AB Claims Representative III – Waterloo, Ontario
Located in Ontario and Nova Scotia, Heartland Mutual Insurance strives to be the Best Mutual. Our team of talented and dedicated professionals challenge the norm and strive to be extraordinary. It’s all about fulfilling our promise with a personal approach. With our team, you’ll bring this purpose to life every day by living our values, being open to change, and pursuing your career aspirations.
Heartland Mutual Insurance has an excellent opportunity in our Claims Department for an AB Claims Representative III.
What you will do…
- Investigate and resolve minor- to medium-complexity Accident Benefits claims.
- Provide excellent customer service through counselling claimants regarding the Statutory Accident Benefits Schedule (SABS), benefit eligibility, and claims process and procedures.
- Correspond with claimants to gather adequate information for confirming priority of payment, WSIB, and/or loss transfer potential.
- Consult for authority requests with respect to payments, settlements, and incurred handling.
- Collaborate with clients, treatment professionals, and employers in the development and ongoing monitoring of case management plans.
- Manage treatment plans and invoicing within Health Claims for Auto Insurance (HCAI).
- Work with our legal counsel where disputes have been filed through the Licence Appeal Tribunal (LAT).
- Ensure medical records and case files are captured and kept up to date within Guidewire.
- Operate within legal, regulatory, and privacy obligations.
What you will bring…
- 3+ years’ experience in handling Accident Benefits claims.
- Post-secondary degree or diploma, or equivalent work experience.
- CIP designation, or willingness to pursue, is an asset.
- Excellent understanding of Accident Benefits insurance coverage.
- Comprehensive knowledge of the SABS, particularly the Minor Injury Guideline (MIG) and factors which affect inclusions or exclusions.
- Working understanding of privacy legislation and the Ontario auto policy, and comprehensive understanding of HCAI.
- Experience working with Guidewire is an asset.
- Experience managing relationships with clients and medical professionals.
What we offer…
In return, we’ll give you countless opportunities to learn and grow. You’ll be empowered to be your best self, do your best work, and make a meaningful impact. Here, you can help shape the future of insurance, win as a team, and grow with us.
At Heartland our benefits are great and include not only health and dental coverage, but also a generous pension plan. All staff members share in our company’s success through our incentive plan. And with our hybrid work model, you get the best of both worlds – the ability to collaborate and connect with great colleagues and to enjoy the benefits of working from home.
Intrigued? We can’t wait to hear from you!
If you have the qualifications we are seeking and would thrive in a work environment where you are valued and respected, please apply on the company website. Accommodations are available on request for candidates taking part in all aspects of the selection process.
A Place Where YOU Can Make a Difference! Proudly Canadian. Mutually Owned.