Accident Benefits Examiner Designated Bilingual (English-French)

The Ministry of Government and Consumer Services’ Risk Management and Insurance Services Branch is seeking a bilingual claims administrator to conduct and lead the negotiation and settlement of accident benefit claims and third-party bodily injury claims made against the Motor Vehicle Accident Claims Fund (MVACF).

What can I expect to do in this role?

In this role, you will:

• conduct/lead the negotiation/settlement of accident benefits and third-party bodily injury claims

• provide technical advice and guidance to stakeholders, ministry program areas/legal counsel on insurance coverage issues, claims-handling standards, protocols and process, mediation/litigation

• review, research, investigate, analyze, adjudicate and resolve accident benefit and third-party bodily injury claims

• assess reserves and financial impact of claims, as required by the program

• develop case management strategies/plans, and participate in file audits, and projects for the research, development and implementation of new/revised claims policies

• provide analytical reports, recommendations, briefing notes and advice to senior staff and management

Location: Toronto

How do I qualify?

Mandatory

• You must possess oral and written French language skills at the advanced level. Your proficiency level will be confirmed before hire.

Specialized Knowledge

• You have demonstrated knowledge of industry standards and best practices of insurance administration and claims investigation, and claims-handling protocols and procedures to provide expertise in support of the claims management program

• You have knowledge and experience in interpreting and applying relevant legislation (example: Motor Vehicle Accident Claims Act, Statutory Accident Benefits Schedule, Insurance Act)

• You have knowledge of auditing and risk management assessment practices to lead, and report on, file audits

Negotiation, Consultation and Customer Service Skills

• You have experience in negotiation, and influencing and customer service skills to interact with third-party adjusters, legal counsel and the public in the investigation and resolution of claims

• You have proven consultation and advisory skills to provide expert advice and assistance on statutory accident benefits claims entitlements, reserving and coverage interpretations and the impact of legislation on claims

Analytical, Research and Problem-Solving Skills

• You have experience in investigation, research and assessment of accident benefit and liability claims, and calculation and analysis of claims financial exposure

• You have demonstrated research skills to research existing case law, and statutes, assess trends of recent court decisions, and accurately evaluate/identify the Province's exposure and changes in case law

• You are able to conduct compliance and effectiveness audits of claims handling by third-party adjusters

Communication Skills

• You have proven oral and written communication skills to negotiate settlements, and conduct, and participate in, mediations, arbitrations and hearings

• You are able to prepare reports, correspondence and briefing notes, and respond to a range of queries

Other Essential Skills

• You have proven mathematical skills to calculate financial exposure and assess reserves

• You are proficient with computer applications to research and prepare materials and use program-related software (example: claims management system)

Salary Range: $74,136 - $109,246 Per Year

Additional information:

• 1 Bilingual Temporary, duration up to 12 months (with possibility of extension), 222 Jarvis St, Toronto, Toronto Region

Note:

• This ad is also available in French.

Please apply online, only, at www.ontario.ca/careers, quoting Job ID 164449, by Friday, August 6, 2021. Please follow the instructions to submit your application. Faxes are not being accepted at this time.

If you require a disability-related accommodation in order to participate in the recruitment process, please contact us at www.gojobs.gov.on.ca/ContactUs.aspx to provide your contact information. Recruitment Services staff will contact you within 48 hours. Only those applicants selected for an interview will be contacted.

The Ontario Public Service is an inclusive employer. Accommodation will be provided in accordance with Ontario’s Human Rights Code.

www.ontario.ca/careers