Adjuster (Accident Benefit)
3 weeks ago
Do you value integrity and innovation? How about passion and caring? Great Us too, and that's why you'll fit right in. Our intentional culture promotes trust and participation, encouraging you to bring your heart and mind to work every day.
Out-of-Scope
Work Location: This role is eligible for hybrid - this means you’ll have the flexibility of working from home and in the office (Toronto West or East) on a schedule rotation.
Key Accountabilities
Note: This section is not intended to be an exhaustive list of duties and responsibilities - other duties and responsibilities may be assigned.
Claims Adjusting
- Adjudicates routine accident benefits claims within the MIG.
- Assigns, conducts and oversees investigations and examines, negotiates and settles accident benefits claims.
- Maintains a diary system to monitor and ensure delivery of accident benefits payments in accordance with the regulations.
- Ensures file records are up to date with all information, notes and documentation.
- Maintains proper reserves as per exposure and developments.
- Responsible for the issuance of payment requests for outsourced files.
Customer Experience
- Supports corporate culture and vision which fosters positive relationship with our customers.
- Provides timely and professional customer service.
- Handles claims issues and resolutions in a proactive manner.
Stakeholder Relationship
- Builds and maintains positive working relationship with insureds, brokers, service providers and industry participants.
Leadership
- Actively contributes to and supports a culture of a high performing workforce. Participates in divisional succession plans, ensuring ongoing professional and career development and supports development in others. Supports a culture of leadership and accountability to effectively deliver on strategic and corporate strategies.
- Is actively committed to leadership development across the company, supporting team and workforce readiness through mentoring, training and developmental opportunities.
Corporate Management
- Enables the success of programs and policies that are in alignment with corporate, strategic and divisional strategies.
- Manages risk in area of authority.
- Ensures that the Health, Safety and Emergency Management Policy is applied in area of responsibility.
Education & Experience
- A two-year diploma from an accredited post-secondary education institution in a relevant field of study such as Business or Health.
- 1 - 3 years’ experience in claims or insurance related role.
Knowledge, Skills and Abilities
- Knowledge of Ontario’s automobile accident benefits legislation and regulations, including the statutory accident benefits schedule.
- Knowledge of the principles and practice of insurance, claims policies and procedures, and automobile insurance products.
- Knowledge of medical terminology and vocational rehabilitation concepts.
- Knowledge of the legal process as it relates to accident benefits.
Posting Close Date:
February 28, 2023
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