Automobile Claims Adjuster for National Accounts at ClaimsPro. Handling automotive claims including accidents and theft, ensuring high - level service throughout the claims process.
About the role
- Bilingual Disability Claims Specialist at Medavie supporting members through illness and recovery. Responsible for disability claim adjudication, case management, and building stakeholder relationships.
Responsibilities
- Responsible for the disability claim adjudication from the initial decision to building the right case management plan including identifying the supports needed for each case, monitoring treatment and the achievement of the plan, and working with the claimant, employer and providers involved in the case.
- Active case management of files, providing regular communication with all stakeholders and assessing the use of claims tools (rehab etc.) and requesting ongoing medical as needed.
- Provide assessment of key dates within the lifecycle of the claim and ensure case management plans are updated regularly.
- Ensure that required tasks within the assigned case load meet service level standards.
- Render timely and potentially difficult decisions and effectively communicate these decisions, while managing escalations with employers and claimants.
- Build effective relationships with key stakeholders (the claimants, the treatment providers and physicians, the employers, group administrators, human resources, and lawyers) to support recovery and return to work.
- Ensure effective and consistent use of our electronic case management system.
Requirements
- Education: University degree or a completed college diploma related to occupational health, disability management, kinesiology, Education, Human Resources, Legal Study areas are assets but are not limited.
- Work Experience: Candidates with a combination of education and/or experience with well-developed analytical, decision-making and problem-solving skills.
- Experience related to disability claims management, insurance benefits, adult education, kinesiology or other health-related industries or new graduates with a Degree or Diploma in Disability Management, Kinesiology, Rehabilitation Medicine or other health-sciences.
- Experience in a professional setting where you have the demonstrated ability to make critical decisions, solve problems and both work as a team and autonomously to pivot quickly and help clients navigate complex situations.
- Experience reviewing contracts, medical files and reports therefore experience in assessing different information sources to inform decisions and to advise customers is a definite asset.
- Proficiency working with Microsoft Office applications (Word, Excel and Outlook)
Benefits
- Comprehensive health, vision and dental plan that is 100% employer paid effective on your first day
- 100% employer-matched Defined Contribution Pension Plan
- Annual Incentive Bonus which recognizes your contribution to our success
- Paid vacation and additional Vacation Purchase Program
- Wellness benefits, health resources and fitness center discounts
- Flexible work arrangements and emphasis on work-life balance
- Participate virtually in our 15-week paid training program to set you up for success with necessary education, tools and resources
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Report this job
Found something wrong with the page? Please let us know by submitting a report below.
Claims Specialist managing complex investigations of claims at CNA. Responsible for settlement negotiations and compliance with regulations across various Canadian cities.
Claims Specialist handling high complexity property claims in Canada with a focus on superior customer service and effective negotiation on claims settlements.
Senior Casualty Claims Adjuster managing casualty and liability claims with a global legal services firm. Field - based with remote flexibility in the Greater Toronto Area.
Claims Adjuster managing bodily injury claims in a hybrid work setup. Involves client follow - ups, investigations, and maintaining high customer service standards while supporting field requests.
Claims Adjuster managing Bodily Injury claims within Edmonton area for ClaimsPro LP. Supporting field requests and ensuring business development opportunities are maximized.
Recovery Claims Adjuster focusing on property recoveries and subrogation claims at Aviva Canada. Investigating, negotiating and settling claims while delivering superior customer service.
Claims Coordinator managing dental claims for Alberta Blue Cross. Ensures payments are timely, maintains strong customer relationships, and suggests process improvements in a remote setting.
Claims Adjuster I assisting customers who suffered minor injuries from motor vehicle accidents. Ensuring positive customer journey during claims process with an accelerated training program.
Claims Representative investigating Auto Insurance claims for fair settlements. Responsible for fraud detection, liability determination, and communication with clients and legal parties.