Accident Benefits Claims Investigator

2 months ago

Toronto, Ontario, Canada Definity Full time
Job Summary

We are seeking a highly skilled and detail-oriented Accident Benefits Claims Investigator to join our team at Definity. As a key member of our Accident Benefit Claims team, you will be responsible for investigating, evaluating, and settling Accident Benefit claims in accordance with the Insurance Act.

Key Responsibilities
  • Investigate and evaluate Accident Benefit claims to determine eligibility and coverage
  • Correspond with claimants and/or representatives to secure details of claims
  • Assess coverage eligibility and review policy wordings to resolve coverage issues
  • Apply applicable Priority Rules chart to each claim file
  • Process income replacement, non-earner, and attendant care claims
  • Reserve files appropriately after assessing claim
  • Maintain detailed file records on an electronic claims system
  • Process payments after confirming benefits, eligibility, and reserves
  • Coordinate the most effective course of action for claims
  • Confirm collateral benefits
  • Respond to claimant correspondence and accident benefit forms in accordance with applicable legislation
  • Review and approve treatment plans for claimant rehabilitation
  • Arrange insurer examinations to determine benefits eligibility
  • Prepare referral packages and obtain necessary medical information for insurer examinations
  • Respond to assessment recommendations
Requirements
  • University degree, college diploma in a 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
  • 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
What We Offer
  • Hybrid work schedule for most roles
  • Company share ownership program
  • Pension and savings programs with company-matched RRSP contributions
  • Paid volunteer days and company matching on charitable donations
  • Educational resources, tuition assistance, and paid time off to study for exams
  • Focus on inclusion with employee groups, support for gender affirmation surgery, access to BIPOC counsellors, access to programs for working parents
  • Wellness and recognition programs
  • Discounts on products and services

Actual salary for the role may vary depending on work location of the successful candidate and other factors including but not limited to, skills, education, experience, working conditions, and the local labour market. In addition to base pay, eligible employees may participate in various incentive plans which are paid out at the discretion of the company and subject to individual and company performance.

Our inclusive work environment welcomes diversity and supports accessibility. If you require accommodation at any time during the recruitment process, please let us know by contacting.

This role requires successful clearance of background checks (including criminal checks and leadership references).

  • Accident Benefits Claims Investigator

    2 weeks ago

    Toronto, Ontario, Canada Crawford & Company Full time

    Position SummaryWe are seeking a skilled Accident Benefits Claims Investigator to join our team in Ontario, Canada.The successful candidate will investigate, evaluate, negotiate, and settle Accident Benefits claims by telephone and correspondence.The ideal candidate will have the ability to work effectively with insureds, adjusters, clients, and other...

  • Accident Benefits Claims Examiner

    3 weeks ago

    Toronto, Ontario, Canada Crawford & Company Full time

    Accident Benefits Adjuster Job SummaryWe are seeking a skilled Accident Benefits Adjuster to join our Workforce Advantage team in Ontario, Canada. As an Accident Benefits Adjuster, you will investigate, evaluate, negotiate, and settle Accident Benefits claims by telephone and correspondence.Key Responsibilities:Investigate and evaluate Accident Benefits...

  • Accident Benefits Claims Examiner

    4 weeks ago

    Toronto, Ontario, Canada Crawford & Company Full time

    Accident Benefits Adjuster Job SummaryWe are seeking a skilled Accident Benefits Adjuster to join our Workforce Advantage team in Ontario, Canada. As an Accident Benefits Adjuster, you will investigate, evaluate, negotiate, and settle Accident Benefits claims by telephone and correspondence.Key Responsibilities:Investigate and evaluate Accident Benefits...

  • Accident Benefits Claims Examiner

    4 weeks ago

    Toronto, Ontario, Canada Crawford & Company Full time

    Accident Benefits Adjuster Job SummaryWe are seeking a skilled Accident Benefits Adjuster to join our Workforce Advantage team in Ontario, Canada. As an Accident Benefits Adjuster, you will investigate, evaluate, negotiate, and settle Accident Benefits claims by telephone and correspondence.Key Responsibilities:Investigate and evaluate Accident Benefits...

  • Accident Benefits Claims Examiner

    3 weeks ago

    Toronto, Ontario, Canada Crawford & Company Full time

    Accident Benefits Adjuster Job SummaryWe are seeking a skilled Accident Benefits Adjuster to join our Workforce Advantage team in Ontario, Canada. As an Accident Benefits Adjuster, you will investigate, evaluate, negotiate, and settle Accident Benefits claims by telephone and correspondence.Key Responsibilities:Investigate and evaluate Accident Benefits...

  • Accident Benefits Claims Examiner

    1 month ago

    Toronto, Ontario, Canada Crawford & Company Full time

    Accident Benefits Adjuster Job SummaryWe are seeking a skilled Accident Benefits Adjuster to join our Workforce Advantage team in Ontario, Canada. As an Accident Benefits Adjuster, you will investigate, evaluate, negotiate, and settle Accident Benefits claims by telephone and correspondence.Key Responsibilities:Investigate and evaluate Accident Benefits...

  • Accident Benefits Claims Examiner

    1 month ago

    Toronto, Ontario, Canada Crawford & Company Full time

    Accident Benefits Adjuster Job SummaryWe are seeking a skilled Accident Benefits Adjuster to join our Workforce Advantage team in Ontario, Canada. As an Accident Benefits Adjuster, you will investigate, evaluate, negotiate, and settle Accident Benefits claims by telephone and correspondence.Key Responsibilities:Investigate and evaluate Accident Benefits...

