Wawanesa Insurance is a major Canadian mutual insurer with its national headquarters in Winnipeg, Manitoba. Founded in 1896 in the village of Wawanesa, Manitoba, we now operate offices across Canada, including locations in Vancouver, Calgary, Edmonton, Toronto, Dartmouth, and Montreal, and sells products entirely through broker partnerships.&nbsp;

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 Employment Type: Existing Role
 Working Business Language: English &nbsp;
Salary: At Wawanesa, salary is only one component of a holistic, comprehensive and competitive offering that we provide to our employees. In addition to salary, full-time and part-time permanent employees are eligible for an annual bonus plan, leave of absence top-up programs and provided with generous vacation time, personal days, premium free benefits and pension plan.&nbsp; &nbsp;
The salary offered for this role is determined with consideration to various factors, including but not limited to: your work location, local labour market conditions, external market salary data, internal pay equity and the knowledge, skills, experience and anticipated proficiency in the role. The salary offered is estimated to be within the following range: $75,000 - $85,000.
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About Us At Wawanesa, we offer a hybrid work environment that offers flexibility to our employees in balancing in-office (2 days per week OR 15 hours per week in a Wawanesa office) and remote work. You may work from any of the following locations: Toronto (North York), ON; Kitchener, ON; Ottawa, ON.&nbsp; &nbsp;
The Wawanesa Mutual Insurance Company (“Wawanesa Mutual”), founded in 1896, is one of Canada’s largest mutual insurers, with over $3.5 billion in annual revenue and assets of $10 billion (CAD). Wawanesa Mutual, with its National Headquarters in Winnipeg, is the parent company of Wawanesa Life, which provides life insurance products and services throughout Canada, and Western Financial Group, which distributes personal and business insurance across Canada. Wawanesa proudly serves more than 1.7 million members in Canada, and we are home to more than 3,300 employees distributed across the Canadian regions and communities where we operate. We give back to organizations that strengthen communities, donating more than $3.5 million annually to charitable organizations, including over $2 million annually in support of people on the front lines of climate change. We are also proud to be recognized as one of Manitoba’s Top Employers. To learn more visit wawanesa.com.&nbsp;
 We are currently looking for dedicated, driven, and enthusiastic individuals who thrive in an environment that welcomes change and are looking for an opportunity for diverse experience and advancement on a growing team. &nbsp;<div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:16.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px">Job Overview</h2>
</div><div>As a Claims Adjuster 3, Accident Benefits, you’ll play a key role in delivering Wawanesa’s exceptional and consistent member experience by fairly and equitably adjusting high-complexity and large loss accident benefit claims. You’ll apply and clearly explain policy coverages, maintain strong, well-documented claim files throughout the life of each claim, and provide timely, proactive service—owning your pending from initial report through to resolution.
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Job Responsibilities
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<ul type="disc">
<li style="color:black">Provide direction and support to our injured members through throughout the claims process, by providing an exceptional member experience delivered with empathy.&nbsp;</li>
<li style="color:black">Timely and proactive communication, through voice to voice, digital and written correspondence, ensuring that all inquiries are effectively dealt with in a timely and professional manner. &nbsp;</li>
<li style="color:black">Adjustment of Accident Benefit claims of high complexity and large loss.</li>
<li style="color:black">Review and interpret policy wordings, determine policy coverage, and communicate coverage decisions to members.</li>
<li style="color:black">Establish timely and accurate loss and expense reserves throughout the life of the claim through evaluation of relevant information</li>
<li style="color:black">Ensure a comprehensive investigation is conducted on all files to determine coverages and liability, while adhering to Wawanesa’s adjusting guidelines, and recognizing when to engage appropriate internal and external resources.</li>
<li style="color:black">Coordinate and manage services with vendors and service providers such as accountants, lawyers, rehabilitation clinics and health practitioners.</li>
<li style="color:black">Negotiating and conveying claim settlements within authority limits. Manage claims in litigation, mediation, or arbitration. Provide instruction to assigned counsel.</li>
<li style="color:black">Maintain an effective and current diary system and document claim file activities in accordance with established procedures and Wawanesa's Proactive Case Management Model.</li>
<li style="color:black">Demonstrate and maintain knowledge and understanding of policy coverages, while complying with regional regulatory and licensing requirements (as applicable). Remaining current with legislative changes and trends in the insurance industry.</li>
<li style="color:black">Liaise with claimants and all other parties involved.</li>
<li style="color:black">Occasionally participation in private mediation, court proceedings and other dispute resolution as required.</li>
<li style="color:black">In Ontario: LAT process management &amp; priority disputes. Manage priority of payment investigation, WSIB and Loss Transfer.</li>
<li style="color:black">Contribute to employee development through training, technical guidance, and coaching.</li>
<li style="color:black">Perform other duties as assigned.</li>
</ul></div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:16.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px">Qualifications</h2>
</div><div><ul>
<li style="color:black">At least 3+ years of progressive insurance adjusting experience.</li>
<li style="color:black">Ability to adapt quickly to change and remain flexible in a dynamic work environment.</li>
<li style="color:black">Well-developed investigative, analytical, and critical-thinking skills.</li>
<li style="color:black">Working knowledge of medical and legal terminology.</li>
<li style="color:black">Completion of, or active progress toward, the Chartered Insurance Professional (CIP) designation.</li>
<li style="color:black">Post-secondary education is considered an asset.</li>
<li style="color:black">Excellent time management and organization, with the ability to prioritize in a fast-paced, changing environment.</li>
<li style="color:black">Sound judgment and confident decision-making, with the ability to stand behind decisions.</li>
</ul></div></div></div> Diversity Equity, Inclusion &amp; Belonging At Wawanesa, we are committed to Diversity, Equity, Inclusion and Belonging (DEIB) and believe that our strength lies in the diversity of our people – this is supported by having a representative workforce. 
We welcome applications from all qualified candidates, including racialized persons, women, Indigenous Peoples, persons with disabilities, members of the 2SLGBTQIA+ community, gender-diverse and neurodiverse individuals, and anyone who can contribute to the further diversification of thought and ideas.&nbsp; &nbsp;
We aim to ensure our recruitment process is accessible to all candidates. If you require accommodations during any stage of the recruitment process, please reach out in confidence to <a style="color:black" href="mailto:jobs@wawanesa.com">jobs@wawanesa.com</a>. &nbsp;
All Wawanesa job applicants are subject to Wawanesa's <a style="color:black" href="https://www.wawanesa.com/canada/pip/employee-privacy-policy">Privacy Policy</a>. 
Please note that the recruitment process for this position may involve the use of AI tools to screen, assess, or select applicants. All final decisions are taken or reviewed by human recruiters and human hiring leaders in compliance with all applicable legislation. &nbsp; &nbsp;

Claims Adjuster Level 3 - Accident Benefits is no longer accepting applications.