Claims Resolution Expert
5 days ago
You will be responsible for providing coaching and support on file handling to Accident Benefit team members, formulating file handling strategies and work plans, and conducting settlement analysis. Additionally, you will participate in Global Mediation and Private Arbitrations, maintain detailed file records on an electronic claims system, and process payments after confirming benefits, eligibility and reserves.
As a key member of our team, you will demonstrate professionalism, friendliness, and courtesy in all interactions, whether with customers or co-workers. You will perform well in a busy operation and remain calm under pressure, while also being a team player adaptable to a changing environment.
We offer a competitive salary range of $58,100 - $106,900 per year, as well as opportunities for professional growth and development. If you are a motivated and results-driven individual who is passionate about delivering high-quality results, we encourage you to apply for this exciting opportunity.
Responsibilities:
- Handle files in good faith and in accordance with legislative requirements
- Handle LAT disputes with and without legal counsel
- Formulate file handling strategies and work plans
- Work with legal counsel
- Conduct settlement analysis
- Participate in Global Mediation and Private Arbitrations
- Provide coaching and support on file handling to Accident Benefit team members
- Secure details of claims
- Assess coverage eligibility
- Apply applicable Priority Rules chart to each claim file
- 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
- Respond to claimant correspondence and Accident Benefit forms in accordance with the applicable legislation
- Review and approve, when appropriate, treatment plans for claimant rehabilitation
- Arrange insurer examinations to determine benefit eligibility
- Obtain medical information necessary for insurer examinations
- Respond to assessment recommendations
- Handle complex AB claims including those involving catastrophic injuries
-
Claims Investigation and Resolution Expert
4 days ago
Waterloo, Ontario, Canada Definity Financial Corporation Full timeAs a Claims Investigation and Resolution Expert at Definity Financial Corporation, you will be accountable for investigating and resolving complex accident benefit claims. This involves working closely with claimants, representatives, and other stakeholders to gather information, assess coverage, and make informed decisions.To succeed in this role, you will...
-
Claims Resolution Expert
6 days ago
Waterloo, Ontario, Canada Zurich 56 Company Ltd Full timeWe are looking for an experienced Sr Claims Specialist to handle Personal Lines Auto claims in Southwestern Ontario. This role requires a strong analytical mind, excellent communication skills, and the ability to work independently in a fast-paced environment.You will review and investigate claims, determining liability and assessing damages.You will develop...
-
Claims Resolution Expert
3 days ago
Waterloo, Ontario, Canada Definity Financial Corporation Full timeResponsibilitiesIn this role, you will be responsible for handling complex and contentious Accident Benefit claims in accordance with the Statutory Accident Benefits Schedule. You will work closely with legal counsel, conduct settlement analysis, and participate in Global Mediation and Private Arbitrations.You will provide coaching and support on file...
-
Claims Technical Expert
4 days ago
Waterloo, Ontario, Canada Definity Financial Corporation Full timeJob OverviewWe are seeking an experienced Claims Technical Expert to join our team at Definity Financial Corporation. As a key member of our Accident Benefits team, you will be responsible for providing technical leadership and guidance to claims personnel.Key ResponsibilitiesProviding ongoing coaching and instructions in the investigation and adjustment of...
-
Auto Liability Claims Expert
5 days ago
Waterloo, Ontario, Canada Zurich Australian Insurance Ltd. Full timeRole SummaryWe are seeking a highly skilled Auto Liability Claims Expert to join our team at Zurich Australian Insurance Ltd. As a Personal Lines Auto Claims Specialist, you will be responsible for handling single and multi-party personal or commercial line claims of low to moderate exposure and complexity within specific limits of authority.Key...
-
Claims Professional
2 days ago
Waterloo, Ontario, Canada Zurich Australian Insurance Ltd. Full timeRole OverviewZurich Canada is seeking a skilled Claims Specialist - Personal Lines Auto to handle single and multi-party personal or commercial line claims in Southwestern Ontario. Reporting to the AVP, Personal Lines Auto Claims, you will exercise judgment to determine liability, policy verification, and coverage determination while ensuring timely...
-
Claims Expert, Accident Benefits Specialist
2 days ago
Waterloo, Ontario, Canada Definity Financial Corporation Full timeRole OverviewWe are seeking an experienced and skilled Claims Expert to join our team at Definity Financial Corporation. The ideal candidate will have a strong background in handling complex Accident Benefit claims, with the ability to navigate challenging situations with confidence.
-
Insurance Claims Specialist
6 days ago
Waterloo, Ontario, Canada Zurich 56 Company Ltd Full timeWe are seeking a highly skilled Senior Claims Specialist to join our team at Zurich Canada. As a key member of our claims department, you will be responsible for handling single and multi-party personal or commercial line claims of low to moderate exposure and complexity.">You will exercise judgment to determine liability by gathering and analyzing relevant...