  • Accident Benefits Claims Specialist

    2 weeks ago

    Toronto, Ontario, Canada Crawford & Company Full time

    Position SummaryWe are seeking a highly skilled Accident Benefits Claims Specialist to join our team in Ontario, Canada.The successful candidate will investigate, evaluate, negotiate, and settle Accident Benefits claims by telephone and correspondence.The ideal candidate will have excellent communication skills, be able to work effectively with insureds,...

  • Claims Specialist

    4 weeks ago

    Toronto, Ontario, Canada Intact Financial Corporation Full time

    About the RoleWe're seeking a skilled Claims Specialist to join our Complex Injury team, handling Accident Benefit files with a strong understanding of legislation and regulations. This is a 12-month secondment/contract opportunity.Key ResponsibilitiesHandle a pending of Accident Benefit files while receiving regular intake of Complex and Catastrophic...

  • Claims Specialist

    4 weeks ago

    Toronto, Ontario, Canada Intact Financial Corporation Full time

    About the RoleWe're seeking a skilled Claims Specialist to join our Complex Injury team, handling Accident Benefit files with a strong understanding of legislation and regulations. This is a 12-month secondment/contract opportunity.Key ResponsibilitiesHandle a pending of Accident Benefit files while receiving regular intake of Complex and Catastrophic...

  • Claims Adjuster

    4 weeks ago

    Toronto, Ontario, Canada Northbridge Financial Corporation Full time

    Accident Benefits Claims Adjuster RoleWe're seeking a skilled Claims Adjuster to join our dynamic team at Northbridge Financial Corporation. As a Claims Adjuster, you will play a crucial role in providing support to our clients, assisting them in getting back to normal after an accident.Key Responsibilities:Investigate and evaluate complex situations to...

  • Claims Adjuster

    4 weeks ago

    Toronto, Ontario, Canada Northbridge Financial Corporation Full time

    Accident Benefits Claims Adjuster RoleWe're seeking a skilled Claims Adjuster to join our dynamic team at Northbridge Financial Corporation. As a Claims Adjuster, you will play a crucial role in providing support to our clients, assisting them in getting back to normal after an accident.Key Responsibilities:Investigate and evaluate complex situations to...

  • Accident Benefits Claims Specialist

    2 weeks ago

    Toronto, Ontario, Canada Crawford & Company Full time

    Position SummaryWe are seeking a highly skilled Accident Benefits Adjuster to join our Workforce Advantage team in Ontario, Canada.The successful candidate will investigate, evaluate, negotiate, and settle Accident Benefits claims by telephone and correspondence. The candidate will provide excellent customer service and ensure accurate recording, reporting,...

  • Claims Adjuster

    3 weeks ago

    Toronto, Ontario, Canada Northbridge Financial Corporation Full time

    About the Role:As a Claims Adjuster at Northbridge Financial, you will be part of a dynamic team that prides itself on attention to detail and customer-centricity. You will work closely with clients to provide support and assistance in getting back to normal after an accident.Key Responsibilities:Investigate and evaluate complex situationsReview treatment...

  • Claims Manager

    4 weeks ago

    Toronto, Ontario, Canada AIG Full time

    Drive Business Growth as a Claims Manager - Accident & HealthWe're seeking a seasoned Claims Manager to lead our Accident & Health claims team. As a key member of our leadership team, you'll drive business growth, develop and implement strategies to improve claims outcomes, and foster a culture of excellence within the team.Key Responsibilities:Develop and...

  • Claims Manager, Accident and Health

    3 weeks ago

    Toronto, Ontario, Canada AIG Full time

    Lead the Way in Accident and Health ClaimsAs a Claims Manager, Accident and Health, you will play a key role in driving business growth and delivering exceptional customer service. You will lead a team of claims analysts in handling accident and health claims, including AD&D, accident and sickness claims, critical illness, hospital cash claims, out of...

  • Claims Manager

    3 weeks ago

    Toronto, Ontario, Canada AIG Full time

    Drive Business Growth as a Claims ManagerAIG is seeking a seasoned Claims Manager to lead our Accident & Health claims team. As a key member of our leadership team, you will drive business growth, develop and implement strategic plans, and foster a culture of excellence within the team.Key Responsibilities:Lead a team of claims analysts in handling accident...

  • Claims Manager

    3 weeks ago

    Toronto, Ontario, Canada AIG Full time

    Drive Business Growth as a Claims ManagerAIG is seeking a seasoned Claims Manager to lead our Accident & Health claims team. As a key member of our leadership team, you will drive business growth, develop and implement strategic plans, and foster a culture of excellence within the team.Key Responsibilities:Lead a team of claims analysts in handling accident...

  • Claims Manager

    4 weeks ago

    Toronto, Ontario, Canada AIG Full time

    Drive Business Growth as a Claims ManagerAIG is seeking a seasoned Claims Manager to lead our Accident & Health claims team. As a key member of our leadership team, you will drive business growth, develop and implement strategic plans, and foster a culture of excellence within the team.Key Responsibilities:Lead a team of claims analysts in handling accident...

  • Claims Manager

    4 weeks ago

    Toronto, Ontario, Canada AIG Full time

    Drive Business Growth as a Claims ManagerAIG is seeking a seasoned Claims Manager to lead our Accident & Health claims team. As a key member of our leadership team, you will drive business growth, develop and implement strategic plans, and foster a culture of excellence within the team.Key Responsibilities:Lead a team of claims analysts in handling accident...