Int Representative, Claims Accident Benefits
2 weeks ago
What can you expect in this role?
- Report to the Team Leader, Accident Benefit Claims, while investigating, evaluating and settling accident benefit claims in accordance with the Insurance Act.
- Securing details of claims by corresponding with claimants and/or representatives.
- Assessing coverage eligibility and reviewing and applying interpretations of policy wordings in the resolution of coverage issues.
- Applying applicable Priority Rules chart to each claim file.
- Processing income replacement, non-earner, and attendant care claims.
- Reserving files appropriately after assessing claims.
- Maintaining detailed file records on an electronic claims system.
- Processing payments after confirming benefits, eligibility and reserves.
- Coordinating the most effective course of action for claims.
- Confirming collateral benefits.
- Responding to claimant correspondence and accident benefit forms in accordance with the applicable legislation.
- Reviewing and approving, when appropriate, treatment plans for claimant rehabilitation.
- Arranging insurer examinations to determine benefits eligibility.
- Preparing referral packages and obtaining the necessary medical information for insurer examinations.
- Responding to assessment recommendations.
- Other duties as assigned.
What do you bring to the role?
- University degree, college diploma in related field or the CIP designation.
- Minimum 2-3 years of claims handling experience.
- Proficient in MS Word and Excel.
- Professional, friendly and courteous in all interactions, whether with customers or co-workers.
- Able to perform well in a busy operation and remain calm under pressure.
- Team player adaptable to a changing environment.
- Strong written and verbal communication skills.
Salary range is $50,200 - $92,500.
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