Claims Specialist – Complex Injury, Accident Benefits

Posted 5 days ago

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About the role

  • Claims Specialist handling complex Accident Benefits and catastrophic injury files for Intact Insurance. Assessing coverage, investigating claims, negotiating settlements, and mentoring claims staff across Ontario.

Responsibilities

  • Handle a pending of Accident Benefit files while receiving regular intake of Complex and Catastrophic claims
  • Analyze and interpret insurance policy wording to determine coverage and assess fair and equitable entitlements
  • Communicate timely and respectfully with customer claimants, lawyers, and rehabilitation experts, and report findings
  • Conduct investigations and identify additional information, including independent medical examinations and medical or employment history, to clarify or justify claims
  • Complete regular reporting and liaise with Technical Services to ensure appropriate action and reserving
  • Complete coaching initiatives
  • Perform other reasonable duties assigned to assist the Business

Requirements

  • University degree or any combination of training and experience deemed relevant for the role
  • At least 5+ years of Accident Benefit claims handling experience
  • Handling experience of complex and catastrophic files considered an asset
  • Knowledge of provincial legislation governing auto insurance
  • Experience in negotiations and independently settling Complex Accident Benefit files
  • Excellent communication and interpersonal skills with all levels of staff
  • Excellent customer service skills
  • Can-do attitude and openness to tackle new things
  • Must be eligible to work in Canada from the anticipated start date and throughout employment
  • Must maintain work eligibility in Canada; Intact does not provide immigration sponsorship or support

Benefits

  • Flexible work arrangements and a hybrid work model
  • Possibility to purchase up to 5 extra days off per year
  • Multiple benefits supporting physical and mental wellbeing, including telemedicine and Wellness account
  • Share plan and other savings: up to 12% of salary or more
  • Annual bonus target of 12% of base salary, with potential payout up to double the target, subject to personal and company performance
  • Employee Share Purchase Plan (ESPP), with Intact matching 50% of net shares
  • Defined benefit pension plan with opportunity to receive guaranteed income for life
  • Employee referral bonus eligibility
  • Workplace adjustments and accommodations for people with disabilities

Job type

Full Time

Experience level

Mid levelSenior

Salary

CA$94,200 - CA$115,200 per year

Degree requirement

No Education Requirement

Location requirements

HybridAjaxCanada

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