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Claims Representative III, Accident Benefits

Posted 9 Days Ago
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In-Office
4 Locations
Senior level
In-Office
4 Locations
Senior level
The Claims Representative III, Accident Benefits manages complex accident benefits claims, conducting investigations, negotiations, and settlements while ensuring client engagement and coaching junior staff.
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Company: CGIC
Department: Claims
Employment Type: Temporary Full-Time (6 months)
Work Model: Hybrid
Language: English is required, French is an asset.
Additional Information: This/these role(s) is/are currently vacant


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.

The Claims Representative III - Accident Benefits is responsible for handling a portfolio of very complex Accident Benefits Claims. They will work independently within their authority and receive support directly from the Specialist, National Accident Benefits Claims.


How you will create impact:
  • Directly investigate, interpret coverage, reserve adequately, negotiate and settle very large and complex accident benefits claims.
  • Handles complicated files such as Catastrophic Injuries, Out of Province, U.S. claims, priority issues.
  • Regularly pursues, researches and applies case law to specific facts and share with technical teams.
  • Contribute to a client service culture by embedding client engagement philosophies into daily work and implementing innovative, client-centric decision making, to be the industry leader in client engagement.
  • Confidently handle mediations and settlement conferences without defense counsel present.
  • Co-ordinate and direct the appropriate expert team, which may include: economists, lawyers, independent medical experts, etc., to assist in the assessment, evaluation and settlement of accident benefits claims.
  • Work with clients, claimants and defense counsel on ensuring effective, timely and quality settlement of the claims.
  • Coach and act as a technical resource for other claims staff.

To join our team:
  • 5 years successful claims handling experience related to the discipline with progressively developing complexity, including experience with legal and complex claims
  • You will be required to travel occasionally 
  • University/College Degree CIP designation or Rehab designation and pursuing further development.
  • Expert knowledge of legislation, regulations, legal system Provincial adjuster license(s) maybe required dependent on the province of work.

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.

What you need to know:
  • You will be subject to a 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.
  • Flexible work options to support personal and family needs.
  • A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
  • Volunteer opportunities to give back to your community.

 

Salary information:

Expected  Salary range :$60,574.00 to $100,956.00 CAD

 The salary amount for the successful candidate is determined by Co-operators in its discretion and will vary depending on several criteria including but not limited to: local market conditions, geography and relevant job-related factors such as knowledge, skills, qualification, experience and education.

Employees may also have the opportunity to participate in incentive programs and earn additional compensation tied to individual and/or business performance, or other business metrics.

Top Skills

English
French
HQ

Co-operators Guelph, Ontario, CAN Office

101 Cooper Dr, Guelph, Ontario, Canada, N1C 0A4

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