motivated, efficient, and experienced individual to join the company as an Intermediate Claims Examiner. This is a Hybrid position with the expectation of in-office work in our Downtown Toronto office.

RESPONSIBILITIES INCLUDE:

  • Adjudicate Accident & Health claims, e.g. AD&D, temporary and permanent disability, critical illness. Reinsurance claims experience is an asset.

  • Ensure that company claims protocols and guidelines are adhered to throughout the claims handling process.

  • Set and monitor loss and expense reserves.

  • Liaise with underwriters, brokers and various other stakeholders in a professional and efficient manner.

Qualifications:

  • Excellent verbal and written communication skills.

  • Strong investigative and analytical skills, including understanding policy wordings.

  • Effective interpersonal and relationship building skills.

  • Able to work well independently within the overall team environment.

  • Ability to prioritize tasks, meet various deadlines and stay organized.

Education:

  • 5+ years of Accident & Health claims experience.  Commercial P&C experience an asset.

  • College diploma or a university degree.

  • Experience working with Lloyd’s coverholders an asset.

  • Have a strong ability to multitask and thrive in a fast-paced environment.

  • Are a skilled communicator.

  • Bilingual (English/French) preferred.

About Sutton:

Sutton Special Risk is a Managing General Underwriter, formed in 1978, providing worldwide A&H and P&C insurance and reinsurance solutions to North American brokers and intermediaries. We are recognized as one of the insurance industry’s Top Employers in Canada by Benefits and Pensions Monitor, and we’ve been named one of Canada’s Top Small and Medium Employers in 2024 and 2025.

Only those who satisfy the Successful Candidate criteria will be contacted for an interview.