Senior Claims Technical Advisor at Definity, North York

AI Summary

Definity is hiring a Senior Claims Technical Advisor for Accident Benefits in North York, Ontario. This role involves providing technical expertise on complex claims, coaching staff, and ensuring compliance with claims standards.

Candidates require a university degree or CIP designation and at least five years of experience managing large and complex accident benefits claims.

About the Opportunity

As a Senior Claims Technical Advisor at Definity, you will play a pivotal role in managing and resolving intricate accident benefits claims. This position requires a seasoned professional to provide ongoing coaching and instructions to claims staff, guiding them through the investigation and adjustment of large and complex claims. You will directly handle the most challenging cases, leveraging your extensive experience to review risks and exposures, thereby providing essential technical leadership to the entire claims team. Your expertise will be crucial in offering feedback and guidance to Team Leaders regarding staff performance, ensuring the highest standards of claims management are met across our insurance operations.

This role also involves providing critical technical support to Line Managers and liaising with Underwriting on specific technical matters related to insurance policies. You will collaborate closely with Claims Representatives to accurately set and maintain reserves, a vital component of effective financial management within Definity. Ensuring strict adherence to corporate claims standards, policies, and procedures is paramount. Furthermore, you will oversee and undertake comprehensive file reviews and audits, completing detailed reports that outline findings and contribute to corporate audits. This dynamic position offers the chance to assist Team Leaders with staff development, participating in and developing action plans to resolve complex litigation files, and staying abreast of industry, legal, and corporate developments to provide relevant updates to the region through seminars and communications.

Skills and Experience

To excel in this Senior Claims Technical Advisor role at Definity, candidates must bring a robust educational background, ideally a completed university degree or college diploma, or a CIP designation. A minimum of five years of dedicated experience in accident benefits is essential, specifically dealing with large losses and complex claims. This experience should also include a similar length of time managing claims through the dispute resolution process, demonstrating a comprehensive understanding of the intricacies involved. A thorough grasp of the Statutory Accident Benefits Schedule is a fundamental requirement for success in this demanding insurance environment.

Beyond technical acumen, strong oral and written communication skills are critical, alongside proven influencing and coaching abilities to effectively guide and mentor claims personnel. While not strictly mandatory, prior supervisory-level experience and the ability to provide technical guidance to team members would be considered a strong asset, enhancing your capacity to lead and support. The ideal candidate will be professional, friendly, and courteous in all interactions, whether with customers or co-workers, embodying Definity’s commitment to excellent service. The ability to perform well in a busy operation and remain calm under pressure, coupled with the capacity to make sound decisions in a timely manner—even with limited information—is highly valued. We are seeking a collaborative team player who is adaptable to a changing environment, ready to contribute to Definity's innovative approach to insurance.