- Report to the Team Leader, Accident Benefit Claims, while investigating, evaluating and settling accident benefit claims in accordance with the Insurance Act
- Securing details of claims by corresponding with claimants and/or representatives
- Assessing coverage eligibility and reviewing and applying interpretations of policy wordings in the resolution of coverage issues
- Applying applicable Priority Rules chart to each claim file
- Processing income replacement, non-earner, and attendant care claims
- 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
- Confirming collateral benefits
- 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 benefits eligibility
- Preparing referral packages and obtaining the necessary medical information for insurer examinations
- Responding to assessment recommendations
- Other duties as assigned
- University degree, college diploma in related field or the CIP designation
- Minimum 4-5 years of claims handling experience
- Proficient in MS Word and Excel
- Professional, friendly and courteous in all interactions, whether with customers or co-workers
- Able to perform well in a busy operation and remain calm under pressure
- Team player adaptable to a changing environment
- Strong written and verbal communication skills
- Hybrid work schedule for most roles
- Company share ownership program
- 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
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Northbridge Financial Corporation Toronto, Canada Temps pleinNous sommes la Financière Northbridge. Nous sommes fiers d'être une société canadienne à 100 %, détenue en propriété exclusive par Fairfax Financial. Nous offrons nos services par l'entremise de nos marques Northbridge Assurance, Les assurances Federated et TruShield Assurance. N ...
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Definity Mississauga, CanadaJob ID : 6506 · Category : Claims · Brand : Definity · Regular/Temporary : Regular · Fulltime/Parttime : Full Time · Location : Mississauga, Canada · Definity includes some of Canada's most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insu ...
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Foisy & Associates Mississauga, Canada**Location: Mississauga (Meadowvale), Ontario** · **About Us**: Join our project management-driven law firm in Meadowvale, as we seek a dedicated and experienced Accident Benefits Law Clerk. With a team of 12, you will manage 75-90 files, offering competitive salary and medical b ...
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Claims Adjuster, Accident Benefits
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Northbridge Financial Corporation Toronto, CanadaNous sommes la Financière Northbridge. Nous sommes fiers d'être une société canadienne à 100 %, détenue en propriété exclusive par Fairfax Financial. Nous offrons nos services par l'entremise de nos marques Northbridge Assurance, Les assurances Federated et TruShield Assurance. N ...
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Definity Financial Corporation Mississauga, CanadaJob ID : 6825 · Category : Claims · Brand : Definity · Regular/Temporary : Regular · Fulltime/Parttime : Full Time · Location : Mississauga, Canada · Definity includes some of Canada's most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insu ...
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Intermediate Representative, Accident Benefits
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Definity Mississauga, CanadaJob ID : 6425 · Category : Claims · Brand : Definity · Regular/Temporary : Regular · Fulltime/Parttime : Full Time · Location : Mississauga, Canada · Definity includes some of Canada's most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insu ...
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Commercial Accident Benefits Examiner
1 week ago
Echelon Insurance Mississauga, Canada**About Us**: · Echelon Insurance provides Personal and Commercial Specialty Insurance solutions to protect Canadian families and businesses across Canada, through our trusted network of Broker partners. Echelon is a member of the CAA Club Group of Companies, and is an equal oppo ...
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Unit Manager, Accident Benefits
1 week ago
Echelon Insurance Mississauga, Canada**About Us**: · Echelon Insurance provides Personal and Commercial Specialty Insurance solutions to protect Canadian families and businesses across Canada, through our trusted network of Broker partners. Echelon is a member of the CAA Club Group of Companies, and is an equal oppo ...
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Claims Coordinator, Accident Benefits
1 week ago
Echelon Insurance Mississauga, Canada**About Us**: · Echelon Insurance provides Personal and Commercial Specialty Insurance solutions to protect Canadian families and businesses across Canada, through our trusted network of Broker partners. Echelon is a member of the CAA Club Group of Companies, and is an equal oppo ...
