Claims Specialist, Accident Benefits Level 2

The Commonwell Mutual Insurance Group; United States; Remote; USD 64,000 - 82,000; Full time

Benefits offered by this job

Remote-first

Flexible Work Policy

Competitive compensation package

Training and career development

Community involvement opportunities

Corporate Wellness Program

Job summary

The Commonwell Mutual Insurance Group is seeking a Claims Specialist Level 2, Accident Benefits for a remote role in the United States. This position reviews, analyzes, negotiates, and settles mid-to-complex accident benefits claims and may coordinate with independent adjusters and medical experts.

Ideal candidates will have 3–5 years of insurance experience, strong customer service, excellent communication, and the ability to mentor junior staff while ensuring accurate policy interpretation and

Qualifications

• 3–5 years of insurance experience, preferably in claims.
• Strong customer service and communication skills.
• Ability to mentor Level 1 Claims staff and support others.

Responsibilities

• Review, analyze, negotiate, and settle moderate to complex Accident Benefits claims.
• Investigate losses thoroughly when needed and assign appropriate experts.
• Provide mentorship and technical training to peers.

Skills

Customer service

Negotiation

Communication

Team oriented

Organization

Attention to detail

Problem solving

Microsoft Office

Education

Post-secondary education

CIP designation (in progress)

Tools

Microsoft Office

Job description

Job title: Claims Specialist Level 2, Accident Benefits

Job location: Remote

Reason for hiring: Current Vacancy

Salary Range: The expected base salary range for this position is $64,000 to $82,000

WHO WE ARE

The Commonwell Mutual Insurance Group isn’t just another insurance company — we’re a property & casualty mutual insurer with deep roots in Ontario communities. We’re proud to lead the industry by offering a mutual experience grounded in history, opportunity, and exceptional service.

At The Commonwell, we believe in profitable growth, creativity, development, and having fun while doing meaningful work. We support work-life balance and take pride in delivering on our promises.

What sets us apart? Our commitment to authentic personal relationships. While technology helps make the process easier, it’s the human connection that truly makes the difference.

OUR PROMISE TO YOU

At The Commonwell, we’re all about Protecting Individuals, Together. Our vision is to create a workplace where everyone can thrive, be their authentic selves, and bring their whole self to work.

We are committed to inclusion in recruitment, hiring, professional development, and advancement. We actively work to eliminate bias from our processes and welcome diversity of thought, background, and experience.

We promote open dialogue, offer unconscious bias and inclusivity training, and support employee resource groups to ensure that diverse perspectives are heard and valued.

THE OPPORTUNITY

The purpose of this position is to review, analyze, negotiate, and settle moderate to complex claims related to Accident Benefits. The incumbent is responsible for thoroughly investigating these losses where necessary, as well as assigning the appropriate independent adjuster and relevant experts to assist in the effective management and resolution of the claim. Supporting the technical development of their peer group through technical training and mentorship is also a key element of this role.

WHO YOU ARE

• Strong customer service orientation
• Excellent written and verbal communication
• Team-oriented and engaging
• Strong negotiation and dispute resolution skills
• Great organizational skills and ability to multitask
• Thorough attention to detail
• Exceptional problem-solving skills

HOW YOU WILL CREATE AN IMPACT

• Expert knowledge of Ontario SABS Regulations
• Working knowledge of benefit entitlement as well as priority, loss transfer and WSIB issues
• Working knowledge and ability of reading and interpreting all relevant policy wordings including the OAP, and most OPCF endorsements
• Working comprehension of reserve calculation and exposures
• Working knowledge of reinsurance restrictions of the reinsurance treaty
• Proficient knowledge of other relevant regulations, including the Insurance Act, WSIB and case law/arbitration decisions, requiring some support in interpretation
• Proficient demonstration of interpretation and understanding of medical terminology and prognosis

WHAT YOU WILL BRING

Completion of Post-Secondary Education and a minimum of 3-5 years of insurance experience, preferably in claims, is required

• Prior experience in customer service
• Ability to provide technical training and mentorship to Level 1 Claims, and Claims Support staff
• Working towards, or completion of the CIP designation, and an active pursuer of the necessary education to respond to a changing marketplace
• Great organizational skills and ability to multitask is required
• Thorough attention to detail is a must to ensure accuracy of claims documents, policy coverage interpretation and recognition of financial exposure
• Ability to perform moderate mathematical calculations is required
• Effective communication skills: verbal, non-verbal and written
• Sound morals, ethics, and confidentiality with ability to develop trusting and effective working relationships with peers and employees
• Ability to exercise confidentiality and empathy are required when dealing with insureds and claimants
• Exceptional problem-solving skills and negotiation skills are required for this position
• Strong computer literacy including proficiency in all Microsoft Office programs and Internet navigation

PERKS OF BEING A COMMONWELL CREW MEMBER

• Remote-first workplace
• Flexible Work Policy
• Competitive compensation and benefits package
• Opportunities for training and career development
• Community involvement and volunteering opportunities
• Corporate Wellness Program

About the Salary Ranges - Please note that the salary range mentioned in this job posting should serve simply as a guide. The final compensation offered may vary based on a variety of factors, including a candidate’s experience, skills, and location. Our company is committed to providing a fair, equitable, and competitive package that reflects the value an individual brings to the organization and that aligns to the market.

Our Hiring Approach - We believe in human-centred hiring. The Commonwell does not use artificial intelligence to screen or evaluate candidates — your application will be reviewed by a real person on our team. We thank all applicants for their interest however, only those selected for an interview will be contacted.

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

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