Bodily Injury Examiner
2 days ago
**Company Description** Who We Are**
With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us.
At the OTIP Group of Companies (OGC), we believe that something special happens when employees feel valued for the work they do, supported as the people they are, and included in the very fabric of the organization: they bring their best to work every day. And that's why we mean it when we say we put our people at the centre of everything we do. Join us as we grow our way into a future that reimagines what it means to deliver meaningful benefits support and service.
The Bodily Injury Examiner is responsible for serving members and resolving casualty claims, while maintaining the highest level of quality. This includes establishing prompt contact with members, coordinating timely investigations, ensuring legal compliance, maintaining file quality requirements, and adhering to corporate service standards, goals and criteria.
**What You’ll Do**:
Reporting to the Senior Manager, National Injury, you’ll be responsible for:
- Supports customer service, which includes responding to inquiries and maintaining and improving work quality and volume.
- Establishes proof of loss. This includes studying and analyzing documentation, collecting additional information from various outside parties as required, initiating, or conducting investigation of questionable claims, and negotiating and disposing of casualty claims of minor to moderate complexity in a timely manner.
- Maintains quality service and adheres to organizational standards to deal with all aspects of file handling including reserving, expense and loss control, liability assessments, and setting an agenda for future handling.
- Builds documents in defense of moderate exposure claims. This includes assessing damages, recognizing potential exposures, implementing tasks to contain ultimate value and disposition of moderate exposure claims using superior negotiation skills.
- Represents stakeholders in a professional manner at meetings, court hearings, mediations and other information gatherings with a view to effect settlement when appropriate.
- Provides legal support, assembling documentation for settlement action as requested by senior staff.
- Keeps claims information confidential to protect operations.
- Maintains client database and completes defined functions directly onto the computer system, while ensuring accuracy of input data.
- Adheres to guidelines, contract, and insurance regulations to ensure legal compliance.
- Collects, analyzes, and summarizes information for reporting purposes.
- Performs other duties within competence, as assigned.
**Qualifications** Let’s Talk About You**:
- Working towards a CIP designation.
- Working towards an Adjuster’s license.
- A minimum of three years all lines claims adjudication.
- Superior communication skills and the demonstrated ability to deal effectively with all levels of internal and external stakeholders.
- The demonstrated ability to provide outstanding service in an accurate and efficient manner.
- Superior time management and organizational skills to manage competing priorities, including project management skills.
- The ability to communicate in French is considered an asset.
**Additional Information** Some of the Perks We Offer**:
We offer best-in-class pension and benefits, total reward programs and comprehensive mental wellness supports to set you up for every success in and outside of work. Here are just some of the reasons you’ll love working here:
- Rewarding salary and bonuses that truly value your dedication
- Industry-leading group benefits with 100% premium coverage (excluding LTD) that start on your first day
- Defined benefit pension plan for a financially confident retirement
- 100% coverage of approved continuing education and licensing fees (including RIBO courses in Ontario)
- Access to a wealth of learning resources, including LinkedIn Learning for professional development
- Flexible work-from-home and hybrid options
- Unlock your potential with opportunities for advancement
- OTIP and its group of companies strive to create an accessible and inclusive work environment where everyone is treated with respect and dignity. Upon individual request, we will endeavor to remove any barrier to the recruitment and selection processes and provide accommodations for persons with disabilities._
- As a business, we protect what matters most to our members. As an employer, we value what matters most in our workplace. Together, this includes fostering a diverse, equitable and inclusive environment for all. We are committed to learning and evolving so we can continue to celebrate what makes us special. You are who you are, and our differences are what make us unique._
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