Senior Claims Advisor- Accident Benefits, Courtice

At Gore Mutual, we’ve always set ourselves apart as a modern mutual that does good. Now, we’re proudly building on that legacy to transform our company—and our industry—for the better.

Effective January 1, 2026, Gore has joined Beneva—the country’s largest mutual insurance company—as part of its Property&Casualty operations in Ontario and Western Canada. During 2026, Gore will combine its operations with Unica Insurance, Beneva’s Ontario-based subsidiary specializing in niche commercial and personal insurance, creating a stronger, more diversified mutual insurer with greater scale and long‑term stability.

Every decision and investment remains anchored in long‑term benefits to customers, members, and communities. Come join us.

What will you do?

Reviewing, investigating and documenting medical reports and claim‑related information and the appropriate setting of AB Claims reserves.

Negotiation and Settlement of claims of moderate complexity.

This occasionally includes preparing and presenting files for authority or strategic approval as well as attending hearings or case conferences.

Direct communications with claimants/guardians (phone or written) for medically managed claim files.

Communication between internal and external legal counsel, case managers, and outside vendors.

Coaching and mentoring Med Desk Team.

Invoicing and administrative tasks.

What will you need to succeed?

Post Secondary Education:

Typically a relevant degree/diploma in insurance or a related field.

Work Experience:

5 years of AB Claims Handling experience strongly preferred

Exposure to LAT Handling process.

Some litigation management for AB.

Experience attending and achieving desirable file resolutions through Settlement Conferences.

Opportunities for internal promotion based on performance and potential.

Skills

Effective Communication.

Critical Judgement and Decision Making.

Resilience.

Attention to Detail.

Claims Negotiation and Settlement.

Assessment and interpretation of medical reports and injuries.

Claims Evaluation and Investigation.

Dispute and Litigation Management for AB Ontario.

Advanced understanding of SABS.

Location We’re a hybrid team that thrives on the energy and value of in‑office collaboration. This role offers the best of both worlds, with 2 days a week spent in our vibrant office in Cambridge, Ontario.

Gore Mutual Insurance is committed to providing accommodations for people with disabilities during all phases of the recruiting process.

The expected base salary range for this position is $56,000– $103,500. Depending on your relevant experience, skills, qualifications, market conditions and business needs, base compensation may vary. You have the potential to earn more through Gore Mutual’s discretionary bonus program which gives you an opportunity to increase your total compensation, provided the business meets its performance targets and you meet your individual goals.

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