Senior Bodily Injury Examiner
OTIP
- Waterloo, ON
- Permanent
- Full-time
- Delivering a superior customer experience by responding to all general inquires, initiating and maintain contact with insured members, and assisting with commodity claims overflow.
- Confirming coverage for incoming claims by reviewing and compiling facts, obtaining technical reports from various parties as required, investigation of questionable claims, studying case law for liability and benefit determination, completing contractual coverage analysis, and assessing quantum, reviewing subrogation opportunities, negotiating, and resolving severity casualty matters.
- Maintaining quality service and adheres to organizational standards while dealing with all aspects of file handling including reserving, expense and loss control, liability assessments, and creating defined disposition plans for future handling leading to file closure.
- Controlling and directing work performed by outside experts, medical practitioners, lawyers, and service providers to completion.
- Representing stakeholders in a professional manner at meetings, court hearings, mediations, and other information gatherings forums with a view of resolution and/or settlement when appropriate.
- Maintaining confidentiality of claims information at all times to protect operations and insured members.
- Responsible for data integrity, issuance of payments to vendors, insureds, and experts and for maintaining well-organized claim files while ensuring accuracy of data input.
- Adhering to partner's guidelines, contracts, and insurance regulations to ensure legal and regulatory compliance.
- Actively participating in coaching and training sessions and collaborates with team members and management.
- A post-secondary education and/or college diploma within related field
- CIP designation.
- Ability to hold an adjuster's license.
- Thorough knowledge of the property and casualty industry
- 7-10 years of experience in casualty claims handling including litigation file management.
- Experience in handling losses more than $250,000.
- Strong residential construction experience
- Knowledge of medical rehabilitation concepts and medical
- Case law knowledge
- Superior investigation and negotiations skills
- Excellent communication skills verbal and written to effectively work with internal and external stakeholders.
- Superior organizational skills to manage competing priorities, including project management skills.
- Current Microsoft Office working knowledge.
- Ability to learn and adapt in a fast-paced environment including working with various computer programs, databases, and software.
- Ability to work independently and as part of collaborative team environment.
- The ability to communicate in French is asset.
- Rewarding salary and bonuses that truly value your dedication
- Industry-leading group benefits with 100% premium coverage (excluding LTD) that start on your first day
- Defined benefit pension plan for a financially confident retirement
- 100% coverage of approved continuing education and licensing fees (including RIBO courses in Ontario)
- Access to a wealth of learning resources, including LinkedIn Learning for professional development
- Flexible work-from-home and hybrid options
- Unlock your potential with opportunities for advancement