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Medical Claims jobs in Ontario

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    • Confirming policy coverages, investigating claims to determine liability and quantum.
    • Comfortable and experienced working on Ontario auto BI and CGL claims.
    • Corresponding with clients, insurance adjusters and medical providers to gather information or clarification needed for claims processing.
    • Assist with insurance verification, claims, and direct-billing administration.
    • *At least 3+ years of experience in healthcare, mental health, or medical…
    • Provide support to the claims department and handling claim referrals.
    • Review, assess, analyze, and evaluate detailed medical and non-medical risks, determine…
    • Manage a caseload of complex Accident Benefits matters, ensuring rehabilitation providers, insurers, and other stakeholders remain engaged and accountable…
    • Maintain a cloud database of medical information.
    • Summarizing medicals: 1 year (required).
    • Refer, organize, and manage clients' medical assessments.
    • Medical reports/clinical notes & records.
    • Conduct initial client intakes (gathering medical/employment/benefits information).
    • Experience with self-insured U.S. health and welfare plans, including vendor administration and claims funding processes.
    • Driver abstracts and medical documentation.
    • Accident investigation or insurance claims experience.
    • Ensure driver licences, abstracts, medicals, training records…
    • Evaluate claim documentation, repair estimates, and policy coverage details to determine claim validity.
    • Collaborate with internal teams to resolve complex or…
    • Flexible medical, dental, vision, and extended health care coverage.
    • Business Partnership: Work with product, underwriting, sales, and claims to translate…
    • Supports benefits administration, leave management, and Worker’s compensation claims.
    • Extensive benefits including medical, dental, RRSP, and profit-sharing.
    • Complete tax forms for the SR&ED claim and submit to CRA.
    • Willingness to develop an in-depth understanding of the taxation aspects of SR&ED tax credit claims.
    • Obtaining productions and medical records.
    • Preparing Case Conference summary forms.
    • Daily communication with clients and third parties.
    • Prepare medical chronologies and briefs to assist lawyers in understanding the medical issues.
    • 5+ years supporting medical malpractice.
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Job Post Details

Definity Financial Corporation logo

Senior Claims Adjuster- Bodily Injury/Casualty - job post

Definity Financial Corporation
3.5 out of 5 stars
Waterloo, ON•Hybrid work
$59,300–$109,200 a year - Full-time
You must create an Indeed account before continuing to the company website to apply

Job details

Pay

  • $59,300–$109,200 a year

Job type

  • Full-time

Location

Waterloo, ON•Hybrid work

Benefits

Pulled from the full job description

  • Tuition reimbursement
  • Paid time off
  • Company pension
  • RRSP match

Full job description

The Opportunity

Reporting to the Leader, National Casualty and Bodily Injury Claims, you have a track record of progressively challenging claims handling. You will be accountable for the investigation, negotiation and settlement of Senior Third Party Bodily Injury and Casualty claims. This includes Automobile, Homeowners, and Commercial third party claims. You are motivated by a challenge and strive to continually develop yourself and others. You actively support change and seek to improve. You have effectively managed a portfolio of Casualty and Bodily Injury claims of increasing complexity. You continually support the Team environment and raise your hand to assist others including mentoring junior team members. You have a desire to be part of a diverse, highly engaged and high-performance team.

What to Expect

  • Reporting to the Team Leader, Casualty, you are accountable for managing a portfolio of Senior Bodily Injury, Casualty, and General Liability Claims.
  • Engage all stakeholders in the effective management of a claim including underwriting and senior leadership
  • Confirming policy coverages, investigating claims to determine liability and quantum. Maintaining detailed file records.
  • Attending/participating in mediations, pre-trials and settlement initiatives.
  • Settle claims directly with claimants and with Plaintiff’s Counsel.
  • Direct and Instruct Defence Counsel.
  • Mentoring of junior team members
  • Professional, friendly, and courteous in all interactions, whether with customer, co-workers or vendors
  • Perform well in a busy operation and remain calm under pressure
  • Strive to continually push the boundaries of your adjusting experience and personal learnings
  • Team player adaptable to changing environment
  • Strong written and verbal communication skills
    • Ability to work independently

What You Bring

  • University degree, a college diploma or the CIP designation
  • Comfortable and experienced working on Ontario auto BI and CGL claims
  • Minimum 3 years of claims handling experience in Bodily Injury/Casualty Litigation
  • Notable Commercial General Liability Claims handling experience, both Bodily Injury and Property damage.
  • Professional, friendly and courteous in all interactions, whether with customers or co-workers
  • Perform well in a busy operation and remain calm under pressure
  • Team player adaptable to a changing environment
  • A passion for coaching and mentoring junior staff
  • You’re dependable with strong interpersonal skills
  • You have strong communication skills
  • You’re focused on building engagement and culture
  • Proficient in MS Office and strong computer skills
  • Bilingualism in both English and French is an asset
  • Licensed in multiple provinces is an asset
    • Atlantic licensing an asset

Salary Range: $59,300 - $109,200

High degree of proficiency with English required to service customers, both internal to the company and external, across Canada


Actual salary for the role may vary depending on work location of the successful candidate and other factors including but not limited to, skills, education, experience, working conditions and the local labour market.

This position is being posted to fill an existing vacancy.

Interested in this role, but don’t meet every requirement? We encourage you to apply! We know from experience that a candidate doesn’t need 100% of the qualifications listed to bring incredible value to our team. We’re actively seeking diverse backgrounds and perspectives to help us make insurance better. At Definity, inclusion, diversity, and equity aren’t just “nice to have” — they’re essential to our success.

What’s in it for you?

  • Hybrid work schedule for most roles
  • Company share ownership program
  • Incentive Program - Eligible employees may participate in various incentive plans which are paid out at the discretion of the company and subject to individual and company performance.
  • Pension and savings programs, with company-matched RRSP contributions
  • Paid volunteer days and company matching on charitable donations
  • Educational resources, tuition assistance, and paid time off to study for exams
  • Focus on inclusion with employee groups, support for gender affirmation surgery, access to BIPOC counsellors, access to programs for working parents
  • Wellness and recognition programs
  • Discounts on products and services

Go ahead and expect a lot — you deserve it.

It’s better here — but don’t take our word for it. Definity was named by Great Place to Work® as one of the Best Workplaces™ in Canada for women, for youth, and for inclusion.

Our inclusive work environment welcomes diversity and supports accessibility. If you require accommodation at any time during the recruitment process, please let us know by contacting accessibility@economical.com.

As part of Definity’s commitment to reconciliation, we acknowledge that our work, meetings, and travel take place on the lands now known as Canada, and recognize the enduring presence, wisdom, and stewardship of the First Nations, Métis, and Inuit peoples who have long cared for these lands.

Background checks

This role requires successful clearance of background checks (including criminal checks and leadership references).

#LI-Hybrid

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