Canada Claims Lead

<div class="content-intro"><h4><span style="color: rgb(0, 0, 0);">About us</span></h4> <p>Coalition is the world's first Active Insurance provider designed to help prevent digital risk before it strikes. Founded in 2017, Coalition combines comprehensive insurance coverage and innovative cybersecurity tools to help businesses manage and mitigate potential cyberattacks. </p> <p>Opportunities to make an impact with bold thinking are real—and happening daily at Coalition.</p></div><h4>About the role</h4> <p>The successful candidate will be a senior member of the claims team for Coalition Claims Solutions Canada, Inc. (“Coalition”). They will handle a pending file load while providing oversight and guidance to Coalition’s team of adjusters in Canada, representing Coalition to brokers and vendors, and providing mentoring support to Coalition’s business development and underwriting teams. This is a senior licensed role, requiring a Level 3 license in at least one province, and (if applicable) a CIP designation, with a willingness and ability to obtain Level 3 licenses (or its equivalent) in all Canadian provinces. The role will report to the Senior Claims Manager. </p> <p><em>This is a remote opportunity that can be based anywhere in Canada.</em></p> <h4>Responsibilities</h4> <h4>I. Regulatory Oversight Management</h4> <p>As the Claims Lead, you will be responsible for organizational oversight, compliance, and mentoring functions within the Canadian entity:</p> <ul> <li><strong>Compliance and Oversight: </strong>Liaise with Canadian legal and compliance teams in order to ensure compliance with provincial regulations and applicable ethical codes.</li> <li><strong>Team Supervision: </strong>Oversee the conduct of all claims handlers through a dotted line reporting structure.</li> <li><strong>Disputes and Complaints: </strong>Oversee the handling of broker and policyholder feedback to ensure complaints are addressed promptly.</li> <li><strong>Auditing and Control: </strong>Periodically assess the effectiveness of the firm’s controls including conducting regular claim file audits.</li> <li><strong>Loss Fund Implementation:</strong> Liaise with broader teams in implementing and operating a carrier loss fund.</li> <li><strong>Vendor Management: </strong>Manage Coalition’s relationships with law firms and vendors to ensure the best quality services for policyholders.</li> <li><strong>Legal Expertise: </strong>Maintain familiarity with the laws and regulations that apply to insurance adjusting firms throughout Canada while staying abreast of new legal developments affecting cyber claims.</li> <li><strong>Training Licensure: </strong>Train new and existing claim handlers and monitor handler licensing.</li> </ul> <h4>II. Claims Handling Resolution</h4> <p>The Claims Lead will handle a pending file load consisting of complex cyber claims across Coalition, including:</p> <ul> <li><strong>Complex Claims Management: </strong>Handle intricate primary and excess Cyber, Tech, and Media policies, including those involving third-party liability arising from security failures and data breaches.</li> <li><strong>Intake Coordination: </strong>Lead the intake of events, coordinating with breach counsel, forensic investigators, and other critical vendors.</li> <li><strong>Liability Coverage Assessment: </strong>Assess liability, damage, and insurance coverage issues.</li> <li><strong>Financial Reserves:</strong> Evaluate the full pending of claims, recommend accurate reserves, and identify settlement opportunities to maximize impact.</li> <li><strong>Vendor Management:</strong> Intelligently guide and track third-party vendors and service providers, including breach coaches, defense counsel, and coverage counsel, ensuring appropriate work and spend.</li> <li><strong>Collaboration: </strong>Collaborate in the defense and resolution of claims and liaise with partner carriers on a daily basis.</li> <li><strong>Documentation: </strong>Maintain accurate file doc ... (truncated, view full listing at source)