Int Representative, Accident Benefits - ATLANTIC

Starr Underwriting; Dartmouth; On-site; CAD 50,000 - 93,000; Full time

Job summary

An established industry player is seeking a dedicated claims professional to join their team. In this role, you will be responsible for investigating and settling accident benefit claims, ensuring compliance with the Insurance Act. You will work closely with claimants, assess coverage eligibility, and maintain detailed records. The ideal candidate will have a university degree or college diploma, along with 2-3 years of claims handling experience. This is an excellent opportunity to contribute to a supportive environment where your skills will be valued and recognized.

Qualifications

• 2-3 years of claims handling experience required.
• Must have strong written and verbal communication skills.

Responsibilities

• Investigate, evaluate, and settle accident benefit claims.
• Process income replacement and attendant care claims.
• Maintain detailed file records on an electronic claims system.

Skills

Claims Handling

Communication Skills

MS Word

MS Excel

Customer Service

Education

University Degree

College Diploma in a Related Field

CIP Designation

Job description

Reporting 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 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.
• Processing income replacement, non-earner, and attendant care claims.
• Reserving files appropriately after assessing claims.
• 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 applicable legislation.
• Reviewing and approving, when appropriate, treatment plans for claimant rehabilitation.
• Arranging insurer examinations to determine benefits eligibility.
• Preparing referral packages and obtaining necessary medical information for insurer examinations.
• Responding to assessment recommendations.
• Other duties as assigned.

What do you bring to the role?

• University degree, college diploma in a 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 is $50,200 - $92,500.