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Posted Date: Jul. 28, 2010
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| Job Description |
This is an excellent opportunity for an enthusiastic and highly motivated self-starter with a desire to make a significant contribution to our AB Claims unit.
Duties will include but are not limited to the following:
* Investigating, negotiating, and settling accident benefits claims including determination of priority of payments and assessment, and calculation of benefit entitlements;
* Adjusting AB claims as per the Statutory Accident Benefits Schedule;
* Setting up AB reserves and updating claims information in AB Database and IIS;
* Completing Major Loss Reports and Reinsurance Reports where applicable;
* Guiding and directing independent adjusters for effective investigation, control, and facilitation of accident benefits;
* Authorizing requests and issuing payments (when applicable) according to set guidelines and within your authoritative level;
* Monitoring rehabilitation programs and assessing ongoing entitlement to benefits in accordance with regulations;
* Examining claims in accordance with quality assurance standards & processes, and regulatory compliance standards;
* Providing assistance and coaching to junior adjusters;
* Assisting the Supervisors and Manager in delivering support and technical expertise in Bills 59 and 198 accident benefits;
* Other duties as assigned by Supervisor/Manager.
The successful candidate will have a minimum 2 - 5+ years in accident benefits adjusting. You must have knowledge of regulatory and contractual obligations, medical terminology, vocational rehabilitation concepts, SABS, and the Dispute Resolution Practice Code. You are a detail-oriented, highly productive and organized individual with strong communication, analytical, problem-solving, time management, interpersonal, and customer service skills. You maintain a professional demeanour in all of your dealings, and are able to interact confidently and communicate effectively with all levels of staff as well as with clients and vendors. A High School Diploma or equivalent is required, and a University Degree/College Diploma is a definite asset. Computer literacy with working knowledge of Microsoft Office 2007 including Word, Excel, and Outlook is required. Additionally, you have completed or are working towards your CIP designation.
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| Additional Information |
| Market Segment: |
Property Casualty Insurance |
| Company Type: |
P/C Company |
| Job Type: |
Permanent |
| Languages Required: |
English |
| Education Required: |
CIP, CIP Partial Completion, College, FCIP, FCIP - Partial Completion, University Degree |
| Expertise Area: |
Claims - Accident Benefits, Insurance, Medical Terminology, Rehabilitation |
| Minimum Experience Required: |
3 to 4 Years |
| Contact Information |
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