Accident Benefits Adjuster – Toronto – $55,000 – $65,000

Intermediate AB Adjuster – Downtown Toronto  $55,000 – $65,000, $65k+ Senior

 

This position is responsible for investigating, negotiating and settling accident benefits claims. The adjuster will be responsible for direct file handling and communication with all involved parties.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Confirm valid coverage.

Fully investigate and verify claims under Ontario’s S.A.B.S.

Fully investigate injuries.

Provide instruction and direction to external vendors i.e.: independent adjusters, rehabilitation firms, translation firms, investigation firms

Calculate ultimate probable exposure and reserve accordingly.

Ensure files are up to date with A.B. packages and forms, medical information, employment information and treatment information.

Report any serious injuries to Supervisor.

Mentor and coach junior adjusters.

If required Prepare Major Loss/Reinsurance Reports and participate in Claims Committee process.

Comply with service standards as outlined in the claims manual.

Actively participate in settlement initiatives along with both private and mandatory mediations.

REQUIRED EXPERIENCE AND QUALIFICATIONS

Accident Benefits adjusting experience. Two years + for Intermediate roles, Four years + for Senior position.

Knowledge of regulatory and contractual obligations, medical terminology, vocational rehabilitation concepts and dispute resolution practice code.

Detail oriented and well organized individual.

Strong oral and written communication skills and superb interpersonal skills.

Work well individually or as a part of a team.

Computer literacy with working knowledge of Microsoft Office Suite 2000 and/or XP.

High School Diploma or equivalent and University or College Degree or have or working towards CIP designation.

 

Please forward resume to [email protected]