Sr Claims Technical Advisor, Accident Benefits

Definity; Toronto; Hybrid; CAD 88,000 - 138,000; Full time

Benefits offered by this job

Hybrid work schedule

Job summary

Definity is seeking an experienced Senior Claims professional to lead investigations of large and complex claims in a hybrid role. You will coach staff, ensure adherence to claims standards, and partner with stakeholders to drive effective claims management and development.

The position requires a university degree or CIP designation and 5+ years in accident benefits with complex claims. Strong communication and supervisory skills are essential. Hybrid schedule offered. Salary range applies.

Qualifications

• 5+ years of experience in accident benefits and dealing with large losses and complex claims.
• Experience managing claims through the dispute resolution process.
• Understanding of the Statutory Accident Benefits Schedule.
• Strong oral and written communication skills; coaching abilities.
• Supervisory experience and ability to guide team members.
• Professional, friendly and courteous interactions, even under pressure.

Responsibilities

• Provide ongoing coaching and instructions in investigation/adjustment of large and complex claims.
• Direct handling of large or complex claims.
• Review risks on large losses and provide technical leadership to claims staff.
• Provide feedback and guidance to Team Leaders on staff performance.
• Liaise with Underwriting and Claims Technical Advisors on policy matters.
• Maintain accurate reserves with Claims Representatives.

Skills

Coaching

Large losses

Claims guidance

Communication skills

Decision making

Team player

Supervisory experience

Education

Bachelor/College degree or CIP designation

Job description

Job Description

Leads and provides technical expertise on complex claims, coaches and supports claims staff, ensures compliance with claims standards, and partners with stakeholders to drive effective claims management and development.

What To Expect

• Provide ongoing coaching and instructions in the investigation/adjustment of large and complex claims
• Direct handling of large or complex claims
• Reviewing risks and exposures on large and complex losses and provide technical leadership to claims personnel
• Provide feedback and guidance to Team Leaders regarding the claims staff's performance
• Provide technical support to the Line Managers
• Liaising with Underwriting online-specific technical matters
• Work with Claims Representatives to set and maintain accurate reserves
• Ensuring corporate claims standards, policies and procedures are adhered to
• Overseeing and undertaking file reviews and audits, completing reports, outlining findings and assisting with corporate audits
• Assist Team Leaders with staff development by participating and developing action plans to resolve litigation files
• Liaise with Claims Technical Advisors on matters relating to line-specific policies, procedures and standards
• Provide relevant updates for industry, legal and corporate developments to the region through in-house seminars and/or communications

What You Bring

• Completed university degree or college diploma or CIP designation
• Minimum 5 years of experience in accident benefits and dealing with large losses and complex claims and a similar length of experience managing claims through the dispute resolution process
• An understanding of the Statutory Accident Benefits Schedule
• Good oral and written communications skills, influencing and coaching abilities
• Prior supervisory level experience and the ability to provide technical guidance to team members would be a strong asset
• Professional, friendly and courteous in all interactions - whether with customers or co-workers
• Performs well in a busy operation and remains calm under pressure
• Able to make sound decisions in a timely manner, at times with limited information
• Team player adaptable to a changing environment

Salary Range: $88,000- $138,000

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

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.

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.