Senior Risk Management Specialist

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This position is responsible for high frequency, low to high severity bodily injury liability claims including property claims.  Efficient retention and transfer of claims, responding to third parties, insurer, and legal representatives.

Specific Responsibilities:
•    Supervise and lead the performance management of the Risk Management Specialist, Risk Management Administrator and Risk Management Clerk 
•    Review and assist the Risk Management Specialists files prior to settlement (above settlement authorization) and the escalation of claims to insurer
•    Manage, obtain, and analyze investigative material and evidence for all occurrences assigned
•    Ensure the successful engagement, cooperation, participation, reporting, and effective completion of defense documentation with location managers and in support of other internal and external stakeholders
•    Review contractual agreements, case law, and policies for assessment and claims handling decision 
•    Examine strategies for claim response and recommend retention or transfer, denial, settlement
•    Settle, deny, transfer, escalate liability claims and build a defense file in preparation of litigation; provide necessary support to assigned adjusters and defense counsel
•    Settle claims with plaintiffs, insurers, adjusters, and third parties within specified authority from Risk Management Manager
•    Handle escalated and confidential claims within the organization
•    Substantiate and negotiate property claims working directly with at fault third parties or with the assigned third-party administrators
•    Review and update adjusters’ reports, defence counsels’ correspondence, initial opinions, discovery reports and furthers updates. Providing recommendations, comments and/or direction on a file when required
•    Review and provide settlement authorization to adjusters/insurer and defence counsel below deductible when required
•    Educate location managers, on claim programs, policies, and procedures for: reporting, investigation; litigation management; resolution/outcome management; and the delivery of claim information
•    Ensure database integrity, accuracy with up-to-date details, reserves and claim status
•    Monitor and analyze legal opinions, claims costs and exposures to identify trends and discover root causes
•    Attends mediations, pre-trial, settlement conferences, trials when required
•    Complete quarterly claims report to provide to the Risk Management Manager
•    Make recommendations on revised and new programs and procedures based on analysis.  Involve implementation of new/revised programs

•    College diploma or University studies
•    5 – 7 years liability and property claims working experience
•    Presently working towards your CIP or CRM designation or has successfully completed your CIP or CRM designation
•    Intermediate skills in MS Office, Outlook, and database applications
•    Excellent written and verbal communication skills

Internal: Stores, Head Office, Distribution Centres and Pharmacies
External: Vendors / Suppliers / Government, Legal and Insurance representatives/ plaintiffs.