Definity is the parent company to some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. Our ambition is to be one of Canada’s leading and most innovative property and casualty insurers. We can’t do that without our people, so we embrace and encourage a culture that’s collaborative, ambitious, rewarding, and empowering.We offer a flexible, hybrid work experience where employees work from the office and virtually depending on the type of work they are doing and who they are working with. Bring your true self and be a part of our journey. It’s better here.The OpportunityThis role is suited for a highly experienced Accident Benefits professional with strong technical expertise in complex claims management and dispute resolution. Reporting to the Team Leader, Accident Benefit Claims, you will manage a portfolio of complex claims, including catastrophic injuries, permanent impairment, and fatality benefits, while ensuring compliance with the Insurance Act and the organization's Care First principles. In addition to providing exceptional service to customers and stakeholders, you will collaborate closely with legal counsel, develop strategic file handling plans, and serve as a mentor and resource to team members by providing coaching and guidance on complex claims matters.What to ExpectReport to the Team Leader, Accident Benefit Claims, while investigating, evaluating perks, and administering the principles of Care First in accordance with the Insurance ActSecuring details of claims by corresponding with customers, care providers, and/or representativesRegular communication with the customer and their health care practitioner(s)Handling complex Accident Benefits claims including those involving catastrophic injuries and permanent impairmentProcessing income replacement, non-earner, loss of studies, caregiver, fatality,



and other benefitsHandling ACT disputes with and without legal counselFormulating file handling strategies and work plansWorking with legal counselProviding coaching and support on file handling to Accident Benefit team members.Assessing coverage eligibility and reviewing and applying interpretations of policy wordings in the resolution of coverage issuesApplying applicable Priority Rules chart to each claim fileReserving files appropriately after assessing claimMaintaining detailed file records on an electronic claims systemProcessing payments after confirming benefits, eligibility and reservesCoordinating the most effective course of action for claimsResponding to customer correspondence and forms in accordance with the applicable legislationReviewing and approving, when appropriate, treatment plans for customer rehabilitation.Arranging medical assessments as necessary and reviewing and relaying recommendationsOther duties as assignedWhat You Bring5 years of experience handling Accident Benefits claimsExperience handling Accident Benefits in British Columbia, Saskatchewan, Manitoba, Ontario, or experience with WCB/WSIB/WorkSafe BC, etc. or experience with other long-term disability benefit administrationExperience coaching others.University degree in any discipline or a college diplomain related field or the CIP designationExcellent verbal and written communication skillsProfessional, friendly and courteous in all interactions, whether with customers or co-workers.Perform well in a busy operation and remain calm under pressure.Team player adaptable to a changing environment.Strong written and verbal communication skills.Salary Range:$73,500 - $123,500Actual salary for the role may vary depending on work location of the successful candidate and other factors including but not limited to, skills, education, experience,



working conditions and the local labour market.This position is being posted to fill an existing vacancy.Interested in this role, but don’t meet every requirement?We encourage you to apply! We know from experience that a candidate doesn’t need 100% of the qualifications listed to bring incredible value to our team. We’re actively seeking diverse backgrounds and perspectives to help us make insurance better. At Definity, inclusion, diversity, and equity aren’t just “nice to have” — they’re essential to our success.What’s in it for you?Company share ownership programIncentive Program - Eligible employees may participate in various incentive plans which are paid out at the discretion of the company and subject to individual and company performance.Pension and savings programs, with company-matched RRSP contributionsPaid volunteer days and company matching on charitable donationsEducational resources, tuition assistance, and paid time off to study for examsFocus on inclusion with employee groups, support for gender affirmation surgery, access to BIPOC counsellors, access to programs for working parentsWellness and recognition programsDiscounts on products and servicesGo ahead and expect a lot — you deserve it.It’s better here — but don’t take our word for it. Definity was named by Great Place to Work as one of the Best Workplaces in Canada for women, for youth, and for inclusion.Our inclusive work environment welcomes diversity and supports accessibility. If you require accommodation at any time during the recruitment process, please let us know by [email protected] part of Definity’s commitment to reconciliation, we acknowledge that our work, meetings, and travel take place on the lands now known as Canada, and recognize the enduring presence, wisdom, and stewardship of the First Nations, Métis, and Inuit peoples who have long cared for these lands.Background checksThis role requires successful clearance of background checks (including criminal checks and leadership references).#J-18808-Ljbffr

📌 Claims Handler - Hybrid Work Model (Winnipeg)
🏢 Definity
📍 Winnipeg