Toronto, ON, CA


L&H - Claims Specialist 

About Swiss Re

The Swiss Re Group is one of the world’s leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. It anticipates and manages risk – from natural catastrophes to climate change, from ageing populations to cybercrime. The aim of the Swiss Re Group is to enable society to thrive and progress, creating new opportunities and solutions for its clients. Headquartered in Zurich, Switzerland, where it was founded in 1863, the Swiss Re Group operates through a network of around 80 offices globally. It is organized into three Business Units, each with a distinct strategy and set of objectives contributing to the Group’s overall mission.


About the Role

Are you passionate about working with reinsurance Life and Health Claims? We are looking for self-motivated claims specialist with a good knowledge of the fundamentals of claims adjudication in the Canadian critical illness market to join our Life and Health Claims team in Canada. You will be adjudicating Canadian and English Caribbean Critical Illness and Life claims and will work closely with administrators, underwriters and client managers.

You will be:

  • Familiar with industry practice and have an ability to sensitively communicate any deviations to a client and provide insight when necessary
  • Knowledgeable of reinsurance treaties in order to be able to identify issues with client adherence to treaty terms and advise and provide insights to swiss Re client managers on technical issues during treaty negotiations
  • Building positive relationships with key individuals in the claims departments of Swiss Re's clients and conducting client onsite reviews
  • Preparing and delivering training, workshops or other presentations
  • Keeping up-to-date on emerging issues that may affect the insurance/reinsurance marketplace at large and further developing market and client knowledge
  • Assessing contract wording in collaboration with contracts specialists and client managers


About You

Educational background

  • Bachelor's degree or equivalent

Professional experience

  • Ideally, 5 years critical illness claims experience in a reinsurance/insurance environment or this role is ideal for a junior underwriter looking to move into a claims role
  • Fluent written and spoken English communication skills
  • Ability to read French is critical; fluent bilingualism a plus
  • Solid interpersonal skills for both internal and external clients, colleagues and peers
  • Strong analytical and problem solving skills
  • Ability to accurately interpret and apply treaty language to ensure treaty compliance
  • Possess a strong knowledge of computer fundamentals. You take full advantage of computer programs and office tools to improve productivity (e.g. PowerPoint, Word, Access, Excel, BOXI).
  • Demonstrated organizational and time management skills; ability to handle multiple priorities
  • Able to make quick decisions with ability to exercise judgment in applying 80-20 rule
  • Strong negotiation skills
  • Ability to work independently as well as in a team environment
  • Knowledge of insurance and reinsurance products and features


About the Team

The Life and Claims team in Canada consists of 5 people including an administrator, experts and a manager. The team is responsible for supporting client cross-functional teams, ensuring a high quality of claim adjudication and providing valuable support to our clients. The team reviews client contracts, requests for reinsurance proposals and works with Client Markets, Underwriting, Medical Directors and Administration to ensure that Swiss Re's technical capabilities and value added services are leveraged.


The Company is an equal opportunity employer. It is the practice of the Company to recruit, hire and promote without regard to race, religion, color, national origin, sex, disability, age, pregnancy, sexual orientations, marital status, military status, or any other characteristic protected by law. Decisions on employment are solely based on an individual's qualifications for the position being filled.

During the recruitment process, reasonable accommodations for disabilities are available upon request. If contacted for an interview, please inform the Recruiter/HR Professional of the accommodation needed.


Keywords: Claims, Critical Illness, Life & Health
Reference Code: 83639 



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