Int Representative, Accident Benefits

Definity; Southwestern Ontario; Hybrid; CAD 51,000 - 94,000; Full time

Benefits offered by this job

Hybrid work schedule

Company share ownership program

Incentive program

Pension and RRSP matching

Volunteer days and charitable matching

Tuition assistance

Inclusion and wellness programs

Discounts on products and services

Job summary

Definity seeks a Claims professional to investigate, evaluate and settle Accident Benefit claims under the Insurance Act. You will secure details from claimants and representatives, assess coverage, apply policy interpretations, and process various benefit claims.

With 2–3 years of experience, you’ll work in a hybrid environment, contributing to a collaborative team. Expect strong development opportunities, a company pension plan and employee benefits.

Qualifications

• University degree, college diploma in related field or the CIP designation.
• Minimum 2-3 years of claims handling experience.
• Proficient in MS Word and Excel.
• Professional, friendly and courteous in all interactions 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.

Responsibilities

• Investigate, evaluate and settle accident benefit claims in accordance with the Insurance Act.
• Secure details of claims by corresponding with claimants and/or representatives.
• Assess coverage eligibility and apply interpretations of policy wordings.
• Apply Priority Rules chart to each claim file.
• Process income replacement, non-earner, and attendant care claims.
• Maintain detailed file records on an electronic claims system.
• Coordinate the most effective course of action for claims and respond to assessments.
• Review and approve treatment plans for claimant rehabilitation when appropriate.
• Arrange insurer examinations to determine benefits eligibility and prepare referral packages.

Skills

Communication skills

Team player

Calm under pressure

Professional demeanor

Education

University degree, college diploma or CIP designation

Tools

MS Word

Excel

Job description

Job Description

Reporting to the Team Leader, Accident Benefit Claims, you are accountable for investigating, evaluating and settling Accident Benefit claims

The Opportunity

What To Expect

• 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

What You Bring

• University degree, college diploma in related field or the CIP designation
• Minimum 2-3 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

Salary Range:

$51,300 - $94,400

About Us

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.

This position is being posted to fill an existing vacancy.

What’s in it for you?

• Hybrid work schedule for most roles
• Company share ownership program
• Incentive Program - 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.
• 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

Go ahead and expect a lot — you deserve it.

It’s better here — but don’t take our word for it. Definity was named by Great Place to Work as one of the Best Workplaces in Canada for women, for youth, and for inclusion.

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 [e-mail].

As part of Definity’s commitment to reconciliation, we acknowledge that our work, meetings, and travel take place on the lands now known as Canada, and recognize the enduring presence, wisdom, and stewardship of the First Nations, Métis, and Inuit peoples who have long cared for these lands.

Background checks

This role requires successful clearance of background checks (including criminal checks and leadership references).

About The Team

Definity is the parent company to some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. Our ambition is to be one of Canada’s leading and most innovative property and casualty insurers. We can’t do that without our people, so we embrace and encourage a culture that’s collaborative, ambitious, rewarding, and empowering.

We offer a flexible, hybrid work experience where employees work from the office and virtually depending on the type of work they are doing and who they are working with. Bring your true self and be a part of our journey. It’s better here.