At the OTIP Group of Companies (OGC), we believe that something special happens when employees feel valued for the work they do, supported as the people they are, and included in the very fabric of the organization: they bring their best to work every day.

The Accident Benefits Claims

Examiner is responsible for assisting insured members through Statutory Accident Advantages injury rehabilitation programs and the resolution of minor to moderate claims. This includes establishing a prompt relationship with insured members and their legal representatives and assessing quantum while ensuring fiduciary, regulatory and contractual compliance, adhering to organizational service standards, operational targets and core competencies. Reporting to the Senior Manager, National Injury, the core parts of your role will be to: Deliver a superior customer experience which includes responding to all general inquires, initiating and maintaining contact with insured members, and assisting with commodity claims overflow.

Review and determine eligibility for Statutory accident benefits by gathering information from insured members, health practitioners, employers, police, claimant’s lawyers, accountants, and other insurers or programs with income continuation plans relating to minor to moderate claims. Make decisions by considering all information and consulting with legal and medical experts when required. Maintain quality service and adheres to organizational standards to deal with all aspects of file handling, including reserving, expense and loss control, questionable claims,



and creating defined disposition plans for future handling leading to file closure.

Assist senior AB team members in Arbitration and License Appeals Tribunal proceedings and prepares documentation for case conferences and hearings on behalf of key stakeholders. Keep claims information confidential to protect operations and insured members. Responsible for data integrity, issuance of payments to vendors, insureds and experts and maintaining well-organized claim files while ensuring accuracy of inputted data.

Adhere to partner's guidelines, contracts, and insurance regulations to ensure legal and regulatory compliance. Actively participate in coaching and training sessions and collaborates with team members and management. Take an active role in creating an environment of continuous improvement of work efficiencies and highlighting value work.

A post-secondary education and/or college diploma within related field ~ An All-lines Adjuster’s license in Ontario and Alberta (Level 2 minimum). ~2 years’ experience in all lines claims adjusting. ~ Experience and knowledge in injury claims medical rehabilitation concepts and medical terminology is preferred.



~ Current Microsoft Office working knowledge ~ Ability to learn and adapt in a fast-pace environment including working with various computer programs, databases and software. ~ The ability to communicate in French is asset. General office environment. May be required to work overtime.

Flexible work week 35 hours: Monday through Friday between 8 am – 6pm. Saturday 9am – 1pm. This position offers a competitive salary within a range from $57,669 to $79, 295 , along with rewarding bonuses that recognize your dedication.

At the OTIP Group of Companies (OGC), we value transparency and take multiple factors into account when determining your starting salary, including your skills, experience, and alignment with the role as well as internal equity, while positioning you for continued growth and recognition over time. Defined benefit pension plan for a financially confident retirement ~Flexible work-from-home and hybrid options ~ OGC is comprised of Ontario Teachers Insurance Plan (OTIP), Curo Claims Services, and Orbit Insurance Services. Candidate communications may refer to OGC when referencing any of the affiliated organizations applied to.

This recruitment process uses artificial intelligence tools to assist with screening and assessing applications. Upon individual request, we will endeavor to remove any barrier to the recruitment and selection processes and provide accommodations for persons with disabilities. Together, this includes fostering a diverse, equitable and inclusive environment for all.

📌 Claims Examiner(s) - Work from Home (Ontario)
🏢 OTIP (Ontario Teachers Insurance Plan)
📍 Ontario