Handles complex, non-catastrophic Ontario Accident Benefits claims, including coverage interpretation, reserve setting, investigation, negotiation, settlement, documentation, and regulatory compliance. Communicates with claimants, vendors, medical professionals, and lawyers; manages customer expectations and claim caseloads; resolves problems within authority; and collaborates with adjusters and claims assistants.

Handles complex first-party accident benefits claims, including interpreting policy coverage, setting reserves, investigating, negotiating, and settling claims. The role requires thorough documentation, regulatory compliance, customer problem resolution, and professional communication with claimants, vendors, medical professionals, and lawyers. It also involves managing claim authority limits and collaborating with adjusters and claims assistants.

Handle bodily injury litigation claims from investigation through settlement, interpret insurance policy wording and case law, establish reserves, direct defense counsel, evaluate reports and settlements, attend mediations and hearings, support cost-containment strategies, identify legal and claims trends, and mentor junior claims staff.