Insurance Policy Analyst

4 weeks ago

London, Ontario, Canada Intact Financial Corporation Full time

About the Role

We are seeking a skilled Claims Specialist to join our Complex Injury Team. The successful candidate will have experience in Accident Benefit file handling, with a strong understanding of legislation and regulations.

The ideal candidate will be detail-oriented, possess excellent communication, written and presentation skills, and have analytical and problem-solving skills. As a Claims Specialist, you will be responsible for handling a caseload of Accident Benefit files, analyzing and interpreting insurance policy wording, and communicating with customers, lawyers, and rehabilitation experts.

You will also be responsible for instructing Counsel on files in dispute, conducting investigations, and identifying additional information required to clarify and/or justify a claim. Additionally, you will participate in the dispute process, attend hearings and conferences, and represent the company in negotiations and settlements.

What You'll Do Here

  • 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 the customer claimants, lawyers, and rehabilitation experts and report findings
  • Instruct Counsel on files in dispute
  • Conduct investigations and identify additional information such as an independent medical examinations, customer medical or employment history required to clarify and/or justify a claim
  • Participate in the dispute process on your own files that are of a complex nature
  • Attend Dispute hearings, discoveries on existing cases and case conferences
  • 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

What We Offer

  • 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

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