Claims Administration Assistant

5 days ago


Cambridge, Canada Gore Mutual Insurance Full time

Reporting directly to the ClaimCare Supervisor, Accident Benefits, this role supports the AB adjusting team with administrative support, payments, scheduling Insurer Examinations, communicating with internal and external vendors, as well as ensuring they are acting in compliance with SABS on behalf of their team of adjusters.

Our Claims Administration Assistant provides needed support to our Accident Benefits Claims team. This is a fast-paced role that requires excellent attention to detail and customer service skills.

**_ What you’ll do:_**
- Scheduling and rescheduling Insurer Examinations in accordance with S.44 of the SABS
- Payments on behalf of the adjusting team within the timelines per SABS
- LAT file preparation (file copy) to our legal vendors in timely manner
- HCAI matching to adjusters assigned to file
- Requesting medical files (CNR’s, OHIP, Emergency room, ambulance call reports etc.)
- Sending letters to claimants/legal representatives on behalf of the adjusting team
- Set up new AB claims and/or claimants in Guidewire
- Other various administrative support as required

**_ Requirements:_**
- 1-2 years of experience in Insurance/Claims Administration, Post-Secondary education or equivalent experience required
- CIP designation or actively pursuing same
- Strong customer service skills
- Previous administrative experience in a Claims environment an asset
- Ability to work well under pressure with minimum supervision
- Able to multi-task between a variety of responsibilities, projects, and deadlines
- Excellent written and verbal communication skills#LI-Hybrid



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