Accident Benefits Adjuster

Erie Mutual Insurance; Dunnville; Hybrid; CAD 60,000 - 80,000; Full time

Job summary

A leading insurance provider in Dunnville, Ontario seeks an experienced Accident Benefits Adjuster to manage claims processes. This role involves investigating, evaluating, and settling claims while ensuring high customer satisfaction. Candidates should possess strong analytical, negotiation, and communication skills. A hybrid work environment is offered along with comprehensive benefits such as health and dental coverage.

Benefits

Hybrid work environment

Health & Dental benefits

Group RSP

Learning geared environment

Educational Assistance

Qualifications

• Minimum 4 years accident benefits claim handling or insurance adjusting experience.
• Detail oriented with a high degree of accuracy regarding data entry.
• Willingness to improve and meet licensing requirements.

Responsibilities

• Adjust accident benefit claims of low to moderate complexity.
• Provide support to injured members throughout the claims process.
• Negotiate claims settlements within authority limits.

Skills

Investigative skills

Analytical skills

Time management

Negotiation skills

Customer service skills

Communication skills

Teamwork skills

Education

Chartered Insurance Professional (CIP) designation willingness

Job description

Claims Department - Dunnville, Ontario

Erie Mutual is a 150-year-old company providing Home, Auto, Commercial and Farm Insurance to its valued members. As a mutual, our policyholders are members as well as owners.

Role Description

We are seeking an experienced Accident Benefits Adjuster to assist our Claims team. You would report directly to the Claims Manager while investigating, evaluating and settling accident benefit claims in accordance with the Insurance act.

Our Mission

Like most companies, Erie Mutual has a mission, and it’s not about us. It’s about being the best we can be at the worst of times for our members. It’s to hold onto and provide a level of service that we know people appreciate. It’s not just an insurance policy, it’s protecting your member’s future.

Benefits

• Hybrid work environment
• Health & Dental benefits
• Group RSP
• Serene commute
• Learning geared environment
• Educational Assistance

Qualifications

• Minimum 4 years accident benefits claim handling or insurance adjusting experience
• Proven investigative and analytical skills. Detail oriented with a high degree of accuracy regarding data entry.
• Excellent time management and organizational skills with the ability to prioritize work in a fast paced, changing environment.
• Good negotiation, decision making and critical thinking skills as well as a willingness to improve.
• Exceptional customer service skills demonstrating empathy and concern for member satisfaction.
• Willingness to work toward Chartered Insurance Professional (CIP) designation and where required, dedicated to reach the proper licensing requirements.
• Basic knowledge of medical terminology.
• Strong written and verbal communication skills
• Strong teamwork skills with the ability to collaborate with others.

Job Responsibilities

• Adjustment of Accident Benefit claims of low to moderate complexity.
• Provide direction and support to our injured members throughout the claims process
• Review and interpret policy wordings, determine policy coverage, and communicate coverage decisions to members.
• Establish timely and accurate loss and expense reserves throughout the life of the claim by evaluation of relevant information
• Ensure a comprehensive investigation is conducted on all files to determine coverages and liability, while adhering to our adjusting guidelines
• Coordinate and manage services with vendors and service providers such as accountants, lawyers, rehabilitation clinics and health practitioners
• Negotiate claims settlements within authority limits.
• Communicate claims decisions promptly and effectively
• Prepare files for arbitration and litigation.
• Demonstrate and maintain knowledge and understanding of policy coverages, while complying with regional regulatory and licensing requirements (as applicable).
• Liaise with claimants, doctors and rehabilitation specialists Doctors, Lawyers, Employers, Treatment Providers, Case managers, Clinical Resource Team, Return to Work Team, and Injured Members.
• Perform other duties as assigned.

We thank all interested applicants for their interest; however, only those candidates selected for an interview will be contacted.

Erie Mutual will provide accommodations for persons with disabilities, where needed, to support their participation in our recruitment process.

If this sounds like a great opportunity to you, I invite you to submit your application by October 15, 2025.