Specialist, Accident Benefits Claims NEW
3 weeks ago
Reporting to the Team Leader, Accident Benefits, you are accountable for handling highly complex, severe and contentious Accident Benefit claims in accordance with the Statutory Accident Benefits Schedule.What can you expect from this role?Handling files in good faith and in accordance with legislative requirementsHandling LAT disputes with and without legal counselFormulating file handling strategies and work plansWorking with legal counselConducting settlement analysisParticipating in Global Mediation and Private ArbitrationsProviding coaching and support on file handling to Accident Benefit team members.Securing details of claimsAssessing coverage eligibilityApplying 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 claimant correspondence and Accident Benefit forms in accordance with the applicable legislationReviewing and approving, when appropriate, treatment plans for claimant rehabilitation.Arranging insurer examinations to determine benefit eligibilityObtaining medical information necessary for insurer examinationsResponding to assessment recommendationsHandling complex AB claims including those involving catastrophic injuriesOther duties as assignedPersonal Characteristics: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.Strong written and verbal communication skills.What you bring to this role?5 years of experience handling Accident Benefits claimsExcellent working knowledge of the Statutory Accident Benefits Schedule.Experience coaching others.University degree in any disciplineora college diplomain related fieldorthe CIP designationExcellent verbal and written communication skills.Salary range is $69,000- $127,000 #J-18808-Ljbffr
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Senior Specialist, Accident Benefits Claims
4 weeks ago
Alton, Canada Heartland Farm Mutual Inc. Full timeSenior Specialist, Accident Benefits Claims Waterloo, ON, Canada Job Description Posted Thursday, September 25, 2025 at 4:00 AM At Heartland Mutual Insurance, we’re more than just a company — we’re a community. Proudly rooted in Ontario and Nova Scotia, we’re driven by a bold vision: to be the Best Mutual. Our team of passionate professionals...
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Alton, Canada Heartland Farm Mutual Inc. Full timeA leading mutual insurance company in Ontario is seeking a Senior Specialist in Accident Benefits Claims to manage complex cases, mentor junior staff, and ensure compliance with Ontario regulations. Ideal candidates will have extensive claims handling experience and a strong commitment to customer service. Join a supportive team that values diversity and...
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Senior Claims Specialist
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Alton, Canada Zurich Insurance Full timeSenior Claims Specialist - Personal Lines Join to apply for the Senior Claims Specialist - Personal Lines role at Zurich Insurance. The Opportunity Are you looking for a caring, collaborative, values-driven workplace with inspiring teammates and leaders? If you have experience in Auto claims and are looking for a new challenge, we would love to hear from...
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Claims Specialist
4 weeks ago
Alton, Canada Zurich Insurance Full timeClaims Specialist - Personal Lines Zurich Canada is looking for an experienced Claims Specialist – Personal Lines Auto to join our team based in either Montreal, Waterloo or Calgary. This hybrid position reports to the Claims Manager Auto Personal Lines. The Opportunity Are you looking for a caring, collaborative, values‑driven workplace with inspiring...
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Disability Benefits Payments Specialist
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Alton, Canada OTIP (Ontario Teachers Insurance Plan) Full time1 day ago Be among the first 25 applicants Who We Are 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. Company Description At the OTIP Group of Companies (OGC), we believe that something special happens...
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Auto Claims Specialist
4 weeks ago
Alton, Canada Zurich Canada Full timeA leading insurance provider is seeking a Claims Specialist - Personal Lines to handle personal and commercial line claims in a hybrid environment. The ideal candidate has a degree and experience in claims, possesses strong communication skills, and is able to negotiate settlements effectively. Join a diverse and inclusive culture with competitive benefits...
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Disability Benefits Specialist
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Alton, Canada Ontario Teachers Insurance Plan Full timeJoin the Ontario Teachers Insurance Plan as a Disability Benefits Coordinator in Waterloo, where you’ll play a crucial role in reviewing and processing claims while delivering exceptional service to our members. This position requires strong mathematical and communication skills, along with relevant experience in disability claims management. We offer a...
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Bilingual Disability Benefits Payment Specialist
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Alton, Canada Ontario Teachers Insurance Plan Full timeBilingual Disability Benefits Payment Specialist Group Life & Disability location_on Waterloo, ON 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...
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Bilingual Senior Claims Specialist
4 weeks ago
Alton, Canada Zurich Insurance Full timeBilingual Senior Claims Specialist - Personal Lines Zurich Canada is seeking a Bilingual Senior Claims Specialist to handle low‑to‑moderate personal and commercial line claims across Montreal, Waterloo, and Calgary. This hybrid role reports to the Claims Manager – Personal Lines. The Opportunity We are a values‑driven insurance provider committed to...
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Bilingual Auto Claims Specialist
4 weeks ago
Alton, Canada Zurich Canada Full timeA leading insurance provider in Southwestern Ontario seeks a Bilingual Claims Specialist for Personal Lines. This full-time role includes managing personal or commercial line claims with a customer-focused approach. Candidates should have relevant insurance experience and be bilingual in English and French. The position is hybrid, allowing work flexibility...
