Senior Adjuster – Accident Benefit
| Company | SGI |
|---|---|
| Location | Toronto, ON, Canada |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | Associate’s |
| Experience Level | Senior |
Requirements
- A two-year diploma from an accredited post-secondary education institution in a relevant field of study such as Business or Health.
- 5 – 7 years’ experience adjudicating claims with at least three of those being in accident benefit claims.
- Knowledge of the principles and practice of insurance, claims policies and procedures, and automobile insurance products.
- Knowledge of Ontario’s automobile accident benefits legislation and regulations, including the statutory accident benefits schedule.
- Knowledge of medical terminology, catastrophic injuries and vocational rehabilitation concepts.
- Knowledge of the legal process as it relates to accident benefits.
Responsibilities
- Adjudicates complex and catastrophic injury claims.
- Assigns, conducts and oversees investigations and examines, negotiates and settles accident benefits claims.
- Maintains a diary system to monitor and ensure delivery of accident benefits payments in accordance with the regulations.
- Ensure files are up to date with all information, notes and documentation.
- Maintains proper reserves as per exposure and developments.
- Participates in the dispute resolution process, arbitrations and legal proceedings.
- Supports corporate culture and vision which fosters positive relationship with our customers.
- Provides timely and professional customer service.
- Handles claims issues and resolutions in a proactive manner.
- Builds and maintains a positive working relationship with insureds, brokers, service providers and industry participants.
- Actively contributes to and supports a culture of a high performing workforce.
- Participates in divisional succession plans, ensuring ongoing professional and career development and supports development in others.
- Supports a culture of leadership and accountability to effectively deliver on strategic and corporate strategies.
- Is actively committed to leadership development across the company, supporting team and workforce readiness through mentoring, training and developmental opportunities.
- Enables the success of programs and policies that are in alignment with corporate, strategic and divisional strategies.
- Manages risk in area of authority.
- Ensures that the Health, Safety and Emergency Management Policy is applied in area of responsibility.
Preferred Qualifications
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No preferred qualifications provided.