Claims Representative II, Accident Benefits - #195340

Company: CGIC

Department: Accident Benefit Claims

Employment Type: Regular Full-Time

Work Model: Hybrid

Language: This role operates in English.

Additional Information: This/these role(s) is/are currently vacant.

The Opportunity

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 national Property and Casualty (P&C) Claims team aspires to create peace of mind for our clients and our communities. Our team of knowledgeable and trusted professionals serves 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 a Claims Representative II, you will have a vital role in investigating, negotiating, and resolving complex Accident Benefits (AB) claims. Your daily interactions with clients and support of client-centric innovative solutions will be impactful to contributing to our client service culture. As the Claims Representative II, you will have the opportunity to grow your expertise in AB claims handling, elevate your analytical mindset, and refine your communication skills.

How You Will Create Impact

• Investigating, interpreting coverage, negotiating and making decisions autonomously, to resolve complex automobile Accident Benefit claims.
• Collaborating with clients, physicians, treatment providers, employers and rehabilitation workers in the development, approval, implementation and monitoring of case management plans for clients.
• Managing complex files in defense litigation and Alternative Dispute Resolution (ADR).
• Coaching, training, and providing technical support to the claims team.
• Providing exceptional client service in accordance with our claims service and quality standards, with the view of enabling the organization to be the industry leader in client engagement.
  
  
  

How You Will Succeed

• You have an innovative mindset to improve operational efficiencies and ability to influence change, with a primary focus on client needs.
• You use critical thinking skills to recognize assumptions, evaluate arguments, draw conclusions and proactively propose solutions.
• You have strong communication skills to clearly convey messages and explore diverse points of view.
• You build trusting relationships and provide guidance to support the development of colleagues.
  
  
  

To Join Our Team

• You have 3+ years of P&C liability claims handling, or related insurance, or legal and/or medically-centric business experience.
• You have a post-secondary degree or diploma.
• You have or are open to working towards the Chartered Insurance Professional (CIP) designation or Medical Rehabilitation designation.
• You have a passion for assessing and solving customer centric problems, and are skilled in priority management.
• Having an understanding of accident benefits insurance coverage is a strong asset.
• You have or will attain provincial adjuster license(s) depending on the province of work.
  
  
  

What You Need To Know

• This role may involve direct contact with clients and/or service providers in their environment.
• You will travel infrequently.
• Extended work hours, including weekends, may be required.
• You will be subject to a Background check as a condition of employment, in the event you are the successful candidate.
  
  
  

What’s in it for you?

• 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.