Claims Specialist

1 month ago


Ajax, Ontario, Canada Intact Financial Corporation Full time

At Intact Financial Corporation, we're looking for a skilled Claims Specialist to join our Complex Injury Team. As a Claims Specialist, you'll play a critical role in handling Accident Benefit files, analyzing insurance policy wording, and communicating with customers, lawyers, and rehabilitation experts.

About the Role

We're seeking a detail-oriented and analytical individual with strong communication and problem-solving skills. You'll be responsible for:

  • Handling a pending of Accident Benefit files while receiving regular intake of Complex and Catastrophic claims
  • Analyzing and interpreting insurance policy wording to determine coverage and assess entitlements
  • Communicating in a timely and respectful manner with customers, lawyers, and rehabilitation experts
  • Instructing Counsel on files in dispute
  • Conducting investigations and identifying additional information required to clarify and/or justify a claim
  • Participating in the dispute process on your own files that are of a complex nature
  • Representing the company in the negotiation and settlement process at the License Appeal Tribunal
  • Completing regular reporting as required and liaising with Technical Services to ensure appropriate action and reserving is in place
  • Participating in Large Loss Meetings on own files where appropriate
  • Completing coaching initiatives
  • Completing other duties as assigned as deemed reasonable to assist the Business

What You Bring to the Table

  • 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
  • Lives our values and a positive team contributor

What We Offer

As a permanent member of our team, you'll enjoy a range of benefits, including:

  • A financial rewards program that recognizes your success
  • An industry-leading Employee Share Purchase Plan; we match 50% of net shares purchased
  • An extensive flex pension and benefits package, with access to virtual healthcare
  • Flexible work arrangements
  • Possibility to purchase up to 5 extra days off per year
  • An annual wellness account that promotes an active and healthy lifestyle
  • Access to tools and resources to support physical and mental health, embracing change and connecting with colleagues
  • A dynamic workplace learning ecosystem complete with learning journeys, interactive online content, and inspiring programs
  • Inclusive employee-led networks to educate, inspire, amplify voices, build relationships, and provide development opportunities
  • Inspiring leaders and colleagues who will lift you up and help you grow
  • A Community Impact program, because what you care about is a part of what makes you different. And how you contribute to your community should be just as unique.

We Are an Equal Opportunity Employer

At Intact Financial Corporation, we value diversity and strive to create an inclusive, accessible workplace where all individuals feel valued, respected, and heard.



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