Claims Representative I, Accident Benefits

Co-operators; Edmonton; Hybrid; CAD 50,000 - 84,000; Full time

Benefits offered by this job

Flexible work options

Paid time off

Total rewards package (pension and Ben

Volunteer days

Health and wellness programs

Job summary

CGIC is currently seeking an Accident Benefits Claims Representative to investigate, negotiate and settle automobile accident benefit claims in a hybrid work environment. The role requires at least 1 year of insurance experience or 2 years of related work and involves collaboration with claimants, physicians, and providers to develop effective case management plans.

The successful candidate will interpret coverage, reserve adequately, and participate in defense litigation and ADR as needed,

Qualifications

• University/College Degree required.
• One year insurance experience or two years of related work experience.
• Working toward Chartered Insurance Professional (CIP) courses preferred.
• Proficient with Microsoft Office, internet and email systems.

Responsibilities

• Investigate, interpret coverage, reserve adequately, negotiate and settle automobile accident benefit claims.
• Provide quality client service in accordance with claims service standards.
• Actively participate with claimants, physicians, treatment providers and others in the development and monitoring of appropriate case management plans.
• Handle files in defense litigation and ADR using litigation management guidelines.
• Set up and maintain files for assigned claims and authorize payments up to $75,000.

Skills

Communication skills

Team player

Critical thinking

MS Office proficiency

Client service orientation

Education

University/College Degree

Tools

Microsoft Office

Job description

Company: CGIC

Department: 0

Employment Type: Regular Full-Time

Work Model: Hybrid (2 days in office)

Language: These roles are currently vacant

The Opportunity

We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy. That's why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose. The best part is that you will work with people that care passionately about you, our clients and our communities.

The Accident Benefits Claims Representative is responsible for investigation, negotiation and settlement of automobile accident benefit claims.

How You Will Create Impact

• Investigate, interpret coverage, reserve adequately, negotiate and settle automobile accident benefit claims.
• Contribute to a client service culture by embedding client engagement philosophies into daily work and implementing innovative, client‑centric decision making, to be THE industry leader in client engagement.
• Provide quality client service in accordance with claims service standards.
• Actively participate with claimants, physicians, treatment providers, employers, rehabilitation workers and other service providers in the development, approval, implementation and monitoring of appropriate case management plans for clients.
• Handle files in defense litigation and Alternative Dispute Resolution (ADR), using litigation management guidelines.
• Set up and maintain files for assigned claims.
• Authorize payments and reserves up to $75,000 authority.

To Join Our Team

• One (1) year insurance experience or two (2) years of related work experience
• Working towards Chartered Insurance Professional (CIP) courses
• Well developed computer skills in Microsoft Office software, internet, email systems.
• Provincial adjuster license(s) maybe required dependent on the province of work.
• University/College Degree.

How You Will Succeed

• You influence change and are committed to continuous improvement, in order to exceed client expectations.
• You leverage critical thinking skills to identify problems and proactively propose solutions.
• Your strong communication skills allow you to clearly convey messages.
• You're an effective team player who shares knowledge to support our peers.

What You Need To Know

• You will be subject to a Background check as a condition of employment, in the event you are the successful candidate.

What's in it for you?

• Training and development opportunities to grow your career.
• Flexible work options and paid time off to support your personal and family needs.
• A holistic approach to your well‑being, with physical and mental health programs and a supportive workplace culture.
• Paid volunteer days to give back to your community.
• In addition to our competitive salary and incentive programs, eligible employees also benefit from a comprehensive total rewards package including group retirement savings plans, pension and benefits (e.g., health and wellness, dental, disability and life coverage), mental health support and an employee assistance program.

Salary information

Expected Salary range : 50,280.00 to 83,800.00

The salary amount for the successful candidate is determined by Co-operators in its discretion and will vary depending on several criteria including but not limited to: local market conditions, geography and relevant job‑related factors such as knowledge, skills, qualification, experience and education.

Employees may also have the opportunity to participate in incentive programs and earn additional compensation tied to individual and/or business performance, or other business metrics.