Accident Benefits Claims Adjuster
1 week ago
Official Internal Job Title
Claims Adjuster
Status:
Temporary (Fixed Term)
Job Description:
This 18-month contract position is responsible for investigating, negotiating, and settling minor Accident Benefits claims. The adjuster will be responsible for direct file handling and communication with all involved parties.
Summary of Role & Responsibilities:
- Confirm valid coverage.
- Fully investigate and verify claims under Ontario’s S.A.B.S.
- Fully investigate minor injuries.
- Provide instruction and direction to internal and external vendors i.e.: independent adjusters, rehabilitation firms, translation firms, investigation firms, legal counsel
- Calculate ultimate probable exposure and reserve accordingly
- Properly maintain a diary system to monitor files
- Ensure files are up to date with A.B. packages and forms, medical information, employment information and treatment information
- Report any serious injuries to Team Leader & Manager
- Comply with service standards as outlined in the claims manual
- Actively participate in settlement initiatives along with both private and mandatory (LAT) proceedings
Necessary Knowledge, Skills and Attributes:
- Knowledge of regulatory and contractual obligations, medical terminology, vocational rehabilitation concepts and the Statutory Accident Benefits Schedule an asset
- Detail oriented and well-organized individual
- Strong oral and written communication skills and superb interpersonal skills
- Work well individually and as a part of a team
- Computer literacy with working knowledge of Microsoft Office and related programs
- High School Diploma or equivalent and University or College Degree; have started on or are interested in working towards the CIP designation
Education & Experience:
- High School Diploma or equivalent and University or College Degree
- Minimum 1-2 years of relevant adjusting/claims experience
- CIP Designation or working towards achieving it
LI-Hybri
LI-ENG
- L'Unique and Unica are equal opportunity employers, so we encourage all Women, persons with disabilities, Indigenous people as well as visible and ethnic minorities to apply._
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