Reporting to the Team Leader, Accident Benefit Claims, you are accountable for investigating, evaluating and settling Accident Benefit claims
What can you expect in this role?
- Report to the Team Leader, Accident Benefit Claims, while investigating, evaluating and settling accident benefit claims in accordance with the Insurance Act
- 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 income replacement, non-earner, and attendant care 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
- Confirming collateral benefits
- 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 and obtaining the necessary medical information for insurer examinations
- Responding to assessment recommendations
- Other duties as assigned
What do you bring to the role?
- University degree, college diploma in related field or the CIP designation
- Minimum 2-3 years of claims handling experience
- Proficient in MS Word and Excel
- Professional, friendly and courteous in all interactions, whether with customers or co-workers
- Able to 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 is $50,200 - $92,500
