Medical Claims jobs in Ontario

Our employees are at the heart of everything we do. Together, we help people, businesses, and society prosper in good times and be resilient in bad times.

Our employee promise represents Intact’s commitment to you in exchange for living our Values, striving to do your best work, being open to change and investing in your career. In return, we promise to provide support, opportunities and performance-led financial rewards at a workplace where you can shape the future, win as a team and grow with us.

Pay at Intact is about much more than just salary.

• Flexible work arrangements and a hybrid work model

• Possibility to purchase up to 5 extra days off per year

• Multiple benefits offered to support physical and mental wellbeing, including telemedicine, Wellness account and much more

• Share plan & other savings: up to 12% of salary or even more (ask how you could earn guaranteed income for life)

Salary range (but not limited to):

94,200 - 115,200

Annual bonus target, based on the base salary, with a potential payout of up to double the target (subject to personal and company performance):

12%

As part of our commitment to Win As A Team, we share our success with employees through our annual bonus plan and Employee Share Purchase Plan (ESPP) – with Intact matching 50% of your net shares.

Our pension offerings provide flexibility and long-term security for our employees beyond their careers. We are one of the few companies offering the opportunity to receive guaranteed income for life via our defined benefit pension plan.

Salary for the candidate will be determined taking into consideration a number of factors including: experience, skills, qualifications, anticipated contribution to role, internal equity, etc. The salary range presented above is based on a 35-hour workweek and would represent a majority of different candidate profiles. However, we encourage candidates who may fall outside of this range to apply as well.

About the role

Sr Claims Examiner (Advisor), IPE

At Intact Public Entities, we’re ensuring our municipal and community service organizations are protected by providing them with a comprehensive and unique insurance program. We help contribute to their success and that’s something we’re proud of. Working here means predicting and protecting against standard and complex risks with and delivering unsurpassed value-added services. We can’t do it without you. You’ll get to be a part of a trusted name in insurance with an entrepreneurial culture that’s here to amplify your expertise.

We are hiring a Senior Claims Examiner for Specialty Lines at Intact Public Entities located in Cambridge, Ontario!

As a Senior Claims Examiner, you will have a big impact on handling a diverse range of claims, including casualty liability and property claims. You will be relied upon for your strong technical expertise, your excellent communication skills and executing best practices to provide direction for settling and managing claims. As a strong collaborator and team contributor, you will build great relationships and provide an exceptional customer journey experience.

What you’ll do here:

• Review and analyze coverage, including the preparation of Reservation of Rights letters, coverage, and other communication;
• Development of resolution strategies by evaluating the nature of loss, liability, damage, applicable limits, and deductible where coverage has been confirmed;
• Direct legal counsel and independent adjusters on investigation and settlement of complex claims;
• Analyze expert reports and litigation documents as it relates to the facts and allegations of the claim;
• Identify and assess serious injury/damage losses, and risk management issues and report them in a timely manner as per applicable reporting protocols;
• Maintain detailed claim files and prepare comprehensive reports as well as concise file summaries for Management;
• Promptly update reserves, request payment, and respond to correspondence from external parties;
• Provide superior customer service by building and maintaining excellent business relationships with our key stakeholders including our Insureds, Brokers, and Underwriting colleagues;
• Attend mediations, pre-trials and other litigation milestones with counsel as necessary;
• Adhere to all internal Claims Best Practices.

What you bring to the table:

• 5+ years of related experience with a strong emphasis on casualty liability claims handling and insurance litigation;
• Actively taking or completion of CIP’s, CRM and/or licensed in the legal profession
• University degree or any combination of training and experience deemed relevant for the role
• Demonstrates a passion for customer service with strong written and verbal communication skills;
• Excellent understanding of insurance coverage issues;
• Demonstrates strong problem solving, analytical and priority management skills;
• Self-motivated and goal oriented, capable of working in a fast paced and changing environment;
• Experience handling municipal claims is an asset

This role is eligible for employee referral bonus. #myReferrals3000

#LI-Hybrid

#LI-MS1

#IPE

Ce poste jouera un rôle essentiel au sein de notre équipe. | This position will fill an essential role in our team.

We are an equal opportunity employer

At Intact, our Value of respect is founded on seeing diversity as a strength. We strive to create an accessible workplace where employees feel valued, included and encouraged to share their unique perspectives.

We encourage applications from individuals who are members of equity-deserving groups, including but not limited to women, Indigenous peoples, persons with disabilities, Black people, and members of the 2SLGBTQI+ community.

As part of Intact’s commitment to reconciliation, we acknowledge that we work, meet and travel across the land currently called Canada, originally inhabited by First Nations, Metis and Inuit people. This history extends through many centuries and continues to evolve today.

We have policies to ensure equal access and participation for people with disabilities, including providing workplace adjustments (accommodations). A copy of applicable policies is available on request.

If we can provide a specific adjustment to make the recruitment process more accessible for you, please let us know when we reach out about a job opportunity. We’ll work with you to meet your needs.

Learn more about our recruitment process and your candidate journey here.

Please note that Intact does not provide sponsorship or other support for immigration-related matters including but not limited to employer-specific closed work permits. Candidates must be eligible to work in Canada from the anticipated start date and throughout their employment and are solely responsible for maintaining their work eligibility.

If you are an employee of Intact or belairdirect, please apply for this role on Internal Career Site.