Int Representative, Claims- Ontario

Job Description

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

The Opportunity

• Report to the Team Leader, Accident Benefit Claims, while investigating, evaluating and settling accident benefit claims in accordance with the Insurance Act.
• Securing details of claims by corresponding with claimants and/or representatives.
• Assessing coverage eligibility and reviewing and applying interpretations of policy wordings in the resolution of coverage issues.
• Applying applicable Priority Rules chart to each claim file.
• Processing income replacement, non-earner, and attendant care claims.
• Reserving files appropriately after assessing claim.
• Maintaining detailed file records on an electronic claims system.
• Processing payments after confirming benefits, eligibility and reserves.
• Coordinat...