Senior, Accident Benefits Claims Adjuster

InsuranceWorks.ca; Toronto; Remote; CAD 80,000 - 110,000; Full time

Job summary

A leading insurance company is seeking a Senior Accident Benefits Claims Adjuster to manage complex claims and mentor staff. The ideal candidate will possess over seven years of experience, expert knowledge of insurance regulations, and strong negotiation skills. The position offers a remote work environment and a competitive compensation package along with numerous employee benefits.

Benefits

Remote work environment

Flexible work arrangements

Competitive compensation package

Training and development opportunities

Pension and savings programs

Wellness and recognition programs

Qualifications

• Minimum 7 years in insurance, specifically accident benefits.
• Expert knowledge of regulations and policy wording for claims.
• Demonstrated ability in problem solving and negotiation.

Responsibilities

• Review and negotiate complex accident benefit claims.
• Interpret insurance policy wording and set reserves.
• Accountable for claims at all transaction levels.

Skills

Problem Solving

Negotiation

Communication

Technical Leadership

Education

Post-Secondary Education

CIP (working towards or completed)

Tools

Microsoft Office

Job description

Job title: Senior Accident Benefits Claims Adjuster

Job Location: Remote

Here at The Commonwell, we are all about Protecting Individuals, Together! Our vision is to continue to build an environment that develops and attracts the very best by empowering everyone to foster a workplace where everyone can perform at their very best, be their authentic self and bring their whole self to work.

The Opportunity

The purpose of this position is to review, analyze, evaluate and negotiate complex and catastrophic claims related to Accident Benefit claims. As well as interpret insurance policy wording, determine policy coverages and set reserves on Accident Benefit claims.

Who You Are

• Exemplifies the necessary skills to support and lead, where required, the technical development of staff within the claims department through training and mentorship
• Active working relationships with all functional units of the organization

How You Will Create An Impact

The expectation for this role is that the incumbent has attained the relevant technical knowledge that is required to handle complex and catastrophic claims including the following:

• Expert knowledge of all relevant regulations, including the Statutory Accident Benefit Schedule and the Insurance Act
• Expert competency in reading and interpreting all policy wordings relevant to claims assigned
• Expert competency in comprehension of reserve calculations and exposure
• Expert competency and knowledge with LAT’s and claims resolution processes.
• Expert demonstration of interpretation and understanding of Insurer’s Examination reports
• Accountable for claims at all transaction levels including, coverage interpretation, evaluation, reserve adjustments, payments, written and verbal communication, expert requirements and internal reporting requirements
• Settlement of claims within personal authority and follow company guidelines on claims exceeding personal authority

What You Will Bring

• Completion of Post-Secondary Education and a minimum of seven years of insurance, in accident benefits is required
• Working towards, or completion of CIP, and an active pursuer of the necessary education to respond to a changing marketplace
• Sound morals, ethics and confidentiality with ability to develop trusting and effective working relationships with peers and employees
• Demonstrated ability to exercise confidentiality and empathy are required when dealing with insured’s and claimants
• Superior problem solving and negotiation are required
• Strong computer literacy, proficiency in all Microsoft Office programs and internet navigation

Perks of being a Commonwell Crew Member:

• Remote work environment
• Flexible Work arrangements
• Competitive Compensation Package
• Training and Development Opportunities
• Pension and savings programs
• Wellness and Recognition programs/Platforms

JOIN THE#Commonwell Crew!We saved you a spot!

Accommodations: The Commonwell is an equal opportunity employer committed to ensuring barrier free employment practices. Should you require accommodations throughout the recruitment process, please let us know, and we will work with you to meet your needs.