Team Leader, Accident Benefits, Claims

Next Horizon is here. Fueled by investments in talent and technology, our bold strategy to transform is nearly complete.  

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. 

Our path forward sharpens our focus on business performance, driven by leading technology, innovation and an agile, high-performing culture. With Gore Mutual and Beneva announcing their intent to merge in 2026, we’ll be uniting two well-established, financially strong, and trusted brands to become the strongest mutual insurer in Canada, ensuring Canadians have purpose-driven insurance options for generations to come. Come join us. 

 

Ready to lead a high-performing team and make a real impact? As a Team Leader – Accident Benefits (AB) Adjuster, you’ll play a pivotal role in shaping the future of claims handling at Gore Mutual. This role will guide a talented group of adjusters and assistants, ensure operational excellence, compliance with regulatory requirements, and foster a culture of coaching and development. The Team Leader provides approval for reserves and payments within their authority and manages escalations in line with our dispute resolution process.

 

What you will do:

· Create and maintain a team environment that supports high performance and professional growth for your team.

· Review productivity metrics regularly and support training and skills development initiatives to drive strong outcomes.

· Ensure all claims handling adheres to Ontario's SABS regulations, Insurance Act requirements, and prescribed timelines for decisions and responses.

· Review claim files and audits to maintain accuracy, consistency, and quality standards in benefit determinations and documentation.

· Manage workflow, caseload distribution, and team productivity to meet service level agreements and key performance indicators.

· Handle escalated claims, disputed benefits, and technical coverage issues

· Help design, support and roll out various AB and claims initiatives.

· Hands on development of smaller AB specific projects, and act as SMEs for larger AB initiatives

· Support AB Team Engagement for AB through effective team building activities, process enhancements and change management considerations.

 

What you will need to succeed:

· 10+ years of AB Claims Handling Experience including some experience with LAT Handling and CAT Loss and Litigation Management for AB, is strongly preferred

· 1+ Years of previous leadership or formal mentor experience is preferred

· Post secondary degree or equivalent relevant job experience is required

· Effective written and spoken communication skills

· Dispute and Litigation Management for AB Ontario and expert understanding of SABS is strongly preferred

· Patience, understanding, strong decision making, advance dispute resolution and good judgement skills are required

· The desire and ability to support, motivate, teach, and help your team will be essential.

 

Please note that this role operates in a hybrid environment, with two days a week expected in our Cambridge Ontario office.

The expected base salary range for this position is $81,000 - $131,000. 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.

Please note: This range reflects the expected base salary for this role but may not represent the full compensation range for all experience and skill levels. During the recruitment process, we will discuss and consider how your unique qualifications align with the broader range for this position.

Gore Mutual is proud to offer a comprehensive total rewards package which includes extended health and dental benefits, disability insurance, retirement plan matching, paid time off, recognition and perk programs.

 

 

 

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This posting pertains to an existing vacancy that is actively being filled.

 

Accessibility for applicants

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

If you require accommodation because of a disability, we will work with you to meet your needs. Contact us and a human resources representative will consult with you to determine an appropriate accommodation.

Should you request an accommodation during the interview process, please notify your Talent Acquisition Consultant.