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Accident Benefits
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Acara Solutions Toronto, Canada**Responsibilities and Duties**: · - Drafts written communications & legal documents. · - Communicates with clients on behalf of lawyer. · - Prepares and files legal documents. · - Preparation of files prior to discovery. · - Answers routine correspondence and initiates follow-up ...
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Claims Adjuster, Accident Benefits
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Echelon Insurance Mississauga, Canada**About Us**: · Echelon Insurance provides Personal and Commercial Specialty Insurance solutions to protect Canadian families and businesses across Canada, through our trusted network of Broker partners. Echelon is a member of the CAA Club Group of Companies, and is an equal oppo ...
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Accidents Benefits
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Acara Solutions Toronto, Canada**Acara Solutions looking for Accident Benefits Clerk with 1-2+ years of experience specifically in Accident Benefits.** · **Responsibilities and Duties**: · - Drafts written communications & legal documents. · - Communicates with clients on behalf of lawyer. · - Prepares and fil ...
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Specialist, Claims- Accident Benefits New
1 week ago
Definity Financial Corporation Mississauga, CanadaJob ID : 7366 · Category : Claims · Brand : Definity · Regular/Temporary : Regular · Fulltime/Parttime : Full Time · Location : Mississauga, Canada · Posting Range : $55,800 - $102,800 · Definity is the parent company to some of Canada's most long-standing and innovative insuranc ...
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Claims Service Representative, Accident Benefits
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Co-operators General Insurance Company Mississauga, CanadaCompany: CGIC · Department: Accident Benefit Claims · Employment Type: Regular Full-Time · Work Model: Hybrid · Language: English is required, French is an asset. · Additional Information: There are 2 positions available. · **The Opportunity**: · We are a leading Canadian financi ...
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Associate Claims Adjuster, Accident Benefits
16 hours ago
Northbridge Financial Corporation Toronto, CanadaNous sommes la Financière Northbridge. Nous sommes fiers d'être une société canadienne à 100 %, détenue en propriété exclusive par Fairfax Financial. Nous offrons nos services par l'entremise de nos marques Northbridge Assurance, Les assurances Federated et TruShield Assurance. N ...
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Intermediate Claims Adjuster, Accident Benefits
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Echelon Insurance Mississauga, Canada**About Us**: · Echelon Insurance provides Personal and Commercial Specialty Insurance solutions to protect Canadian families and businesses across Canada, through our trusted network of Broker partners. Echelon is a member of the CAA Club Group of Companies, and is an equal oppo ...
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Associate Claims Adjuster, Accident Benefits
4 days ago
Northbridge Financial Corporation Toronto, CanadaNous sommes la Financière Northbridge. Nous sommes fiers d'être une société canadienne à 100 %, détenue en propriété exclusive par Fairfax Financial. Nous offrons nos services par l'entremise de nos marques Northbridge Assurance, Les assurances Federated et TruShield Assurance. N ...
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Accident Benefits Coordinator
1 week ago
McLeish Orlando Toronto, Canada**Accident Benefits Coordinator**: · You would be reporting to and taking instructions from Law Clerks. You will be working on up to 200 files. · Among others, you will be responsible for the following tasks: · - Requesting and following up on productions - getting all reports/ l ...
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Adjuster (Accident Benefit)
1 week ago
Saskatchewan Government Insurance Toronto, CanadaDo you value integrity and innovation? How about passion and caring? Great Us too, and that's why you'll fit right in. Our intentional culture promotes trust and participation, encouraging you to bring your heart and mind to work every day. · Out-of-Scope · Work Location: This ro ...
Sr Representative, Claims- Accident Benefits - Mississauga, Canada - Definity
Description
Job Description
Reporting to the Team Leader, Accident Benefit Claims, you are accountable for investigating, evaluating and settling Accident Benefit claims
What can you expect in this role?
What do you bring to the role?
Salary range is $55,800 - $102,800
About Us
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?
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. In addition to base pay, 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.
Go ahead and expect a lot — you deserve it.
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 .
Background checks
This role requires successful clearance of background checks (including criminal checks and leadership references).
Sr Representative, Claims- Accident Benefits professionals in Mississauga
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gaurav shinde
Director, Technical Support