Int Representative, Accident Benefits Claims- West

3 days ago


Edmonton, Canada Definity Full time

Int Representative, Accident Benefits Claims- West Edmonton, AB, Canada Be the First to Apply Definity is the parent company to some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. Our ambition is to be one of Canada’s leading and most innovative property and casualty insurers. We can’t do that without our people, so we embrace and encourage a culture that’s collaborative, ambitious, rewarding, and empowering.  We offer a flexible, hybrid work experience where employees work from the office and virtually depending on the type of work they are doing and who they are working with. Bring your true self and be a part of our journey. It’s better here.  Reporting to the Team Leader, Accident Benefit Claims, you are accountable for investigating, evaluating and settling Accident Benefit claims What to expectReport to the Team Leader, Accident Benefit Claims, while investigating, evaluating and settling accident benefit claims in accordance with the Insurance ActSecuring details of claims by corresponding with claimants and/or representativesAssessing coverage eligibility and reviewing and applying interpretations of policy wordings in the resolution of coverage issuesApplying applicable Priority Rules chart to each claim fileProcessing income replacement claim Reserving files appropriately after assessing claimMaintaining detailed file records on an electronic claims systemProcessing payments after confirming benefits, eligibility and reservesCoordinating the most effective course of action for claimsConfirming collateral benefitsResponding to claimant correspondence and accident benefit forms in accordance with the applicable legislationReviewing and approving, when appropriate, treatment plans for claimant rehabilitationArranging insurer examinations to determine benefits eligibilityPreparing referral packages and obtaining the necessary medical information for insurer examinationsResponding to assessment recommendationsOther duties as assignedWhat you bring University degree, college diploma in related field or the CIP designationMinimum 2-3 years of claims handling experienceProficient in MS Word and ExcelProfessional, friendly and courteous in all interactions, whether with customers or co-workersAble to perform well in a busy operation and remain calm under pressureTeam player adaptable to a changing environmentStrong written and verbal communication skillsSalary Range: $51,300 - $94,400 Actual salary for the role may vary depending on work location of the successful candidate and other factors including but not limited to, skills, education, experience, working conditions and the local labour market. This position is being posted to fill an existing vacancy. Interested in this role, but don’t meet every requirement? We encourage you to apply We know from experience that a candidate doesn’t need 100% of the qualifications listed to bring incredible value to our team. We’re actively seeking diverse backgrounds and perspectives to help us make insurance better. At Definity, inclusion, diversity, and equity aren’t just “nice to have” — they’re essential to our success.  What’s in it for you? Hybrid work schedule for most roles Company share ownership program Incentive Program - Eligible employees may participate in various incentive plans which are paid out at the discretion of the company and subject to individual and company performance. Pension and savings programs, with company-matched RRSP contributions Paid volunteer days and company matching on charitable donations Educational resources, tuition assistance, and paid time off to study for exams Focus on inclusion with employee groups, support for gender affirmation surgery, access to BIPOC counsellors, access to programs for working parents  Wellness and recognition programs  Discounts on products and services Go ahead and expect a lot — you deserve it. It’s better here — but don’t take our word for it. Definity was named by Great Place to Work® as one of the Best Workplaces™ in Canada for women, for youth, and for inclusion. Our inclusive work environment welcomes diversity and supports accessibility. If you require accommodation at any time during the recruitment process, please let us know by contacting accessibility@economical.com. Background checks This role requires successful clearance of background checks (including criminal checks and leadership references).



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