Claims Specialist

2 weeks ago


Mississauga, Ontario, Canada Intact FC Full time $80,000 - $120,000 per year

Our employees are at the heart of everything we do. Together, we help people, businesses, and society prosper in good times and be resilient in bad times.


Our employee promise represents Intact's commitment to you in exchange for living our Values, striving to do your best work, being open to change and investing in your career. In return, we promise to provide support, opportunities and performance-led financial rewards at a workplace where you can shape the future, win as a team and grow with us.

About the role

We're looking for a Claims Specialist, Accident Benefits, to join our complex injury team 

The Complex Injury Team has experience in all levels of AB file handling with a strong understanding of legislation and regulations, also the members of this team must be detail oriented, have exhibited strong communication, written and presentation skills, analytical, problem solving and negotiation skills. In addition, our Claims Specialists are mentoring and coaching throughout the COE in support of staff development. 

This role is part of our hybrid working environment with support and training. Permanent positions available across multiple locations in Ontario: Ottawa, Ajax, Mississauga, Toronto, Richmond Hill, and London (Ontario) offices. 

What you'll do here: 

  • Handle a pending of Accident Benefit files while receiving regular intake of Complex and Catastrophic claims 

  • Analyze and interpret insurance policy wording to determine coverage and assess entitlements which are fair and equitable  

  • Communicate in a timely and respectful manner with the customer claimants, lawyers and rehabilitation experts and report findings 

  • Conduct investigations and identify additional information such as an independent medical examination, customer medical or employment history required to clarify and/or justify a claim 

  • Complete regular reporting as required and liaising with Technical Services to ensure appropriate action and reserving is in place 

  • Consistent collaboration with Dispute Management Team adjusters, on LAT disputed claims

  • Complete coaching initiatives 

  • Complete other duties as assigned as deemed reasonable to assist the Business 

What you bring to the table: 

  • University degree or any combination of training and experience deemed relevant for the role 

  • At least 5+ years of Accident Benefit claims handling experience. 

  • Handling experience of complex and catastrophic files is considered an asset. 

  • Knowledge of provincial legislation governing auto insurance. 

  • Experienced in negotiations and demonstrated experience with independently settling Complex Accident Benefit files. 

  • Excellent communication and interpersonal skills with all levels of staff.  

  • Excellent customer service skills. 

  • Bring a can-do attitude, and openness to tackle new things. 

This role is eligible for employee referral bonus. #myReferrals3000

#LI-Hybrid  

#LI-MS1

What we offer
 

Our hybrid work model provides the balance between working from home and enjoying meaningful in-person interactions.

Working here means you'll be empowered to be and do your best every day. Here is some of what you can expect as a permanent member of our team:

  • A financial rewards program that recognizes your success

  • An industry leading Employee Share Purchase Plan; we match 50% of net shares purchased

  • An extensive flex pension and benefits package, with access to virtual healthcare

  • Flexible work arrangements

  • Possibility to purchase up to 5 extra days off per year

  • An annual wellness account that promotes an active and healthy lifestyle

  • Access to tools and resources to support physical and mental health, embracing change and connecting with colleagues

  • A dynamic workplace learning ecosystem complete with learning journeys, interactive online content, and inspiring programs

  • Inclusive employee-led networks to educate, inspire, amplify voices, build relationships and provide development opportunities

  • Inspiring leaders and colleagues who will lift you up and help you grow

  • A Community Impact program, because what you care about is a part of what makes you different. And how you contribute to your community should be just as unique.

We are an equal opportunity employer

At Intact, our Value of respect is founded on seeing diversity as a strength. We strive to create an accessible workplace where employees feel valued, included and encouraged to share their unique perspectives.

We encourage applications from individuals who are members of equity-deserving groups, including but not limited to women, Indigenous peoples, persons with disabilities, Black people, and members of the 2SLGBTQI+ community.

As part of Intact's commitment to reconciliation, we acknowledge that we work, meet and travel across the land currently called Canada, originally inhabited by First Nations, Metis and Inuit people. This history extends through many centuries and continues to evolve today.

We have policies to ensure equal access and participation for people with disabilities, including providing workplace adjustments (accommodations). A copy of applicable policies is available on request.

