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Accident Benefits Claims Representative
2 weeks ago
Elevate Your Career as an Accident Benefits Claims Representative at Portage Mutual Insurance
**About Portage Mutual**: Where Your Talent Makes a Difference
Imagine a workplace where your contributions are not only valued but also directly impact the lives of Canadians. At Portage Mutual Insurance, we’re more than just a trusted national property and casualty insurer—we’re a community of passionate individuals dedicated to serving our policyholders since 1884. Owned by our policyholders, we proudly offer competitive home, auto, commercial, and farm insurance products 100% through our broker network across Canada. Join a company rooted in tradition, driven by innovation, and powered by a people-first culture.
Why Portage Mutual?
At Portage Mutual, we believe that our people are our greatest asset. Here, you’ll find:
- Total Rewards: We care about your well-being and financial security. That’s why we offer a competitive salary, incentive plan, comprehensive health benefits, a pension plan and generous paid time off, including personal days.
- Career Growth & Development: Propel your career forward with access to diverse learning resources, tuition reimbursement for relevant programs, and bonuses recognizing your achievements in pursuing insurance designations.
- Flexibility: We support work-life integration by offering a flexible environment where you can choose to live wherever you prefer in Canada. Enjoy the freedom to select remote, in-office, and hybrid work arrangements that best suit your lifestyle.
- Inclusivity and Belonging: Be a part of a supportive and diverse team that embraces your unique perspective and empowers you to succeed. We’re dedicated to creating a workplace where every employee feels welcomed, valued and respected.
- Making a Difference: Find purpose in your career by aligning with an organization that shares your values and is committed to making a difference in the communities we serve.
**The Opportunity**:
As an Accident Benefits Claims Representative, you’ll investigate, evaluate, reserve, negotiate and resolve assigned automobile accident benefits claims by:
- Communicating with policyholders, treatment providers, investigators, accountants, and medical professionals to assess injuries, financial losses, and determine claim eligibility.
We're looking for a detail-oriented, enthusiastic team player who embodies our company values and is committed to providing top-notch service.
**What You’ll Do**:
- Review new losses, prepare an investigation plan, and contact the insured to discuss loss details.
- Work with policyholders to explain claims process in a clear and concise manner to ensure an efficient claims experience.
- Secure statements with policyholders, third parties, independent witnesses, passengers as necessary.
- Secure medical authorization, statutorily required forms, and medical opinions as necessary.
- Arrange appropriate independent medical examinations to aid in the assessment of coverage, injuries and damages.
- Asses the need and retain licensed investigators to assist in understanding injury severity.
- Work with accountants to asses income and other financial losses related to accident benefit coverages.
- Review complex policy wordings and legislation to assess coverage eligibility.
- Communicate verbally and in writing to policyholders and brokers coverage positions.
- Review complex medical forms and reports to determine benefit payment eligibility.
- Negotiate settlements based on results of loss investigation, coverage analysis and damage assessment within authority limits.
- Complete ongoing follow up communication per corporate service standards with all file stakeholders to bring claim to resolution.
- Attend industry events to network with brokers and vendors in a manner that portrays Portage Mutual Insurance in a positive light.
**What You’ll Bring**:
- Minimum of 2 years experience with auto physical damage adjusting, in a medical professional office, and in a role dealing with accident benefit claims.
- Proficient in Microsoft Office Suite and relevant claims systems (e.g., Guidewire), with the ability to adapt to new technologies.
- Consistently applies accuracy, thoroughness, and meticulousness in all aspects of work.
- Strong critical thinking and problem-solving skills to assess the strengths and weaknesses of each claim within authority limits.
- Excellent verbal and written communication skills.
- High level of confidentiality.
- Ability to work independently or as a collaborative team and is self-motivated to work in a fast-paced changing environment.
- Post secondary education in business, nursing, health care aid, insurance or medical reception.
- CIP designation completed, actively in progress, or willing to work towards.
Ready to Make an Impact?
If you’re seeking a rewarding career with a company that values its employees and is committed to making a difference, we invite you to apply If you have the qualifications we are seeking a
