Int Representative, Claims Accident Benefits

2 weeks ago


Waterloo, Ontario, Canada Definity Financial Corporation Full time
Reporting to the Team Leader, Accident Benefit Claims, you are accountable for investigating, evaluating and settling Accident Benefit claims.

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.

#J-18808-Ljbffr

  • Waterloo, Ontario, Canada Definity Financial Corporation Full time

    Definity Financial Corporation is a leading provider of insurance solutions. As an Accident Benefit Claims Specialist, you will play a crucial role in our team, investigating, evaluating, and settling accident benefit claims in accordance with the Insurance Act.The ideal candidate will have a university degree or college diploma in a related field, as well...


  • Waterloo, Ontario, Canada Definity Financial Corporation Full time

    Reporting to the Team Leader, Accident Benefits, you are accountable for handling highly complex, severe, and contentious Accident Benefit claims in accordance with the Statutory Accident Benefits Schedule.What can you expect from this role?Handling files in good faith and in accordance with legislative requirementsHandling LAT disputes with and without...


  • Waterloo, Ontario, Canada Definity Financial Corporation Full time

    What can you expect in this role?- Provide ongoing coaching and instructions in the investigation/adjustment of large and complex claims- Direct handling of large or complex claims- Reviewing risks and exposures on large and complex losses and provide technical leadership to claims personnel- Provide feedback and guidance to Team Leaders regarding the claims...


  • Waterloo, Ontario, Canada Definity Financial Corporation Full time

    Job SummaryWe are seeking an Accident Benefits Advisor to join our team at Definity Financial Corporation. As a key member of our Accident Benefits team, you will be responsible for providing technical guidance and support to claims personnel.Key ResponsibilitiesProviding ongoing coaching and instructions in the investigation and adjustment of large and...


  • Waterloo, Ontario, Canada Definity Financial Corporation Full time

    Role OverviewWe are seeking an experienced and skilled Claims Expert to join our team at Definity Financial Corporation. The ideal candidate will have a strong background in handling complex Accident Benefit claims, with the ability to navigate challenging situations with confidence.


  • Waterloo, Ontario, Canada Definity Financial Corporation Full time

    Job Summary:We are seeking a highly skilled Accident Benefits Specialist to join our team at Definity Financial Corporation. As an experienced claims professional, you will be responsible for handling complex and contentious Accident Benefit claims in accordance with the Statutory Accident Benefits Schedule.The ideal candidate will have 7-10 years of...


  • Waterloo, Ontario, Canada Definity Financial Corporation Full time

    About UsWe are a leading insurance company that provides comprehensive insurance solutions to our clients. Our team is dedicated to providing exceptional service and supporting our clients through every stage of their insurance journey.Why Work with Us?We offer a dynamic and supportive work environment that fosters growth and development. Our team is...


  • Waterloo, Ontario, Canada Definity Financial Corporation Full time

    As a Claims Investigation and Resolution Expert at Definity Financial Corporation, you will be accountable for investigating and resolving complex accident benefit claims. This involves working closely with claimants, representatives, and other stakeholders to gather information, assess coverage, and make informed decisions.To succeed in this role, you will...


  • Waterloo, Ontario, Canada Definity Financial Corporation Full time

    Job OverviewWe are seeking an experienced Claims Technical Expert to join our team at Definity Financial Corporation. As a key member of our Accident Benefits team, you will be responsible for providing technical leadership and guidance to claims personnel.Key ResponsibilitiesProviding ongoing coaching and instructions in the investigation and adjustment of...


  • Waterloo, Ontario, Canada Definity Financial Corporation Full time

    ResponsibilitiesIn this role, you will be responsible for handling complex and contentious Accident Benefit claims in accordance with the Statutory Accident Benefits Schedule. You will work closely with legal counsel, conduct settlement analysis, and participate in Global Mediation and Private Arbitrations.You will provide coaching and support on file...


  • Waterloo, Ontario, Canada Definity Financial Corporation Full time

    Definity Financial Corporation is seeking a highly skilled Accident Benefits Specialist to join our team. As an experienced claims professional, you will be responsible for handling complex and contentious Accident Benefit claims in accordance with the Statutory Accident Benefits Schedule.The ideal candidate will have 7-10 years of experience handling...


  • Waterloo, Ontario, Canada Definity Financial Corporation Full time

    Job DescriptionWe are seeking a highly skilled Insurance Claims Adjuster to join our team at Definity Financial Corporation. In this role, you will be accountable for handling complex and contentious Accident Benefit claims in accordance with the Statutory Accident Benefits Schedule.The successful candidate will have excellent working knowledge of the...


  • Waterloo, Ontario, Canada Definity Financial Corporation Full time

    Job RequirementsWe are seeking a highly skilled Insurance Claims Adjuster to join our team at Definity Financial Corporation. The successful candidate will have 7-10 years of experience handling Accident Benefits claims and an excellent working knowledge of the Statutory Accident Benefits Schedule.The ideal candidate will be able to formulate file handling...


  • Waterloo, Ontario, Canada Definity Financial Corporation Full time

    We are seeking a highly skilled Accident Benefits Specialist to join our team at Definity Financial Corporation. In this role, you will handle complex and contentious Accident Benefit claims in accordance with the Statutory Accident Benefits Schedule. The ideal candidate will have 7-10 years of experience handling Accident Benefits claims and possess...


  • Waterloo, Ontario, Canada Definity Financial Corporation Full time

    Definity Financial Corporation seeks a Benefits Administration Professional to join our team. As an expert in accident benefit claims, you will be responsible for investigating, evaluating, and settling claims in accordance with the Insurance Act.The ideal candidate will have a university degree or college diploma in a related field, as well as 2-3 years of...


  • Waterloo, Ontario, Canada Definity Financial Corporation Full time

    About UsDefinity Financial Corporation is a leading provider of insurance solutions. We are committed to delivering exceptional service to our customers and employees.Job ResponsibilitiesProviding technical leadership and guidance to claims personnelReviewing risks and exposures on large and complex losses and providing technical leadership to claims...


  • Waterloo, Ontario, Canada Ontario Teachers Insurance Plan Full time

    Job DescriptionThis role involves providing service, support, and guidance to insured members throughout the long term disability (LTD) claims process. The successful candidate will report to the Manager, Long Term Disability Services and be responsible for assisting local union representatives in matters regarding LTD claims management. In addition, they...


  • Waterloo, Ontario, Canada Ontario Teachers Insurance Plan Full time

    With every job, there's always the question of "why". Why join a company? Why be part of their mission? Here, the why is easy. It's because at some point, we've all needed someone there for us.At the OTIP Group of Companies (OGC), we believe that something special happens when employees feel valued for the work they do, supported as the people they are, and...


  • Waterloo, Ontario, Canada Definity Financial Corporation Full time

    What can you expect in this role?- Leading a team of Auto PD Claims Adjusters dedicated to a transportation network company.- Provide the team with direction and coaching to ensure the efficient handling of telephone adjusted auto.- Providing ongoing coaching and mentoring to the team in the management of day-to-day business issues applying Performance...


  • Waterloo, Ontario, Canada Equitable Life of Canada Full time

    Individual Claims Adjudicator Waterloo, ON, Canada Req #2316 Thursday, July 4, 2024 At Equitable, we realize that your work life is not just about performing a job; it's about being part of a workplace that helps you grow and reach your full potential. Within our friendly and collaborative work environment, we recognize that the key to our growth and...