Specialist, Accident Benefits Claims

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Toronto, ONT, Canada

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and 2 more

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Be the First to Apply

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Definity is the parent company to some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. Our ambition is to be one of Canada’s leading and most innovative property and casualty insurers. We can’t do that without our people, so we embrace and encourage a culture that’s collaborative, ambitious, rewarding, and empowering.

We offer a flexible, hybrid work experience where employees work from the office and virtually depending on the type of work they are doing and who they are working with. Bring your true self and be a part of our journey. It’s better here.

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What to expect

• Handling files in good faith and in accordance with legislative requirements
• Handling LAT disputes with and without legal counsel
• Formulating file handling strategies and work plans
• Working with legal counsel
• Conducting settlement analysis
• Participating in Global Mediation and Private Arbitrations
• Providing coaching and support on file handling to Accident Benefit team members.
• Securing details of claims
• Assessing coverage eligibility
• Applying applicable Priority Rules chart to each claim file
• Reserving files appropriately after assessing claim
• Maintaining detailed file records on an electronic claims system
• Processing payments after confirming benefits, eligibility and reserves
• Coordinating the most effective course of action for claims
• Responding to claimant correspondence and Accident Benefit forms in accordance with the applicable legislation
• Reviewing and approving, when appropriate, treatment plans for claimant rehabilitation
• Arranging insurer examinations to determine benefit eligibility
• Obtaining medical information necessary for insurer examinations
• Responding to assessment recommendations
• Handling complex AB claims including those involving catastrophic injuries
• Other duties as assigned

Personal Characteristics :

Professional, friendly and courteous in all interactions, whether with customers or co-workers

Perform well in a busy operation and remain calm under pressure

Team player adaptable to a changing environment

Strong written and verbal communication skills

What you bring

5 years of experience handling Accident Benefits claims

Excellent working knowledge of the Statutory Accident Benefits Schedule

Experience coaching others

University degree in any discipline or a college diploma in related field or the CIP designation

Excellent verbal and written communication skills

Salary Range : $73,500 - $123,500

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Actual salary for the role may vary depending on work location of the successful candidate and other factors including but not limited to, skills, education, experience, working conditions and the local labour market.

This position is being posted to fill an existing vacancy.

Interested in this role, but don’t meet every requirement? We encourage you to apply! We know from experience that a candidate doesn’t need 100% of the qualifications listed to bring incredible value to our team. We’re actively seeking diverse backgrounds and perspectives to help us make insurance better. At Definity, inclusion, diversity, and equity aren’t just “nice to have” — they’re essential to our success.

What’s in it for you?

Hybrid work schedule for most roles

Company share ownership program

Incentive Program - Eligible employees may participate in various incentive plans which are paid out at the discretion of the company and subject to individual and company performance.

Pension and savings programs, with company-matched RRSP contributions

Paid volunteer days and company matching on charitable donations

Educational resources, tuition assistance, and paid time off to study for exams

Focus on inclusion with employee groups, support for gender affirmation surgery, access to BIPOC counsellors, access to programs for working parents

Wellness and recognition programs

Discounts on products and services

Go ahead and expect a lot — you deserve it.

It’s better here — but don’t take our word for it. Definity was named by Great Place to Work

as one of the Best Workplaces™ in Canada for women, for youth, and for inclusion.

Our inclusive work environment welcomes diversity and supports accessibility. If you require accommodation at any time during the recruitment process, please let us know by contacting accessibility@economical.com.

Background checks

This role requires successful clearance of background checks (including criminal checks and leadership references).