Senior Accident Claims Adjuster

Senior Accident Benefits Claims Adjuster  Join to apply for the  Senior Accident Benefits Claims Adjuster  role at  The Common well Mutual Insurance Group

Job title:

Senior Accident Benefits Claims Adjuster (ON)

Job Location:

Remote
Here at The Common well, we are all about Protecting Individuals, Together! Our vision is to continue to build an environment that develops and attracts the very best by empowering everyone to foster a workplace where everyone can perform at their very best, be their authentic self and bring their whole self to work.
The Opportunity  The purpose of this position is to review, analyze, evaluate and negotiate complex and catastrophic claims related to Accident Benefit claims. As well as interpret insurance policy wording, determine policy coverages and set reserves on Accident Benefit claims.
Who You Are   Exemplifies the necessary skills to support and lead, where required, the technical development of staff within the claims department through training and mentorship
Active working relationships with all functional units of the organization
How You Will Create An Impact  The expectation for this role is that the incumbent has attained the relevant technical knowledge that is required to handle complex and catastrophic claims including the following:
Expert knowledge of all relevant regulations, including the Statutory Accident Benefit Schedule and the Insurance Act
Expert competency in reading and interpreting all policy wordings relevant to claims assigned
Expert competency in comprehension of reserve calculations and exposure
Expert competency and knowledge with LAT’s and claims resolution processes.
Expert demonstration of interpretation and understanding of Insurer’s Examination reports
Accountable for claims at all transaction levels including, coverage interpretation, evaluation, reserve adjustments, payments, written and verbal communication, expert requirements and internal reporting requirements
Settlement of claims within personal authority and follow company guidelines on claims exceeding personal authority
What You Will Bring   Completion of Post-Secondary Education and a minimum of seven years of insurance, in accident benefits is required
Working towards, or completion of CIP, and an active pursuer of the necessary education to respond to a changing marketplace
Sound morals, ethics and confidentiality with ability to develop trusting and effective working relationships with peers and employees
Demonstrated ability to exercise confidentiality and empathy are required when dealing with insured’s and claimants
Superior problem solving and negotiation are required
Strong computer literacy, proficiency in all Microsoft Office programs and internet navigation
Accommodations:
The Common well is an equal opportunity employer committed to ensuring barrier free employment practices. Should you require accommodations throughout the recruitment process, please let us know, and we will work with you to meet your needs.

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