-
Complex Claims Manager
4 days ago
Waterloo, Ontario, Canada Definity Financial Corporation Full timeAbout UsDefinity Financial Corporation is a leading provider of insurance solutions. We are committed to delivering exceptional service to our customers and employees.Job ResponsibilitiesProviding technical leadership and guidance to claims personnelReviewing risks and exposures on large and complex losses and providing technical leadership to claims...
-
Personal Lines Auto Claims Specialist
5 days ago
Waterloo, Ontario, Canada Zurich Australian Insurance Ltd. Full timeJob OverviewZurich Australian Insurance Ltd. is seeking a highly skilled Personal Lines Auto Claims Specialist to join our team. As a member of our claims department, you will be responsible for handling claims from initial contact to resolution. This includes documenting claims files, exercising judgement to determine liability, and negotiating...
-
Senior Claims Specialist
2 weeks ago
Waterloo, Ontario, Canada Zurich 56 Company Ltd Full timeSenior Claims Specialist - Personal Lines Auto (Kitchener / Waterloo)117988The OpportunityAre you looking for a caring, collaborative, values-driven workplace with inspiring teammates and leaders? Do you have the ambition and desire to be the best and thrive at the most impactful global insurance provider in the world? Look no further than Zurich Canada.If...
-
Int Representative, Claims Accident Benefits
2 weeks ago
Waterloo, Ontario, Canada Definity Financial Corporation Full timeReporting to the Team Leader, Accident Benefit Claims, you are accountable for investigating, evaluating and settling Accident Benefit claims.What can you expect in this role?- Report to the Team Leader, Accident Benefit Claims, while investigating, evaluating and settling accident benefit claims in accordance with the Insurance Act.- Securing details of...
-
Advisor, Claims Technical- Accident Benefits
4 days ago
Waterloo, Ontario, Canada Definity Financial Corporation Full timeWhat can you expect in this role?- Provide ongoing coaching and instructions in the investigation/adjustment of large and complex claims- Direct handling of large or complex claims- Reviewing risks and exposures on large and complex losses and provide technical leadership to claims personnel- Provide feedback and guidance to Team Leaders regarding the claims...
-
Sr Counsel, Claims Litigation
1 week ago
Waterloo, Ontario, Canada Definity Financial Corporation Full timeSenior Claims CounselWhat can you expect in this role?- Act as senior legal counsel in claims litigation matters for mid to high complexity files, including attending trials and appeals, contested motions, cross-examinations, examinations for discovery and mediations, preparing court documents, reviewing and analyzing evidence, interviewing witnesses,...
-
Personal Lines Auto Adjuster
6 days ago
Waterloo, Ontario, Canada Zurich 56 Company Ltd Full timeWe are seeking a highly motivated and detail-oriented Claims Resolution Expert to join our team at Zurich Canada. In this role, you will be responsible for handling Personal Lines Auto claims from inception to closure.You will conduct thorough investigations, gathering evidence and interviewing witnesses as needed.You will communicate with policyholders,...
-
Benefits Administration Professional
4 days ago
Waterloo, Ontario, Canada Definity Financial Corporation Full timeDefinity Financial Corporation seeks a Benefits Administration Professional to join our team. As an expert in accident benefit claims, you will be responsible for investigating, evaluating, and settling claims in accordance with the Insurance Act.The ideal candidate will have a university degree or college diploma in a related field, as well as 2-3 years of...
-
Insurance Expert Advisor
1 week ago
Waterloo, Ontario, Canada Phoenix Capital Full timeAbout UsAt Phoenix Capital, we believe that something special happens when employees feel valued for the work they do, supported as the people they are, and included in the very fabric of the organization. They bring their best to work every day.We put our people at the centre of everything we do. Our mission is to deliver meaningful benefits support and...
-
Senior Bodily Injury Examiner
5 days ago
Waterloo, Ontario, Canada OTIP RAEO Full timeCompany Description Who We Are With every job, there's always the question of "why". Why join a company? Why be part of their mission? Here, the why is easy. It's because at some point, we've all needed someone there for us. At the OTIP Group of Companies (OGC), we believe that something special happens when employees feel valued for the work they...
-
Accident Benefits Advisor
4 days ago
Waterloo, Ontario, Canada Definity Financial Corporation Full timeJob SummaryWe are seeking an Accident Benefits Advisor to join our team at Definity Financial Corporation. As a key member of our Accident Benefits team, you will be responsible for providing technical guidance and support to claims personnel.Key ResponsibilitiesProviding ongoing coaching and instructions in the investigation and adjustment of large and...
-
Insurance Risk Manager
5 days ago
Waterloo, Ontario, Canada Zurich Australian Insurance Ltd. Full timeJob DescriptionWe are seeking an experienced Insurance Risk Manager to join our team at Zurich Australian Insurance Ltd. As a Personal Lines Auto Claims Specialist, you will be responsible for handling single and multi-party personal or commercial line claims of low to moderate exposure and complexity within specific limits of authority.Responsibilities:1....