ONT, Canada
The Opportunity Reporting to the Team Leader, Accident Benefit Claims, you are accountable for investigating, evaluating and settling Accident Benefit claims in accordance with the Insurance Act and the Statutory Accident Benefits Schedule.
What to Expect Securing details of claims by corresponding with claimants and/or representatives
Assessing coverage eligibility and reviewing and applying interpretations of policy wordings in the resolution of coverage issues
Applying applicable Priority Rules chart to each claim file
Processing election of benefit claims
Reserving files appropriately after assessing claim
Maintaining detailed file records on an electronic claims system
Processing payments after confirming benefits, eligibility and reserves
Coordinating the most effective course of action for claims
Responding to claimant correspondence and Accident Benefit forms in accordance with the applicable legislation
Reviewing and approving, when appropriate, treatment plans for claimant rehabilitation




Arranging insurer examinations to determine benefits eligibility
Preparing referral packages & obtaining the necessary medical information for insurer examinations
Responding to assessment recommendations
Participating in the dispute process
Other duties as assigned
What You Bring University degree in any discipline or a college diploma or the CIP designation
Minimum of 4 yearsClaims handling experience
Experience handling mediations
Computer proficient in MS Word and Excel
Professional, 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
Solid written and verbal communication skills
An incredible team of smart, diverse, and supportive people that want to help you be better at what you do
Great advantages, ongoing education, and competitive pay

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📌 Senior Claims Adjuster, Accident Benefits (Alberta)
🏢 Economical
📍 Alberta