Intermediate Claims Examiner - sherbrooke

Intermediate Claims Examiner

Reports to: Lead, Claims; Travel requirements: Some travel required; Office hours: 8:30 AM – 4:30 PM.

Key Responsibilities

• Review initial claim documentation, apply legal/claims analysis and set/amend reserves.
• Instruct adjuster/lawyer on a continuing basis, settle/deny/defend decisions.
• Ensure required information/evidence is collected & preserved, authorize mediation & pre‑trial expenses.
• Conduct/control negotiations with plaintiff counsel, mediators, pre‑trial judges, and claimants.
• Make settlement decisions up to the posted reserve of assigned claims, authorize settlement payments; handle specialty claims as assigned.
• Policy interpretation.
• Situational analysis and recommendations for actions on non‑claim matters.
• Provide advice regarding general risk management queries and/or referral to Healthcare Safety and Risk Management Department.
• Work with...