TPA Examiner

Third-Party Administration (TPA) Claims Examiner

The Role Leap Recruitment Partners is actively seeking a highly skilled TPA Claims Examiner on behalf of a premier third-party administration and claims management firm operating within the Canadian and international insurance sectors.

In this vital role, you will take ownership of a diverse, high-level claims portfolio, steering files from the initial notice of loss right through to final resolution. You will act as the pivotal point of contact for stakeholders across the board, balancing complex investigations with top-tier client service. If you are a highly organized claims professional with a sharp analytical mind and a talent for negotiation, we want to help you take the next big step in your career.

Key Responsibilities

• Oversee a comprehensive caseload of property and complex liability claims—including Errors & Omissions (E&O), Commercial General Liability (CGL), and Medical Malpractice—for both domestic Canadian and London Market portfolios.

• Critically evaluate and synthesize documentation from legal professionals, subject matter experts, and independent adjusters.

• Execute thorough investigations to accurately determine policy coverage, fault, financial exposure, and appropriate reserve allocations.

• Draft precise, comprehensive file summaries and status updates for key stakeholders.

• Direct and oversee litigated files by partnering with outside counsel, guiding defense tactics, and closely managing legal expenditures.

• Foster and maintain highly professional relationships with brokers, insurers, external adjusters, and clients.

• Establish and continuously monitor accurate claims reserves in strict accordance with industry best practices and specific client parameters.

• Proactively pursue avenues for subrogation, cost contribution, and financial recovery.

• Keep meticulous, well-organized claim files that fully comply with bordereaux reporting requirements, regulatory guidelines, and internal/client protocols.

• Consistently deliver exceptional service by meeting or exceeding all Service Level Agreements (SLAs) and strict reporting deadlines.

Qualifications

• Proven professional background working directly as a TPA desk claims examiner.

• Previous exposure to or experience with London Market claims is highly preferred.

• Completed Post-Secondary education (University degree or College diploma).

• Must hold active and appropriate Provincial adjuster licensing.

• Solid background in regional claims handling and management.

• Deep understanding of the independent adjusting landscape, including a strong grasp of local jurisdictional rules and standard claims handling practices.

• Exceptional verbal and written communication capabilities, paired with top-tier negotiation skills.

• Sharp analytical problem-solving abilities and a strong capacity for interpersonal relationship-building.

• Highly organized, self-motivated, and able to effectively prioritize competing demands in a fast-paced environment.

At Leap we are an Equal Opportunity and Affirmative Action Employer. That means all applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status. Leap will not tolerate any discrimination or harassment based on any of these characteristics. Leap encourages applicants of all ages.