Job Description

Title: Senior Accident Benefits Adjuster

Location: Work from Home - anywhere in Ontario

Responsibilities:

  • Interpret insurance policy wording, determine policy coverages, and set reserves on Accident Benefit claims assigned.
  • Investigate, negotiate, and settle accident benefits claims or moderate to high complexity by telephone, in person and/ or by written correspondence.
  • Comply with best practices as set out in company policies and procedures.
  • Adhere to legislative and regulatory requirements.
  • Ensure files are thoroughly documented.
  • Settlement of claims within personal authority and follow company guidelines on claims exceeding personal authority.
  • Set and define customer service expectations.
  • Take ownership and accountability to solve customer problems.
  • Communicate and interact with claimants, vendor, medical professionals, lawyers in a professional manner.
  • Work collaboratively with a team of Accident Benefit Adjusters and Claims Assistants.

Requirements:

  • Post-secondary education is preferred and a minimum of 1-2 years relevant Claim Advisor, Accident Benefits experience.
  • Completion of CIP designation or desire to pursue is preferred.
  • Prior insurance experience and knowledge in injury claims, medical rehabilitation concepts, and medical terminology is preferred.
  • Strong time management and organizational skills as well as the ability to work in a fast-paced environment.
  • Strong critical thinking skills to identify strengths and weaknesses of claim.
  • Strong written and verbal communication skills with a commitment to providing outstanding customer service.
  • Ability to work independently and as part of a collaborative team environment.

Compensation: Competitive salary, bonus, paid benefits, and pension plan.

DGA Careers has been proudly serving the Canadian insurance industry for over 30 years, specializing in providing insurance recruiting services to major insurers, insurance brokerage firms and independent adjusting firms. With offices in Toronto, Vancouver, Montreal, Edmonton, and Calgary, DGA Careers is well positioned to conduct searches with a national scope. Our unrivalled professional network across Canada provides us with the ability to reach vital key influencers and passive candidates nationally.

Interested candidates please contact Maurice Reichberg at 416-868-6711 x.232 or forward your resume in confidence to maurice@dgacareers.com. If you are working with another DGA recruiter, feel free to ask them about this position.

Job Posting Details

Job Type

Full-Time
Permanent

Market Segment

Property Casualty Insurance

Company Type

Recruiting Consultants

Education Required

Post Secondary Education

Minimum Experience Required

3 to 4 Years

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532