At a Glance
- Tasks: Review and negotiate complex accident benefit claims while interpreting insurance policies.
- Company: Join The Commonwell Mutual Insurance Group, a leader in protecting individuals together.
- Benefits: Remote work, competitive salary, and opportunities for professional growth.
- Other info: Inclusive workplace committed to barrier-free employment practices.
- Why this job: Make a real impact by helping individuals navigate their claims with empathy and expertise.
- Qualifications: Post-secondary education and 7+ years of experience in accident benefits required.
The predicted salary is between 67500 - 82500 $ per year.
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 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.
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.
Senior Accident Benefits Claims Adjuster employer: The Commonwell Mutual Insurance Group
At The Commonwell Mutual Insurance Group, we pride ourselves on being an exceptional employer that fosters a supportive and inclusive remote work environment. Our commitment to employee growth is evident through ongoing training and mentorship opportunities, ensuring that our team members can thrive while making a meaningful impact in the lives of those we serve. Join us to be part of a culture that values authenticity, collaboration, and professional development, all while working from the comfort of your own home in Ontario.
Contact Details:
The Commonwell Mutual Insurance Group Recruitment Team