If we can provide a specific adjustment to make the recruitment process more accessible for you, please let us know when we reach out about a job opportunity. We'll work with you to meet your needs.

Learn more about our recruitment process and your candidate journey here.

If you are an employee of Intact or belairdirect, please apply for this role on Internal Career Site.



  • Mississauga, Ontario, Canada Desjardins Full time $60,000 - $120,000 per year

    Temporary position for 12 months.As a Claims Reporting Specialist, you will assist our clients in opening new claims with regards to damages to their home or auto properties. You will provide exceptional customer service and support to our clients during unprecedented events and guide them through the claims process. You help build and maintain business...


  • Mississauga, Ontario, Canada Desjardins Full time US$90,000 - US$140,000 per year

    As a Claims Specialist LAT/CAT, you support and coach a team of advisors responsible for handling complex catastrophic injury claims as well as claims involving disputes filed with the Licence Appeal Tribunal (LAT). You help review claims and issue claims settlement directives. You provide settlement opinions for complex claims and help internal advisors...

  • Claims Assistant

    2 weeks ago


    Mississauga, Ontario, Canada RBC Insurance Full time $42,000 - $60,000 per year

    Job DescriptionWhat is the opportunity?The Medical Request Team (MRT) is responsible for requesting and following-up on medical documentation on behalf of the Claims Specialists. The MRT plays a key role in the claims process by allowing the Claim Specialist to focus on the adjudication process and not administrative tasks such as obtaining medical...

  • Claims Assistant

    1 week ago


    Mississauga, Ontario, Canada RBC Full time $45,000 - $65,000 per year

    Job DescriptionWhat is the opportunity?  The Medical Request Team (MRT) is responsible for requesting and following-up on medical documentation on behalf of the Claims Specialists. The MRT plays a key role in the claims process by allowing the Claim Specialist to focus on the adjudication process and not administrative tasks such as obtaining medical...


  • Mississauga, Ontario, Canada RBC Full time $60,000 - $80,000 per year

    Job DescriptionWhat is the opportunity?  The Medical Request Team (MRT) is responsible for requesting and following-up on medical documentation on behalf of the Claims Specialists. The MRT plays a key role in the claims process by allowing the Claim Specialist to focus on the adjudication process and not administrative tasks such as obtaining medical...


  • Mississauga, Ontario, Canada Desjardins Full time $60,000 - $120,000 per year

    Temporary position for 12 monthsThe Competency Development team provides advice and support to Accident Benefits (AB), Bodily Injury (BI) and Claims Legal Departments within the Ontario, Alberta and Western (OAW) by providing specialized training content and programs to meet targeted objectives. As a Casualty Claims Trainer, you will act as a content...


  • Mississauga, Ontario, Canada RBC Insurance Full time $80,000 - $120,000 per year

    Job DescriptionWhat is the opportunity?As a bilingual Clinical Specialist, you will analyze medical information related to disability claims in a collaborative, multi-disciplinary digital environment. You will work closely with claim adjudicators, physicians and rehabilitation specialists to provide expert input, set clinical direction and implement clinical...


  • Mississauga, Ontario, Canada Echelon Insurance Full time US$60,000 - US$120,000 per year

    About UsEchelon Insurance provides Personal and Commercial Specialty Insurance solutions to protect Canadian families and businesses across Canada, through our trusted network of Broker partners. Echelon is a member of the CAA Club Group of Companies and is an equal opportunity employer who offers a professional environment that champions collaboration,...


  • Mississauga, Ontario, Canada BlueSky Personnel Solutions Full time $60,000 - $90,000 per year

    Job Title: Bilingual Benefits Program and Disability SpecialistLocation: Mississauga – OnsiteFull-time – PermanentThe Bilingual HR Benefits Program and Disability Specialist is responsible for the administration of group health, dental, vision, and disability benefits, as well as the management of workplace injury claims (WSIB/WCB). Acting as a trusted...


  • Mississauga, Ontario, Canada Acosta Full time $80,000 - $120,000 per year

    DescriptionStrategic InitiativesMarket Share Analysis: Partner with internal Samsung analyst to analyze market share and identify key trends, connecting various data reports to provide a holistic view for senior leadership.Project Leadership: Take ownership of the Asana project management system, ensuring tasks are organized, deadlines are met, and...