Claims Assistant Accident Benefits

Gore Mutual Insurance•Cambridge, ON

4h•CA$48,500 - CA$73,000•Hybrid

About The Position

This role supports the AB adjusting team with administrative support, payments, scheduling Insurer Examinations, communicating with internal and external vendors, as well as ensuring they are acting in compliance with SABS on behalf of their team of adjusters with some telephone support. Our Claims Assistant, Accident Benefits provides needed support to our Accident Benefits Claims team. This is a fast-paced role that requires excellent attention to detail and customer service skills. This role reports directly to the Team Leader, Accident Benefits.

Requirements

1-3 years of experience in AB Insurance/Claims Administration
Post-Secondary education or equivalent experience required
Basic understanding of AB terminology, SABS compliance requirements ,written communication and payment guidelines
Strong customer service skills
Ability to work well under pressure with minimum supervision
Able to multi-task between a variety of responsibilities, projects, and deadlines
Proficient skills with various computer applications
Excellent written and verbal communication skills
Follow straightforward instructions with high degree of accuracy
Strong time management skills to adhere to required timelines
Excellent interpersonal skills that enable strong communication with the adjusting team
Ability to multitask between various digital applications and platforms

Nice To Haves

CIP designation, preferred but not required
Previous administrative experience in a Claims environment an asset
Driven by personal professional development

Responsibilities

Scheduling and rescheduling Insurer Examinations in accordance with S.44 of the SABS
Paying invoices and sending various communications (HCAI, Guidewire, Letters and other responses)
LAT file preparation (file copy) to our legal vendors in timely manner
HCAI matching to adjusters assigned to file
Requesting medical files (CNR’s, OHIP, Emergency room, ambulance call reports etc.)
Sending letters to claimants/legal representatives on behalf of the adjusting team
Set up new AB claims and/or claimants in Guidewire
Other various administrative support as required