Claims Rep III, Accident Benefits

#IN-DNI #LI-DNI

Company: CGIC
Department: Claims
Employment Type: Regular Full-Time
Work Model: Hybrid (2 days in office)
Language: This role operates in English.
Additional Information: This/these role(s) is/are currently vacant

We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy.  That’s why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose.  The best part is that you will work with people that care passionately about you, our clients and our communities.

Our Claims team aspires to create peace of mind for our clients and our communities. Our national team of knowledgeable and trusted professionals serve our clients with compassion. We are passionate about continuous improvement and operate with high-integrity, motivated by our desire to do the right thing for our clients.

As the Claims Representative III - Accident Benefits, you will be responsible for handling a portfolio of very complex accident benefits claims. You will work independently within your authority and receive support directly from the Specialist, National Accident Benefits Claims.

• Investigating, interpreting coverage, reserving adequately, negotiating and settling very large and complex accident benefits claims.
• Handling complicated files such as Catastrophic Injuries, Out of Province, U.S. claims, priority issues.
• Pursuing, applying and regularly researching case law to specific facts and share with technical teams.
• Contributing to a client service culture by embedding client engagement philosophies into daily work and implementing innovative, client-centric decision making, to be THE industry leader in client engagement.
• Handling mediations and settlement conferences without defense counsel present in a confident manner.
• Co-ordinating and directing the appropriate expert team, which may include: economists, lawyers, independent medical experts, and other stakeholders, to assist in the assessment, evaluation and settlement of accident benefits claims.
• Working with clients, claimants and defense counsel on ensuring effective, timely and quality settlement of the claims.
• Coaching and act as a technical resource for other claims staff.

• You have 5 years claims handling experience, involving significant medical, physical and psychological complexities.
• You have post-secondary education or Rehab designation and pursuing further development.
• You have or are working towards the Fellow Chartered Insurance Professional (FCIP) or Chartered Insurance Professional (CIP).
• You have expert knowledge of legislation, regulations, legal system Provincial adjuster license(s) maybe required dependent on the province of work.

• You influence change and are committed to continuous improvement, in order to exceed client expectations.
• You leverage critical thinking skills to identify problems and proactively propose solutions.
• Your strong communication skills allow you to clearly convey messages.
• You’re an effective team player who shares knowledge to support our peers.

• You will be subject to a Background check as a condition of employment, in the event you are the successful candidate.

• Training and development opportunities to grow your career.
• Flexible work options and paid time off to support your personal and family needs.
• A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
• Paid volunteer days to give back to your community.
• In addition to our competitive salary and incentive programs, eligible employees also benefit from a comprehensive total rewards package including group retirement savings plans, pension and benefits (e.g., health and wellness, dental, disability and life coverage), mental health support and an employee assistance program.

Salary information​

Expected salary range $72,847 - $121,411 (min-max, full range).

Salary placement​

The salary amount for the successful candidate is determined by Co-operators in its discretion and will vary depending on several criteria including but not limited to: local market conditions, geography and relevant job-related factors such as knowledge, skills, qualification, experience and education.​

Incentive/Variable pay ​

Employees may also have the opportunity to participate in incentive programs and earn additional compensation tied to individual and/or business performance, or other business metrics.