Claims Adjuster, Accident Benefits (ON)

Position Details

What You Will Do

The Claims Adjuster, Accident Benefits is responsible for oversight and handling of automobile, long haul trucking, motorcycle, and recreational vehicle Accident Benefits claims.

The claims are of low to moderate complexity and severity. The successful candidate will have a dynamic personality and the ability to excel in a high performance environment.

The Claims Adjuster, Accident Benefits ensures claims are properly investigated, evaluated, and resolved in a timely manner.

Telephone contact to obtain details of claim and injuries

Ongoing processing and assessing new claims, detailed and thorough investigation, needs analysis, entitlement to benefits, facilitation of coverage and delivery of superior customer service

Establish priority of Insurers / Loss Transfer / WSIB

Effectively guide and assist the insured through the claim process, in order to achieve service excellence and successful file resolution

Ensure immediate and effective responses are provided through written / telephone communication to the following; (lawyers, clients, doctors, rehabilitation facilities and service providers)

Responsible for benefit payments (as per legislation)

Obtain approval from Manager on claims above authority

Who You Are

Post-secondary education or equivalent experience

CIP or working towards designation

Minimum of 2 years experience handling casualty claims required

Strong organizational; decision making and problem solving skillset

Ability to understand insurance contracts in various jurisdictions

Knowledge of principles and practices of claims settlement, policy wording, fraud investigations and coverage issues

Ability to cross-reference information with attention to detail

Strong general computer knowledge required

Excellent communication skills, both written and verbal

Please note : Internal applicants are asked to formally express their interest by applying online no later than 10 business days of position being posted.