Int Representative, Claims Accident Benefits

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

Job summary

A leading company in the insurance sector is seeking an Accident Benefit Claims Analyst to join their team. The role centers around investigating, evaluating, and settling accident benefit claims in compliance with the Insurance Act. Candidates should possess a university degree or relevant diploma, along with claims handling experience. This position demands strong communication skills, proficiency in MS Office, and a collaborative spirit to navigate an evolving environment.

Qualifications

• Minimum 2-3 years of claims handling experience.
• Able to perform well in a busy operation.
• Strong written and verbal communication skills.

Responsibilities

• Investigating and settling accident benefit claims.
• Reviewing and applying interpretations of policy wordings.
• Processing income replacement and attendant care claims.

Skills

Communication

MS Word

MS Excel

Teamwork

Adaptability

Customer service

Education

University degree or college diploma in 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
• 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 do you bring to the role?

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