Claims Consultant – Accident Benefits
Intact
full-time
Posted on:
Location Type: Hybrid
Location: Toronto • Canada
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Salary
💰 CA$109,900 - CA$134,300 per year
About the role
- Provide Accident Benefits expertise to assist the Claims department in improving company guidelines and programs to effectively manage loss expenses and for the consistent application of claims settlement policies and procedures.
- Engage in special projects to examine the Claims function and develop ways to improve both processes and personnel to better serve customers, solve systemic problems and meet company goals.
- Determine key measures to monitor service levels and effectiveness of Claims personnel.
- Conduct periodic audits of claims files to ensure compliance with company standards, reporting results to management team and using results toward efforts to improve Claims functions.
- Lead the development of technical claims training programs by assessing needs, developing content and making recommendations.
- Provide consultation on large and complicated claims files, including technical guidance and advice to staff, assessment of exposure, facilitation of Alternative Dispute Resolution and attendance at arbitration hearings as required.
- Assist with the interpretation of case law.
Requirements
- 8+ years’ experience with Accident Benefit Claims
- Technical expertise in claims management with particular emphasis on accident benefits claims, and extensive experience in coverage analysis, investigation, and quantum evaluation
- Experience and or knowledge of Alternate Dispute Resolution
- Excellent problem solving and analytical skills
- Detail oriented
- Exceptional written and verbal communication
- Flexible with the ability to work in a constantly changing environment
- University degree and/or CIP Designation is preferred
- 2+ years of experience handling Complex Injury files.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Accident Benefit Claimsclaims managementcoverage analysisinvestigationquantum evaluationAlternative Dispute Resolutionclaims settlement policiestechnical claims trainingcompliance auditingcase law interpretation
Soft Skills
problem solvinganalytical skillsdetail orientedwritten communicationverbal communicationflexibilitycustomer serviceteam collaborationleadershipprocess improvement
Certifications
CIP DesignationUniversity degree