Accident Benefit Claims Examiner
2 days ago
**Job Overview**
We are seeking an experienced Claims Resolution Specialist to join our team at Definity Financial Corporation. As an Accident Benefit Claims Examiner, you will play a crucial role in investigating and settling accident benefit claims in accordance with the Insurance Act.
The ideal candidate will have excellent communication skills, be able to work independently, and possess a strong understanding of insurance policies and legislation. If you are a motivated and detail-oriented individual looking for a challenging opportunity, we encourage you to apply.
**Key Responsibilities**
- Investigate and evaluate accident benefit claims to determine eligibility and coverage under applicable policies
- Correspond with claimants and representatives to secure necessary details and information
- Assess coverage eligibility and review policy wordings to resolve coverage issues
- Process income replacement, non-earner, and attendant care claims
- Reserve files appropriately after assessing claims and maintain detailed records on electronic claims systems
- Process payments after confirming benefits, eligibility, and reserves
- Coordinate effective claim resolution strategies
- Confirm collateral benefits and respond to claimant correspondence and forms
**Requirements**
- University degree or college diploma in a related field or 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
- Strong written and verbal communication skills
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