Intermediate Representative, Accident Benefits Claims

Definity includes some of Canada's most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. With strong roots that date back to 1871, we've grown to become a digital leader in the insurance industry. We're proud to help our clients and communities adapt and thrive in a world of constant change.

Our promise to you: It's better here. Why? Because we CARE, and we provide an employee experience that's collaborative, ambitious, rewarding, and empowering.

Our ambition is to be one of Canada's leading and most innovative P&C insurers. Come be a part of our journey, and love what you do.

Definity offers a flexible, hybrid work experience where employees work from the office and virtually depending on the type of work they are doing and who they are working with. Leaders partner with their teams to find the right balance of on-site and remote work that best meets the needs of their teams, colleagues, brokers and customers, while ensuring collaboration, teamwork and accountability for goals.

Reporting to the Team Leader, Accident Benefit Claims, you are accountable for investigating, evaluating and settling Accident Benefit claims

What can you expect in this role?

• Reserving files appropriately after assessing claim
• Other duties as assigned
• Securing details of claims by corresponding with claimants and/or representatives
• Reviewing and approving, when appropriate, treatment plans for claimant rehabilitation
• Confirming collateral benefits
• Assessing coverage eligibility and reviewing and applying interpretations of policy wordings in the resolution of coverage issues
• Coordinating the most effective course of action for claims
• Processing income replacement, non-earner, and attendant care claims
• Maintaining detailed file records on an electronic claims system
• Arranging insurer examinations to determine benefits eligibility
• Processing payments after confirming benefits, eligibility and reserves
• Applying applicable Priority Rules chart to each claim file
• Responding to claimant correspondence and accident benefit forms in accordance with the applicable legislation
• Report to the Team Leader, Accident Benefit Claims, while investigating, evaluating and settling accident benefit claims in accordance with the Insurance Act
• Responding to assessment recommendations
• Preparing referral packages and obtaining the necessary medical information for insurer examinations

What do you bring to the role?

• Able to perform well in a busy operation and remain calm under pressure
• Professional, friendly and courteous in all interactions, whether with customers or co-workers
• University degree, college diploma in related field or the CIP designation
• Minimum 2-3 years of claims handling experience
• Proficient in MS Word and Excel
• Strong written and verbal communication skills
• Team player adaptable to a changing environment

We also take potential into consideration. If you don't have this exact experience, but you know you have what it takes, be sure to give us more insight through your application and cover letter.

We also take potential into consideration. If you don't have this exact experience, but you know you have what it takes, be sure to give us more insight through your application and cover letter.

Go ahead and expect a lot - you deserve it, and we've got it:

• Educational resources, tuition assistance, and paid time off to study for exams
• Discounts on products and services
• Hybrid work schedule for most roles
• Pension and savings programs, with company-matched RRSP contributions
• Paid volunteer days and company matching on charitable donations
• Company share ownership program
• Focus on inclusion with employee groups, support for gender affirmation surgery, access to BIPOC counsellors, access to programs for working parents
• Wellness and recognition programs

Our inclusive work environment welcomes diversity and supports accessibility. If you require accommodation at any time during the recruitment process, please let us know by contacting: [email protected]

Background checks

This role requires successful clearance of a background check (including criminal checks and leadership references).

LI-Hybrid

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