Accident Benefit Adjuster

Job Description

Job Description

Salary :

Accident Benefit Adjuster

MutualONE Insurance Company

Where a shared culture fuels our passion and a deep commitment to our members drives everything we do.

Where innovation, exceptional service, and trusted protection come together to create powerful insurance solutions.

Where every team member plays a part in building something extraordinary.

Together, we are ONE stronger, bolder, and ready for the future!

About the Role

Are you looking for your next opportunity in the insurance industry? MutualONE is seeking an experienced Accident Benefit Adjuster to join our claims team. Reporting to the Manager of Claims Services, you will manage a portfolio of Accident Benefits claims in accordance with the Statutory Accident Benefits Schedule (SABS) and other legislative requirements. This role is ideal for someone who is empathetic, detail-oriented, and committed to helping injured persons navigate the claims process fairly and efficiently.

Key Responsibilities

• Manage a caseload of Accident Benefit (AB) claims from initial notice to resolution, ensuring timely and appropriate claims handling
• Assess and investigate claims, including coverage verification, file documentation, and coordinating independent assessments and medical reports
• Apply the SABS and associated legislation, guidelines, and case law consistently and effectively
• Communicate empathetically and professionally with claimants, healthcare providers, legal counsel, and third-party vendors
• Negotiate and settle claims where appropriate, while ensuring fair outcomes for members and compliance with regulatory frameworks
• Maintain accurate records and detailed claim notes in the claims management system
• Participate in regular file reviews and contribute to continuous improvement initiatives in claims practices
• Stay current with legislative and regulatory changes affecting AB claims in Ontario

Desired Competencies

Qualifications

This role will require travel. A vehicle, valid Drivers License and insurance are required.

What we offer

We are an equal opportunity employer offering :

At MutualONE, your efforts will always make a difference!

Interested? We want to hear from you!

We thank all applicants for their interest, however, only those considered for an interview will be contacted.

No phone calls or agencies please.

ACCESSIBILITY STATEMENT (AODA IN ONTARIO)

MutualONE is committed to providing a barrier-free work environment in concert with the provincial guidelines for accessibility (Accessibility for Ontarians with Disabilities Act and the Ontario Human Rights Code, Ontario Only).

As such, MutualONE will make accommodations available to applicants with disabilities upon request during the recruitment process.

HUMAN RIGHTS STATEMENT

MutualONE strives to ensure that its employment practices are free from direct and indirect discrimination and is committed to upholding the human rights of those participating in the hiring process. In pursuit of this commitment, MutualONE will not condone or tolerate any acts of discrimination or harassment under any of the grounds protected under human rights legislation. This commitment extends to the hiring process and throughout the course of employment.