Teams at Definity

Manage complex accident benefits claims, including eligibility assessment, benefit processing, reserving, payments, rehabilitation coordination, medical assessments, and policy interpretation. Communicate with customers, healthcare practitioners, representatives, and other stakeholders while maintaining accurate electronic claim files and ensuring compliance with insurance legislation and Care First principles.

Investigate, evaluate, and adjudicate accident benefits claims; assess coverage and benefit eligibility; process income replacement benefits and payments; maintain reserves and electronic claim files; coordinate treatment plans, medical assessments, and rehabilitation services; communicate with customers, healthcare practitioners, and representatives; and resolve claims accurately in accordance with insurance legislation and policy terms.

Manage complex accident benefits claims, including catastrophic injuries, permanent impairment, and fatality benefits. Investigate eligibility, assess and reserve claims, process payments, coordinate medical assessments and rehabilitation, resolve disputes, and maintain detailed electronic records. Collaborate with customers, healthcare providers, legal counsel, and stakeholders while applying insurance legislation and policy terms. Develop claim strategies and provide coaching and guidance to team members.