Markham, ON
8 days ago
Intermediate Adjuster, Claims
Adjudicate all lines of Combined products to Accident and Health.  Approve, deny, or inquire further for necessary information from claimants, doctors, or hospital to assess claimant’s eligibility for benefits. Interprets and administers policy provisions including, but not limited to, eligibility and investigations. Review incoming correspondence concerning existing claims. Refer files for special investigation, if required. Discuss and explain benefit payments to claimants by telephone. Document claim file actions and telephone conversations appropriately.  Review claims on diary and send follow up reminders in a timely manner. Refer activity outside of authority level to Senior Adjusters/Assistant Manager, Claims Adjudicate all lines of Combined products to Accident and Health.  Approve, deny, or inquire further for necessary information from claimants, doctors, or hospital to assess claimant’s eligibility for benefits. Interprets and administers policy provisions including, but not limited to, eligibility and investigations. Review incoming correspondence concerning existing claims. Refer files for special investigation, if required. Discuss and explain benefit payments to claimants by telephone. Document claim file actions and telephone conversations appropriately.  Review claims on diary and send follow up reminders in a timely manner.

 

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