LAT Dispute Specialist

Gore Mutual Insurance•Cambridge, ON

1d•CA$67,000 - CA$117,000•Hybrid

About The Position

The LAT Dispute Specialist represents Gore Insurance at Ontario’s Licence Appeal Tribunal, managing complex Accident Benefits disputes within delegated authority. This role prepares and positions files for case conferences and hearings, assesses financial and reputational risk, and develops effective resolution strategies. The Specialist partners with internal teams and external counsel, coordinates tribunal activities, and advocates on behalf of the organization while negotiating fair, timely settlements aligned with company philosophy. In addition, the role provides coaching and guidance to claims representatives on complex files, monitors dispute trends, and supports continuous improvement in claims handling. A strong focus is placed on ensuring compliance with FSRA requirements and promoting fair, prompt, and good-faith claims practices.

Requirements

Post secondary education is required
10+ years of claims handling
6+ years of AB Claims Handling Experience including some experience with CAT Loss
5+ Years experience with LAT Handling process and achieving desirable file resolutions through Settlement Conferences
Advanced dispute resolution
Moderate to Advanced litigation management for AB
Clear written and verbal communication, including negotiation/settlement advocacy
Sound judgment and decision-making informed by claim evaluation/investigation
Resilience and strong attention to detail in high-volume, time-sensitive disputes
Medical evidence review and injury assessment
Ontario AB dispute/litigation management (LAT), including strategy, motions, and hearing preparation
Expert knowledge of SABS and Ontario insurance regulatory requirements
Mentorship and coaching to strengthen claims and dispute-handling practices

Nice To Haves

CIP designation is an asset

Responsibilities

Review all assigned disputes in full, provide opinion, book case conference, prepare response and attend case conference
Meet deadlines for all required submissions, file recommendations and hearing preparation
Promote early resolution of issues and/or files were appropriate
Develop strategies for fair resolution and closure of disputed benefits
Evaluate, negotiate, and settle where appropriate disputed benefits
If issues fail to resolve, assign counsel and provide direction in alignment from claims leadership
Participate in LAT roundtable discussion
Ensure all claims handling adheres to Ontario's SABS regulations, Insurance Act requirements, and prescribed timelines for decisions and responses
Through the LAT process the LDS is required to assess risk and work towards maintaining defendable positions or settling disputes for best outcomes
Review the actions of Adjusters on the AB team providing direct and indirect feedback on file handling, best practices and file handling strategies
Provide direct coaching to all levels of Adjusters and work with leaders to better refine AB claims practices