Claims Representative I

3 weeks ago

Toronto, Canada The Co-operators Full time

**Position Overview**:
**Company**:CGIC

**Number of Positions**: 1

**Language**: Bilingualism in English and French is an asset.

**Work Model**:Hybrid

**Alternate Title**: n/a

**Additional Information**:
The work location for this role is flexible to Ontario.

**The Opportunity**:
We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy. That’s why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose. The best part is that you will work with people that care passionately about you, our clients, and our communities.

Our Claims team aspires to create peace of mind for our clients and our communities. Our national team of knowledgeable and trusted professionals serve our clients with compassion. We are passionate about continuous improvement and operate with high-integrity, motivated by our desire to do the right thing for our clients.

The Accident Benefits Claims Representative is responsible for investigation, negotiation and settlement of automobile accident benefit claims.

**How you will create impact**:

- Investigate, interpret coverage, reserve adequately, negotiate and settle automobile accident benefit claims.
- Contribute to a client service culture by embedding client engagement philosophies into daily work and implementing innovative, client-centric decision making, to be THE industry leader in client engagement.
- Provide quality client service in accordance with claims service standards.
- Actively participate with claimants, physicians, treatment providers, employers, rehabilitation workers and other service providers in the development, approval, implementation and monitoring of appropriate case management plans for clients.
- Handle files in defense litigation and Alternative Dispute Resolution (ADR), using litigation management guidelines.
- Set up and maintain files for assigned claims.
- Authorize payments and reserves up to $75,000 authority.

**How you will succeed**:

- You influence change and are committed to continuous improvement, in order to exceed client expectations.
- You leverage critical thinking skills to identify problems and proactively propose solutions.
- Your strong communication skills allow you to clearly convey messages.
- You’re an effective team player who shares knowledge to support your peers.

**To join our team**:

- One (1) year insurance experience or two (2) years of related work experience
- Working towards Chartered Insurance Professional (CIP) courses
- Provincial adjuster license(s) maybe required dependent on the province of work.
- University/College Degree.

**What you need to know**:

- This role involves direct contact with clients and/or service providers in their environment.
- You will travel regularly.
- You are required to have your own vehicle, valid driver’s license and insurance.
- Extended work hours, including weekends, may be required.

**What’s in it for you?**:

- Training and development opportunities to grow your career.
- Flexible work options and paid time off to support your personal and family needs.
- A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
- Paid volunteer days to give back to your community.
- A comprehensive total rewards package, including competitive salary, bonus, pension and benefits.

**Interested in applying?**:
Co-operators is focused on fostering an inclusive, equitable and accessible work environment and we encourage individuals from all identity groups to apply. If you require an accommodation during the recruitment process, please contact the hiring manager.

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