Job Description
Job Description
Reporting to the Team Leader, Accident Benefit Claims, you are accountable for investigating, evaluating and settling Accident Benefit claims.
What To Expect
- Report to the Team Leader, Accident Benefit Claims, while investigating, evaluating and settling accident benefit claims in accordance with the Insurance Act
- Securing details of claims by corresponding with claimants and/or representatives
- Assessing coverage eligibility and reviewing and applying interpretations of policy wordings in the resolution of coverage issues
- Applying applicable Priority Rules chart to each claim file
- Processing income replacement claim
- Reserving files appropriately after assessing claim
- Maintaining detailed file records on an electronic claims system
- Processing payments after confirming benefits, eligibility and reserves
- Coordinating the most effective course of action fo...
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