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Claims Specialist
2 months ago
We're seeking a skilled Claims Specialist to join our Complex Injury Team, handling Accident Benefit files with a strong understanding of legislation and regulations.
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 which are fair and equitable
- 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.
- Complete coaching initiatives
- Complete other duties as assigned as deemed reasonable to assist the Business
- 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.
At Intact Financial Corporation, we value diversity and strive to create an inclusive, accessible workplace where all individuals feel valued, respected, and heard.
We're committed to supporting our employees in reaching their goals with tools, opportunities, and flexibility. Our hybrid work model provides the balance between working from home and enjoying meaningful in-person interactions.
We're an equal opportunity employer, and we welcome applications from diverse candidates. If we can provide a specific adjustment to make the recruitment process more accessible for you, please let us know when we reach out about a job opportunity.
