Claims Assistant, Accident Benefits, Contract

5 months ago

Cambridge, Canada Gore Mutual Insurance Full time

**We're now at the boldest phase of our Next Horizon journey**

At Gore Mutual, we've completely transformed our business in under three years. By investing in top talent and leading technology, we've redefined what it means to be a modern mutual that does good.

Our path forward brings a sharper focus on our business' performance that's powered by innovation and an agile, high-performing culture - we're built for success.

**We're well on our way to becoming a purpose-driven, digitally led national insurer. Come join us.**

**Claims Administration Assistant, Accident Benefits, 16 month Contract**

Reporting directly to the Team Leader, Accident Benefits, this role supports the AB adjusting team with administrative support, payments, scheduling Insurer Examinations, communicating with internal and external vendors, as well as ensuring they are acting in compliance with SABS on behalf of their team of adjusters with some telephone support.

Our Claims Administration Assistant provides needed support to our Accident Benefits Claims team. This is a fast-paced role that requires excellent attention to detail and customer service skills.

**_ What you'll do:_**

**_ _**
- Scheduling and rescheduling Insurer Examinations in accordance with S.44 of the SABS
- Payments on behalf of the adjusting team within the timelines per SABS
- LAT file preparation (file copy) to our legal vendors in timely manner
- HCAI matching to adjusters assigned to file
- Requesting medical files (CNR's, OHIP, Emergency room, ambulance call reports etc.)
- Sending letters to claimants/legal representatives on behalf of the adjusting team
- Set up new AB claims and/or claimants in Guidewire
- Other various administrative support as required
- AB overflow telephone support

**_Requirements:_**
- 1-2 years of experience in Insurance/Claims Administration, Post-Secondary education or equivalent experience required
- CIP designation, preferred but not required
- Strong customer service skills
- Previous administrative experience in a Claims environment an asset
- Ability to work well under pressure with minimum supervision
- Able to multi-task between a variety of responsibilities, projects, and deadlines
- Excellent written and verbal communication skills

We are looking for someone who can work full-time hours for the contract duration. This is a hybrid role that does include the flexibility for you to work remotely. We also have regular in-person meetings, where we like to collaborate in our Cambridge office location, 252 Dundas Street North, once a week on Mondays. Our core business hours for this role are between Monday to Friday from 8:30am to 4:30pm.

LI-Hybrid

IndHP

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