Claims Representative II

1 week ago


Mississauga, Ontario, Canada Intact Financial Corporation Full time
About the Role

As a Claims Representative II - Auto Special Handling Unit for our Investigative Services team, you will be responsible for investigating claims to ensure fair decisions and equitable settlement. This role is available in our Ajax, Toronto (University) & Mississauga office.

Key Responsibilities:
  • Coordinate investigations into potential fraud, misrepresentation, and/or exaggeration within Auto Insurance claims
  • Collect evidence and analyze information to determine liability and coverage, including damage valuations, statements and examinations under oath (EUO), expert reports, customer and claim-related documents, witness testimony, police reports, and all other information required to clarify and/or justify a claim
  • Identify fraud indicators and effectively coordinate investigative, vendor and legal resources to validate indicators and make decisions on liability and coverage
  • Communicate in a timely and respectful manner with customers, claimants and lawyers when making decisions on coverage, reporting findings, and settling claims
  • Handle disputes and payments into court, interpret case law and legal opinions, and pursue fair and equitable resolutions to customer disputes, complaints and escalations
  • Negotiate settlements fairly and equitably
  • Participate and/or lead project work, by working with members of the Investigative Services and Claims departments to deliver on project goals
  • Ensure all claims and investigations are clearly documented and meet all legislative requirements

Requirements:
  • A minimum of 2 years claims adjusting experience in Auto Property Damage insurance
  • Additional investigation experience in the insurance and/or financial industry
  • Knowledge of provincial insurance act, Ontario Auto policy
  • Experience with and/or knowledge of the legal dispute process for insurance claims
  • Strong analytical, negotiation, and decision-making skills
  • Strong communication and time management skills
  • University degree or any combination of training and experience deemed relevant for the role
  • Completed, or are working toward, Chartered Insurance Professional (CIP) designation

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
  • Inspiring leaders and colleagues who will lift you up and help you grow
  • A Community Impact program, because what you care about is a part of what makes you different. And how you contribute to your community should be just as unique.


  • Mississauga, Ontario, Canada Co-operators Full time

    At Co-operators, we're committed to creating peace of mind for our clients and communities. As a Property Claims Representative II, you'll play a key role in delivering on this strategy.As a member of our Claims team, you'll be responsible for investigating, negotiating, and resolving complex property, farm, and commercial claims. You'll contribute to our...


  • Mississauga, Ontario, Canada Xpera Full time

    Job Title: Claims Service RepresentativeAt Xpera, we are seeking a highly skilled Claims Service Representative to join our team. As a Claims Service Representative, you will be responsible for providing exceptional customer service to policyholders who are reporting insurance claims.Key Responsibilities:Provide personalized customer service to...


  • Mississauga, Ontario, Canada Definity Full time

    Job Title: Insurance Claims RepresentativeDefinity is seeking a highly skilled Insurance Claims Representative to join our team in Ontario. 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...


  • Mississauga, Ontario, Canada Definity Full time

    Job Title: Insurance Claims RepresentativeDefinity is seeking a highly skilled Insurance Claims Representative to join our team in Ontario. 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...


  • Mississauga, Ontario, Canada Xpera Full time

    Job Title: Claims Service RepresentativeAt Xpera, we are seeking a highly skilled Claims Service Representative to join our team. As a Claims Service Representative, you will be responsible for providing exceptional customer service to our clients, while also ensuring that claims are processed efficiently and effectively.Key Responsibilities:Field and enter...


  • Mississauga, Ontario, Canada Xpera Full time

    Job Title: Claims Service RepresentativeAt Xpera, we are seeking a highly skilled Claims Service Representative to join our team. As a Claims Service Representative, you will be responsible for providing exceptional customer service to our clients, while also ensuring that claims are processed efficiently and effectively.Key Responsibilities:Field and enter...


  • Mississauga, Ontario, Canada Co-operators Full time

    At Co-operators, we are committed to creating peace of mind for our clients and communities. Our Claims team is essential to delivering on this strategy, and we prioritize our people to ensure a strong culture and development opportunities.The Bodily Injury Claims Representative II role is responsible for investigating, negotiating, and resolving complex...

  • Claims Representative

    2 weeks ago


    Mississauga, Ontario, Canada Definity Full time

    Job SummaryWe are seeking a highly skilled Claims Representative to join our team at Definity. As a key member of our claims team, you will be responsible for resolving claims efficiently and effectively, ensuring a positive experience for our customers.Key ResponsibilitiesAccept and process claims, working closely with customers and vendors to resolve...


