We are seeking highly skilled and empathetic Ontario Accident Benefits Claims professionals, looking for an opportunity to make a meaningful impact on the lives of our clients while working in a dynamic, supportive, and collaborative environment. In this role, you will manage accident benefit claims of moderate to high complexity, with a strong focus on functional recovery, client satisfaction and stakeholder collaboration. You will play a critical role in guiding clients through the claims process, ensuring their unique needs are met with professionalism and empathy. You will investigate, evaluate and negotiate accident benefits claims, while establishing and maintaining relationships with members and clients. You will be a key contributor to our mission of delivering exceptional claims service and client care. More specifically, you will be required to:
Investigate, evaluate and negotiate accident benefit claims of moderate to high complexity, ensuring compliance with regulatory and contractual obligations, as well as DGIG best practices.
Maintain clear and timely communication with clients, providing updates on the status of their claims, addressing inquiries and guiding them through the claims process.
Manage Disability claims with a keen focus on functional recovery and return to work.
Identify and resolve challenges, including complex or sensitive issues, with a focus on achieving fair outcomes and supporting client well-being.
Collaborate effectively with internal and external stakeholders - such as medical professionals, legal representatives, and rehabilitation providers - to support client recovery and claim resolution.
Apply accurate reserving practices and ensure timely issuance of claim payments in accordance with company standards and best practices.
What we offer*
Competitive salary and annual bonus
4 weeks of flexible vacation starting in the first year
Defined benefit pension plan that provides predictable, stable income throughout retirement
Group insurance, including telemedicine
Reimbursement of health and wellness expenses and telework equipment
*
#LI-Hybrid #ON08
What you bring to the table
Bachelor's degree in a related field
A minimum of three years of relevant experience in accident benefits claim handling
Please note that other combinations of qualifications and relevant experience may be considered
CIP designation or enrolled in the program
Advanced proficiency of English due to the nature of the duties or work tools or because the position involves interactions with English-speaking partners, members and/or clients
Intermediate experience managing medical and disability files within the constraints of the Statutory Accident benefits schedule with a focus on functional recovery and return to work.
Advanced knowledge of regulatory and contractual obligations (Statutory Accident Benefits Schedule)
Advanced knowledge of medical and legal terminology, vocational rehabilitation concepts and disability management principles
Trade Union (If applicable)
Accident Benefits Claims Advisor • Mississauga
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