Job Description

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

Responsibilities

• Report to the Team Leader, Accident Benefit Claims, while investigating, evaluating and settling accident benefit claims in accordance with the Insurance Act
• Secure details of claims by corresponding with claimants and/or representatives
• Assess covering eligibility and review & apply interpretations of policy wordings to resolve coverage issues
• Process income replacement, non‑earner and attendant care claims
• Reserve files appropriately after assessing claim
• Maintain detailed file records in an electronic claims system
• Process payments after confirming benefits, eligibility and reserves
• Coordinate the most effective course of action for claims
• Confirm collateral benefits
• Respond to clai...