We are seeking Accident Benefit Adjusters to join our team in the Greater Toronto Area.
The candidate will be responsible for :
Investigation and evaluation of complex claims, collection of data and determination of loss exposure, all within approved authority levels.
Forward necessary explanations and documents as per Statutory Accident Benefits Schedule (SABS).
Inform claimants of their entitlement and obligations under the SABS while ensuring compliance with established Crawford and Company (Canada) Inc.
and Client standards.
Ensure effective financial management. Establish case reserves and issue claim payments on a timely basis.
Manage and interact with stakeholders in the claims process to ensure client's rehabilitation needs are met (health practitioner, treatment provider, employer, lawyer, etc...)
Direct and manage interactions with Field Independent Adjusters and other outside services i.e Investigators / ISB / IME’s.
Where applicable, effectively manage and negotiate claims through dispute resolution process.
Post secondary education (University Degree or College Diploma) in Business, Health Sciences, or related field is preferred.
4+ years of Accident Benefit Adjusting experience required.
CIP Designation or working toward completion
ADR and Litigation including LAT experience is an asset.
Proficient knowledge of SABS
Knowledge of medical and legal information and terminology.
An advanced level of English (Verbal and written) is required.
Crawford is an Employment Equity employer. In support of Employment Equity principles, Crawford undertakes to ensure that no person is denied employment opportunities or benefits for reasons unrelated to ability and to achieving and maintaining a workforce that is representative of women, Aboriginal peoples, persons with disabilities and members of visible minorities.
Crawford undertakes to identify and remove any discriminatory policies and practices found in the recruitment, selection and hiring, promotion, training, retention and termination of employees in all levels and categories of employment.