Claims Specialist - Accident Benefits

Our employees are at the heart of what we do best : helping people, businesses and society prosper in good times and be resilient in bad times.

When you join our team, you’re bringing this purpose to life alongside a passionate community of experts.

Feel empowered to learn and grow while being valued for who you are here, diversity is a strength. You have our commitment to support you in reaching your goals with tools, opportunities, and flexibility.

It’s our employee promise.

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

Read on to see how you can shape the future, win as a team, and grow with us.

About the role

We’re looking for 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 Specialist 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
• Instruct Counsel on files in dispute
• Conduct investigations and identify additional information such as an independent medical examinations, customer medical or employment history required to clarify and / or justify a claim
• Participate in the dispute process on your own files that are of a complex nature. Attend Dispute hearings, discoveries on existing cases and case conferences.
• Represent the company in the negotiation and settlement process at the License Appeal Tribunal
• Complete regular reporting as required and liaising with Technical Services to ensure appropriate action and reserving is in place
• Participate in Large Loss Meetings on own files where appropriate.
• 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, with ancillary legislation and knowledge of the Dispute Resolution Practice Code.
• 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.
• Lives our values and a positive team contributor.

This posting expires 19 / June / 2024 at 11 : 59pm EST

This role is eligible for employee referral bonus. #myReferrals3000

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What we offer

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, we value diversity and strive to create an inclusive, accessible workplace where all individuals feel valued, respected, and heard.

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.

including background checks, internal candidates, and eligibility to work in Canada.