- 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
- 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.
- 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.
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Intermediate Representative, Accident Benefits
6 hours ago
Definity Waterloo, CanadaJob ID : 6506 · Category : Claims · Brand : Definity · Regular/Temporary : Regular · Fulltime/Parttime : Full Time · Location : Waterloo, Canada · Definity includes some of Canada's most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insuran ...
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Definity Financial Corporation Waterloo, CanadaJob ID : 6825 · Category : Claims · Brand : Definity · Regular/Temporary : Regular · Fulltime/Parttime : Full Time · Location : Waterloo, Canada · Definity includes some of Canada's most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insuran ...
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Definity Financial Corporation Kitchener, CanadaJob ID : 6825 · Category : Claims · Brand : Definity · Regular/Temporary : Regular · Fulltime/Parttime : Full Time · Location : Kitchener, Canada · Definity includes some of Canada's most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insura ...
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Specialist, Claims- Accident Benefits New
1 week ago
Definity Financial Corporation Waterloo, CanadaJob ID : 7366 · Category : Claims · Brand : Definity · Regular/Temporary : Regular · Fulltime/Parttime : Full Time · Location : Waterloo, Canada · Posting Range : $55,800 - $102,800 · Definity is the parent company to some of Canada's most long-standing and innovative insurance b ...
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Accident Benefits Law Clerk
6 days ago
Definity Waterloo, Canada CasualJob Description · What can you expect in this role? · General file handling and practice management for Accident Benefit, EUO, Priority, Loss Transfer and some Civil Litigation matters · Review documents and prepare summaries · Prepare and compile documents/briefs as assigne ...
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Contentious Team Leader, Accident Benefits
2 weeks ago
Definity Careers Waterloo, Canada Full timeWhat can you expect in this role? · Reporting to the Accident Benefits Manager, you have a fraud focus and will be accountable for the leadership and technical direction of your team relative to efficient handling of all aspects of claims in accordance with the Insurance Act and ...
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Sr Representative, Claims- Accident Benefits
3 days ago
Definity Careers Waterloo, Canada Full timeReporting 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? · Report to the Team Leader, Accident Benefit Claims, while investigating, evaluating and settling ac ...
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Gore Mutual Insurance Cambridge, Canada**We're now at the boldest phase of our Next Horizon journey** · At Gore Mutual, we've completely transformed our business in under three years. By investing in top talent and leading technology, we've redefined what it means to be a modern mutual that does good. · Our path forwa ...
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Co-operators Guelph, Canada Full timeCompany: 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 financial ...
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Dock Worker
1 week ago
The Erb Group of Companies Waterloo, Canada**Job title**:Dock Worker - Receiver · **Job Location**:Baden · **Position Type**:Onsite · **Shift Hours**: Sunday to Thursday; 11:30pm - 8:00am & Flexible to support weekends as required · **Compensation**: $22.11 / hour · **We Bring Food to Your Family's Table** · The Erb Group ...
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Safety Officer
6 hours ago
Davidson Contract Services Kitchener, CanadaWork Term: Permanent · - Work Language: English · - Hours: 40 to 50 hours per week · - Education: Secondary (high) school graduation certificate · - Experience: 1 year to less than 2 years · **Work setting**: · - Trucking company · - Transportation, communication and utilities · ...
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Legal Assistant
2 days ago
Definity Financial Corporation Waterloo, CanadaJob ID : 7302 · Category : Strategy & Legal · Brand : Definity · Regular/Temporary : Regular · Fulltime/Parttime : Full Time · Location : Waterloo, Canada · Posting Range : $42,400 - $78,100 · Definity is the parent company to some of Canada's most long-standing and innovative in ...
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Health & Safety Specialist
3 days ago
Golden Windows Kitchener, Canada**Perks & Benefits**: · - Competitive wages and benefits · - Profit sharing · - RSP program · - Air conditioned office and plant · - Employee and family events · **Key Responsibilities**: · - Assist with the implementation and ongoing administration of the company's occupational ...
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Prepper
6 days ago
Assured Automotive Kitchener, CanadaAssured Automotive, ON Kitchener-Waterloo · **Job Description**: · ** Industry Leading Compensation, Benefits & Training ** · We are seeking a qualified Auto Body Refinish Prepper to join our winning team. We offer opportunities to Maximize your Earning Potential with competitive ...
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Safety Officer
1 week ago
Davidson Contract Services Kitchener, CanadaEducation: Secondary (high) school graduation certificate · - Experience: 1 to less than 7 months · **Work setting**: · - Transportation, communication and utilities · **Tasks**: · - Provide information/training to employers, employees and general public · - Develop and implement ...
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Physiotherapy Office Manager
1 week ago
Waterloo Physiotherapy Waterloo, CanadaResponsibilities include: · - Scheduling patients and taking payments with debit machine · - Answering the phone · - Communicating with insurance adjusters · - Typing: treatment plans, work notes, doctor's notes, etc. · - Filing and organizing · - General cleaning and office main ...
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School Bus Driver
1 week ago
Voyageur Transportation Services Kitchener, CanadaEducation: No degree, certificate or diploma · - Experience: Experience an asset · **Tasks**: · - Operate buses, school busses or streetcars to transport passengers · - Provide passengers with information on fares, schedules and stops · - Collect fares and record transactions · - ...
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Transport Driver
1 week ago
Davidson Contract Services Kitchener, CanadaEducation: Other trades certificate or diploma · - Experience: 1 year to less than 2 years · **Work setting**: · - Various locations · **Tasks**: · - Perform pre-trip, en route and post-trip inspection and oversee all aspects of vehicle · - Receive and relay information to centra ...
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Transport Driver
4 days ago
Davidson Contract Services Kitchener, CanadaWork Term: Permanent · - Work Language: English · - Hours: 40 to 60 hours per week · - Education: No degree, certificate or diploma · - Experience: 2 years to less than 3 years · **Work setting**: · - Various locations · **Tasks**: · - Perform pre-trip, en route and post-trip ins ...
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Ab Claims Representative I
2 days ago
Heartland Farm Mutual Inc. Waterloo, CanadaLocated in Ontario and Nova Scotia, Heartland Mutual Insurance strives to be the Best Mutual. Our team of talented and dedicated professionals challenge the norm and strive to be extraordinary. It's all about fulfilling our promise with a personal approach. With our team, you'll ...
Specialist, Claims- Accident Benefits - Waterloo, Canada - Definity Careers
Description
Reporting to the Team Leader, Accident Benefits, you are accountable for handling highly complex, severe and contentious Accident Benefit claims in accordance with the Statutory Accident Benefits Schedule.
Specific Responsibilities:
Personal Characteristics:
Qualifications:
Salary range is $55,800 - $102,800
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