Medical Claims $70,000 jobs

Oatley Vigmond is one of Ontario’s leading personal injury law firms, recognized for excellence, compassion, and advocacy. We have been named Law Firm of the Year by Best Lawyers and consistently rank among Canadian Lawyer’s Top 10 Ontario Personal Injury Law Firms. Our team is committed to delivering exceptional legal representation while supporting clients through some of the most challenging periods of their lives.

At Oatley Vigmond, we believe great results begin with great people. We foster a culture of professionalism, collaboration, integrity, and continuous improvement where every team member plays a meaningful role in helping clients rebuild their lives.

Job Requirements:

• University degree, CIP or FCIP designation.
• Minimum of three years’ accident benefits adjusting experience dealing with catastrophic and complex injury cases in Ontario.
• Thorough knowledge understanding of the Statutory Accident Benefits Schedule and related regulations.

Job Summary:

The Accident Benefits Specialist will:

• Deliver exceptional client service at all times, providing compassionate support and guidance while maintaining the high standards of Oatley Vigmond.
• Attend potential new client meetings in the office, hospitals, rehabilitation facilities, and clients' homes, with the ability to travel independently as required.
• Complete, submit, and monitor Accident Benefits applications, forms, and expense claims with insurers and other relevant parties.
• Coordinate and attend rehabilitation case conferences, team meetings, and client care discussions both in person and remotely.
• Manage a caseload of complex Accident Benefits matters, ensuring rehabilitation providers, insurers, and other stakeholders remain engaged and accountable throughout the claim process.
• Facilitate communication between clients, rehabilitation professionals, insurers, employers, medical providers, and legal counsel to support successful outcomes.
• Review benefit denials, reductions, and terminations, prepare applications to the Licence Appeal Tribunal (LAT), and work closely with the assigned lawyer on dispute resolution and litigation strategy.
• Monitor critical deadlines and limitation periods, ensuring accurate file management and documentation.
• Advocate for clients by following up with insurers regarding delayed, denied, or unpaid benefits.
• Respond promptly and professionally to client inquiries, telephone calls, and correspondence.
• Collaborate closely with partners, associates, and support staff to provide seamless client service.
• Represent the firm at industry conferences, educational seminars, and networking events as required.

Benefits:

• Private office and dedicated administrative support from our Accident Benefits Assistant team.
• Opportunity to work from home up to two days per week following successful completion of the probationary period.
• Paid overtime.
• Extended health and dental coverage.
• Vision care.
• Life and disability insurance.
• Employee Assistance Program.
• Firm wellness initiatives and programs.
• Flexible work arrangements.
• Paid vacation and personal time off.
• Regular firm social events and team celebrations.

Qualified applicants are invited to apply in confidence to Heather Wilson, Director of Human Resources, at hwilson@oatleyvigmond.com. Please include a cover letter, resume and reference letters, if available.

We thank all candidates for their interest in Oatley Vigmond LLP; however only those selected for an interview will be contacted.

Oatley Vigmond LLP is an equal opportunity employer committed to fostering an inclusive workplace that values equity, diversity, and inclusion. We welcome applications from individuals of all backgrounds, including persons with disabilities. Accommodations are available upon request throughout all stages of the recruitment and selection process.

To learn more about our firm, please visit www.oatleyvigmond.com.

Job Type: Full-time

Pay: $85,000.00-$115,000.00 per year

Benefits:

• Company events
• Dental care
• Employee assistance program
• Extended health care
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision care
• Wellness program
• Work from home

Experience:

• Accident Benefits Adjuster: 3 years (required)

Work Location: In person