Job Description
Job Description
Reporting to the Team Leader, Accident Benefit Claims, you are accountable for investigating, evaluating and settling Accident Benefit claims.
Responsibilities
- Report to the Team Leader, Accident Benefit Claims, while investigating, evaluating and settling accident benefit claims in accordance with the Insurance Act
- Secure details of claims by corresponding with claimants and/or representatives
- Assess covering eligibility and review & apply interpretations of policy wordings to resolve coverage issues
- Process income replacement, non‑earner and attendant care claims
- Reserve files appropriately after assessing claim
- Maintain detailed file records in an electronic claims system
- Process payments after confirming benefits, eligibility and reserves
- Coordinate the most effective course of action for claims
- Confirm collateral benefits
- Respond to clai...