ONT, CanadaThe OpportunityReporting 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 Advantages Schedule.What to ExpectSecuring details of claims by corresponding with claimants and/or representativesAssessing coverage eligibility and reviewing and applying interpretations of policy wordings in the resolution of coverage issuesApplying applicable Priority Rules chart to each claim fileProcessing election of benefit claimsReserving 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 claimant correspondence and Accident Benefit forms in accordance with the applicable legislationReviewing and approving, when appropriate,
treatment plans for claimant rehabilitationArranging insurer examinations to determine benefits eligibilityPreparing referral packages & obtaining the necessary medical information for insurer examinationsResponding to assessment recommendationsParticipating in the dispute processOther duties as assignedWhat You BringUniversity degree in any discipline or a college diploma or the CIP designationMinimum of 4 yearsClaims handling experienceExperience handling mediationsComputer proficient in MS Word and ExcelProfessional, friendly and courteous in all interactions, whether with customers or co-workersPerform well in a busy operation and remain calm under pressureTeam player adaptable to a changing environmentStrong written and verbal communication skillsAn incredible team of smart, diverse, and supportive people that want to help you be better at what you doGreat benefits, ongoing education, and competitive pay