Ab Claims Representative

2 weeks ago

Waterloo, Canada Heartland Mutual Insurance Full time

Located in Ontario and Nova Scotia, Heartland Mutual Insurance strives to be the Best Mutual. Our team of talented and dedicated professionals challenge the norm and strive to be extraordinary. It’s all about fulfilling our promise with a personal approach. With our team, you’ll bring this purpose to life every day by living our values, being open to change, and pursuing your career aspirations.

Heartland Mutual Insurance has an excellent opportunity in our Claims Department for an AB
Claims Representative I.

**AB Claims Representative I - Waterloo, Ontario**

**What you will do...**
- Interview claimants to ensure we have adequate information to confirm priority of payment, WSIB and/or loss transfer potential.
- Provide counsel and direction to claimants regarding SABS, benefit eligibility, claims process and procedures, including use of FSCO approved forms or formal correspondence, as required.
- Manage treatment plans and invoicing within the HCAI system--arrange for timely payment, and response within regulation timelines.
- Request and review medical records, summarizing key information in the file journal.
- Ensure all files are tracked and kept up-to-date through consistent use of our diary system.
- Process specified benefit cheques within guidelines.
- Ensure adequate reserving throughout the life of the file.
- Co-ordinate medical examinations with the AB Claims Assistant, as required.
- Effectively adjudicate a caseload of minor to moderate injury cases in accordance with the SABS.
- Maintain file records and documents in a paperless work environment.
- Monitor reserve adequacy in compliance with company guidelines.
- Ensure the daily claims procedures and best practices conform to legal, regulatory and privacy obligations.
- Deal with claimants and legal representatives in a courteous and professional manner.
- Develop strong customer relationships through professional accountability.

**What you will bring...**
- Prior adjusting experience in an auto PD role.
- A solid understanding of the OAP 1 and the Ontario SABS.
- College diploma or a post-secondary certificate. Effective communication skills.
- Strong organizational skills.
- CIP or enrolment in the program is preferred.
- 2+ years handling AB claims, with some experience with non-MIG and specified benefit claims is an asset.

**What we offer...**
In return, we’ll give you countless opportunities to learn and grow. You’ll be empowered to be your best self, do your best work, and make a meaningful impact. Here, you can help shape the future of insurance, win as a team, and grow with us.

At Heartland our benefits are great and include not only health and dental coverage, but also a generous pension plan. All staff members share in our company’s success through our incentive plan. And with our hybrid work model, you get the best of both worlds - the ability to collaborate and connect with great colleagues and to enjoy the benefits of working from home.
- **A Place Where YOU Can Make a Difference Proudly Canadian. Mutually Owned.**_

**Benefits**:

- Casual dress
- Company events
- Dental care
- Employee assistance program
- Extended health care
- Life insurance
- On-site parking
- Paid time off
- Tuition reimbursement
- Vision care

Schedule:

- Monday to Friday

Supplemental pay types:

- Bonus pay

Ability to commute/relocate:

- Waterloo, ON N2J 1L9: reliably commute or plan to relocate before starting work (required)

Work Location: Hybrid remote in Waterloo, ON N2J 1L9

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