Senior Bodily Injury Examiner

3 weeks ago

Waterloo, Canada Ontario Teachers Insurance Plan Full time

With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us.

At the OTIP Group of Companies (OGC), we believe that something special happens when employeesfeel valued forthe work they do, supportedasthe people they are, andincluded in thevery fabric of the organization: they bringtheirbestto work every day. And that's why we mean itwhen wesay we put our people at the centreofeverything we do. Join us as we grow our way into a future that reimagines what it means to deliver meaningful benefits support and service.

Job Description

The Senior Bodily Injury Examiner is responsible for the investigation, quantification, analysis, adjustment and settlement of complex property and casualty claims in excess of $250,000. This role will focus on quality and customer service, by assessing and assigning the appropriate expert and vendor to each claim. The adjustment will be conducted in an efficient and effective manner to control the indemnity, spend and expenses without compromising the delivery of superior customer service. This includes establishing prompt relationships with insured members, detailed investigation of coverage, liability, and quantum, ensuring fiduciary and contractual compliance, and adhering to organization service standards, operational targets, and core competencies.

What You’ll Do:

Reporting to the Curo Claims Services Vice President, you’ll be responsible for:

  • Deliveringa superior customer experience by responding to all general inquires, initiating and maintain contact with insured members, and assisting with commodity claims overflow.
  • Confirming coverage for incoming claims by reviewing and compiling facts, obtaining technical reports from various parties as required, investigation of questionable claims, studying case law for liability and benefit determination, completing contractual coverage analysis, and assessing quantum, reviewing subrogation opportunities, negotiating, and resolving severity casualty matters.
  • Maintainingquality service and adheres to organizational standards while dealing with all aspects of file handling including reserving, expense and loss control, liability assessments, and creating defined disposition plans for future handling leading to file closure.
  • Controllingand directingwork performed by outside experts, medical practitioners, lawyers, and service providers to completion.
  • Representingstakeholders in a professional manner at meetings, court hearings, mediations, and other information gatherings forums with a view of resolution and/or settlement when appropriate.
  • Maintainingconfidentiality of claims information at all times to protect operations and insured members.
  • Responsible for data integrity, issuance of payments to vendors, insureds, and experts and for maintaining well-organized claim files while ensuring accuracy of data input.
  • Adheringto partner's guidelines, contracts, and insurance regulations to ensure legal and regulatory compliance.
  • Actively participatingin coaching and training sessions and collaborates with team members and management.
Qualifications

Let’s Talk About You:

This is the unique blend of skills and experience we would love to see in an ideal candidate:

  • A post-secondary education and/or college diploma within related field
  • Ability to hold an adjuster’s license.
  • Thorough knowledge of the property and casualty industry
  • 7-10 years of experience in casualty claims handling including litigation file management.
  • Experience in handling losses more than $250,000.
  • Knowledge of medical rehabilitation concepts and medical
  • Case law knowledge
  • Superior investigation and negotiations skills
  • Excellent communication skills verbal and written to effectively work with internal and external stakeholders.
  • Superior organizational skills to manage competing priorities, including project management skills.
  • Current Microsoft Office working knowledge.
  • Ability to learn and adapt in a fast-paced environment including working with various computer programs, databases, and software.
  • Ability to work independently and as part of collaborative team environment.
  • The ability to communicate in French is asset.

We also consider your potential.If you know you have what it takes to do the job, but your experience doesn’t exactly match the qualifications above, we encourage you to apply and provide us with more details about why you think you would be a great fit.

Additional Information

Some of the Perks We Offer:

We offer best-in-class pension and benefits, total reward programs and comprehensive mental wellness supports to set you up for every success in and outside of work. Here are just some of the reasons you’ll love working here:

  • Rewarding salary and bonuses that truly value your dedication
  • Industry-leading group benefits with 100% premium coverage (excluding LTD) that start on your first day
  • Defined benefit pension plan for a financially confident retirement
  • 100% coverage of approved continuing education and licensing fees (including RIBOcourses in Ontario)
  • Access to a wealth of learning resources, including LinkedIn Learning for professional development
  • Flexible work-from-home and hybrid options
  • Unlock your potential with opportunities for advancement

Let’s work together If you are interested in this opportunity, pleaseapply online.

OTIP and its group of companies strive to create an accessible and inclusive work environment where everyone is treated with respect and dignity. Upon individual request, we will endeavor to remove any barrier to the recruitment and selection processes and provide accommodations for persons with disabilities.

As a business, we protect what matters most to our members. As an employer, we value what matters most in our workplace. Together, this includes fostering a diverse, equitable and inclusive environment for all. We are committed to learning and evolving so we can continue to celebrate what makes us special. You are who you are, and our differences are what make us unique.

We are an equal opportunity employer and encourage applications from all qualified individuals.We thank all applicants for their interest; however, only candidates selected for an interview will be contacted.

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