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23 Jan 2018

Full-Time Claims Adjuster – Accident Benefits – Intermediate Level

Insurance Career Network – Posted by Jan Mahood Toronto, Ontario, Canada

Job Description

General Accountability
Responsible for investigating, negotiating and settling routine and moderately complex automobile accident benefit claims. Determines coverage in accordance with policy wordings and applicable automobile accident benefits legislation and regulations.Reports to:   Director, Ontario Regional Claims
Key Accountabilities1.      Claims Adjusting

  • Adjudicates routine and moderately complex accident benefits claims.
  • Assigns, conducts and oversees investigations and examines, negotiates and settles accident benefits claims.
  • Maintains a diary system to monitor and ensure delivery of accident benefits payments in accordance with the regulations.
    Ensures file records are up to date with all information, notes and documentation.
    Maintains proper reserves as per exposure and developments.
    Participates in the dispute resolution process, arbitrations and legal proceedings.

2.      Customer Experience

  • Supports corporate culture and vision which fosters positive relationship with our customers.
    Provides timely and professional customer service.
    Handles claims issues and resolutions in a proactive manner.
  • Builds and maintains positive working relationship with insureds, brokers, service providers and industry participants.

Education and experience

  • Six Chartered Insurance Professional (CIP) courses.
  • Five years experience in accident benefit claims handling.
  • Knowledge of the principles and practice of insurance, claims policies and procedures, and automobile insurance products.
  • Knowledge of medical terminology and vocational rehabilitation concepts.
  • Knowledge of the legal process as it relates to accident benefits.
  • Knowledge of Ontario’s automobile accident benefits legislation and regulations, including the statutory accident benefits schedule

How to Apply

Insurance Career Network is a recruitment agency focused exclusively on the insurance industry. Our relationships, knowledge and experience enable us to connect leading insurers, brokerages, and independent insurance firms with the most talented candidates for each role.
For consideration send your resume to jan@insurancecareernet.com or contact Jan at 416 703 5120 ext. 202

Job Categories: AB. Job Types: Full-Time.

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