Accident Benefits Claims Adjuster II (MIG) – Ontario

Heartland Mutual Insurance; Kitchener; Sur place; CAD 62 000 - 93 000; Plein temps

Avantages offerts par ce poste

Competitive base salary + bonus

Health and wellness benefits

Pension plan

Résumé du poste

Heartland Mutual Insurance in Waterloo, Ontario, seeks an experienced Adjuster Level II to manage Accident Benefits claims, including MIG and non-complex disputes. You will support early investigations of potential fraud, coordinate with medical providers and legal teams, and contribute to stretch development toward Level III.

You will work within a collaborative team, ensuring timely adjudication, accurate reserving, and regulatory compliance under SABS. CIP in progress is preferred.

Qualifications

• 2-4 years of Accident Benefits adjusting experience.
• Post-secondary education in Insurance, Business, or a related field; CIP designation in progress preferred.

Responsabilités

• Independently manage MIG claims, including income replacement, medical and rehabilitation benefits.
• Handle non-complex priority disputes with clear documentation and analysis.
• Ensure timely adjudication of benefits, reserving accuracy, and compliance with SABS timelines.
• Maintain professional communication with claimants, medical providers, and internal partners.
• Coordinate assessments and follow up on insurer examinations and independent evaluations.
• Identify potential indicators of fraud and escalate as needed.
• Collaborate with Appraisers, Legal Counsel, and Medical Consultants for case resolution.

Connaissances

Analytical thinking

Interpersonal skills

Decision making

Customer service

Formation

Post-secondary education in Insurance, Business, or related field

CIP designation in progress

Description du poste

Heartland Mutual Insurance in Waterloo, Ontario, seeks an experienced Adjuster Level II to manage Accident Benefits claims, including MIG and non-complex disputes. You will support early investigations of potential fraud, coordinate with medical providers and legal teams, and contribute to stretch development toward Level III.

You will work within a collaborative team, ensuring timely adjudication, accurate reserving, and regulatory compliance under SABS. CIP in progress is preferred.