Reporting to the Team Leader, Accident Benefit Claims, you are accountable for investigating, evaluating and settling Accident Benefit claims.
Responsibilities
Report to the Team Leader, Accident Benefit Claims, while investigating, evaluating and settling accident benefit claims in accordance with the Insurance Act
Secure details of claims by corresponding with claimants and/or representatives
Assess covering eligibility and review & apply interpretations of policy wordings to resolve coverage issues
Process income replacement, non‑earner and attendant care claims
Reserve files appropriately after assessing claim
Maintain detailed file records in an electronic claims system
Process payments after confirming benefits, eligibility and reserves
Coordinate the most effective course of action for claims