Claims Representative II – Accident Benefits

Number of Positions: 5

Language: Bilingualism in English and French is an asset.

Work Model: Hybrid

Additional Information:
The work location for this role is flexible across Ontario.

The Opportunity:

We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy. That’s why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose. The best part is that you will work with people that care passionately about you, our clients, and our communities.

Our Claims team aspires to create peace of mind for our clients and our communities. Our national team of knowledgeable and trusted professionals serve our clients with compassion. We are passionate about continuous improvement and operate with high-integrity, motivated by our desire to do the right thing for our clients.

As an Accident Benefits Claims Representative II you will be responsible for the investigation, negotiation and resolution of complex claims. You will contribute to our client service culture through daily interactions with clients and by implementing innovative, client-centric solutions. 

How you will create impact:

• Investigating, interpreting coverage, negotiating and making decisions autonomously, to resolve complex automobile Accident Benefit claims.

• Collaborating with clients, physicians, treatment providers, employers and rehabilitation workers in the development, approval, implementation and monitoring of case management plans for clients.

• Managing complex files in defense litigation and Alternative Dispute Resolution (ADR).

• Opening and closing exposures and cost categories and inputting and updating fields for reserving and other data analytics.

• Providing exceptional client service in accordance with our claims service and quality standards, with the view of enabling the organization to be the industry leader in client engagement. 

How you will succeed:

• You have an innovative mindset to improve operational efficiencies and ability to influence change, with a primary focus on client needs.  

• You use critical thinking skills to recognize assumptions, evaluate arguments, draw conclusions and proactively propose solutions.

• You have strong communication skills to clearly convey messages and explore diverse points of view. 

• You build trusting relationships and provide guidance to support the development of colleagues.

To join our team:

• You have three years of claims or related business experience.

• You have a post-secondary diploma in a related discipline.

• You have a Chartered Insurance Professional (CIP) designation or Rehabilitation certification.

• You have or are willing to obtain adjuster license(s) depending on the province of work.

• You have working knowledge of the legal system and applicable case law.

What you need to know:

• This role involves direct contact with clients and/or service providers in their environment.

• You will travel regularly.

• You are required to have your own vehicle, valid driver’s license and insurance.

• Extended work hours, including weekends, may be required.

• You will be subject to a Criminal Record and Consumer History background check as a condition of employment, in the event you are the successful candidate. 

What’s in it for you?

• Training and development opportunities to grow your career with one of Canada’s Best Employers. 

• Flexible work options and paid time off to support your personal and family needs. 

• A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture. 

• Paid volunteer days to give back to your community. 

• A comprehensive total rewards package, including competitive salary, bonus, pension and benefits.