Claims Specialist

3 weeks ago


Richmond Hill, Ontario, Canada Intact Financial Corporation Full time
About the Role

We are seeking a highly skilled Claims Specialist to join our Complex Injury Team at Intact Financial Corporation. As a Claims Specialist, you will play a critical role in handling Accident Benefit files, analyzing insurance policy wording, and communicating with customers, lawyers, and rehabilitation experts.

Key Responsibilities
  • Handle a pending of Accident Benefit files while receiving regular intake of Complex and Catastrophic claims
  • Analyze and interpret insurance policy wording to determine coverage and assess entitlements
  • Communicate in a timely and respectful manner with customers, lawyers, and rehabilitation experts
  • Instruct Counsel on files in dispute
  • Conduct investigations and identify additional information required to clarify and/or justify a claim
  • Participate in the dispute process on your own files that are of a complex nature
  • Represent the company in the negotiation and settlement process at the License Appeal Tribunal
  • Complete regular reporting as required and liaising with Technical Services to ensure appropriate action and reserving is in place
  • Participate in Large Loss Meetings on own files where appropriate
Requirements
  • University degree or any combination of training and experience deemed relevant for the role
  • At least 5+ years of Accident Benefit claims handling experience
  • Handling experience of complex and catastrophic files is considered an asset
  • Knowledge of provincial legislation governing auto insurance, with ancillary legislation and knowledge of the Dispute Resolution Practice Code
  • Experienced in negotiations and demonstrated experience with independently settling Complex Accident Benefit files
  • Excellent communication and interpersonal skills with all levels of staff
  • Excellent customer service skills
  • Bring a can-do attitude, and openness to tackle new things
About Us

At Intact Financial Corporation, we value diversity and strive to create an inclusive, accessible workplace where all individuals feel valued, respected, and heard. We are committed to providing a dynamic and supportive work environment that fosters growth and development. If you are a motivated and experienced Claims Specialist looking for a new challenge, we encourage you to apply for this exciting opportunity.


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