  • Mississauga, Ontario, Canada Xpera Full time

    Job SummaryWe are seeking a highly skilled and bilingual Claims Service Representative to join our team. As a Claims Service Representative, you will be responsible for providing exceptional customer service and supporting the claims creation process.Key ResponsibilitiesField and enter new claims reports received through various methods, including email,...


  • Mississauga, Ontario, Canada Xpera Full time

    Job SummaryWe are seeking a highly skilled and bilingual Claims Service Representative to join our team. As a Claims Service Representative, you will be responsible for providing exceptional customer service and supporting the claims creation process.Key ResponsibilitiesField and enter new claims reports received through various methods, including email,...


  • Mississauga, Ontario, Canada Definity Full time

    Auto Claims Representative Job SummaryWe are seeking a skilled Auto Claims Representative to join our team at Definity. As an Auto Claims Representative, you will be responsible for providing prompt, courteous, and accurate claims service to our customers.Key Responsibilities:Manage complex and/or commercial auto claimsProvide detailed explanations of the...


  • Mississauga, Ontario, Canada Xpera Full time

    Job SummaryWe are seeking a highly skilled and bilingual Claims Service Representative to join our team. As a Claims Service Representative, you will be responsible for providing exceptional customer service and fulfilling an important role in the claims creation process.Key ResponsibilitiesField and enter new claims reports received through various methods,...


  • Mississauga, Ontario, Canada Xpera Full time

    Job SummaryWe are seeking a highly skilled and bilingual Claims Service Representative to join our team. As a Claims Service Representative, you will be responsible for providing exceptional customer service and fulfilling an important role in the claims creation process.Key ResponsibilitiesField and enter new claims reports received through various methods,...


  • Mississauga, Ontario, Canada Co-operators Full time

    Company: Co-operatorsDepartment: ClaimsEmployment Type: Temporary Full Time (12 months)Work Model: HybridLanguage: This role operates in English.The Opportunity:We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society. Our team is essential to deliver on this strategy, prioritizing our...

  • Claims Representative

    2 months ago


    Mississauga, Ontario, Canada Definity Full time

    Job SummaryWe are seeking a highly skilled Claims Representative - Commercial to join our team at Definity. As a key member of our claims team, you will be responsible for providing exceptional customer service, managing complex claims, and ensuring timely and fair resolutions.Key ResponsibilitiesProvide prompt, courteous, and accurate claims service to...

  • Claims Representative

    2 months ago


    Mississauga, Ontario, Canada Definity Full time

    Job SummaryWe are seeking a highly skilled Claims Representative - Commercial to join our team at Definity. As a key member of our claims team, you will be responsible for providing exceptional customer service, managing complex claims, and ensuring timely and fair resolutions.Key ResponsibilitiesProvide prompt, courteous, and accurate claims service to...


  • Mississauga, Ontario, Canada Definity Full time

    Job SummaryWe are seeking a highly skilled and experienced Claims Representative to join our team at Definity. As a key member of our claims team, you will be responsible for providing exceptional customer service, managing complex claims, and ensuring timely and fair resolution of claims.Key ResponsibilitiesProvide prompt and courteous claims service to...


  • Mississauga, Ontario, Canada Definity Full time

    Job SummaryWe are seeking a highly skilled and experienced Claims Representative to join our team at Definity. As a key member of our claims team, you will be responsible for providing exceptional customer service, managing complex claims, and ensuring timely and fair resolution of claims.Key ResponsibilitiesProvide prompt and courteous claims service to...


  • Mississauga, Ontario, Canada Intact Financial Corporation Full time

    We're looking for a Claims Representative I to join our team at Intact Financial Corporation. As a Claims Representative I, you will play a crucial role in assisting our customers who have suffered minor injuries as a result of a motor vehicle accident.Our primary focus is to ensure a seamless and positive customer journey throughout the claims process. To...


  • Mississauga, Ontario, Canada Xpera Full time

    Job SummaryAs a Claims Service Representative at Xpera, you will play a vital role in providing exceptional customer service and supporting the claims creation process. Your primary responsibilities will include fielding and entering new claims reports, triaging new claim notices, and identifying the immediate needs and requirements of incoming new...