Samantha Ritchie

· New Home and Auto Sales – responsible for advising and guiding clients on the importance of various coverages. On a new auto policy this entails explaining and upselling Accident Benefits Coverage. Such as what Accident Benefits is and the difference between the Standard Benefits and the Optional Benefits.

· Assisted clients through the various claims processes.

· Assisted clients with various claims forms – specifically assisted clients with completing Accident Benefits forms such as OCF1 – Application for Accident Benefits.

· Provide guidance and assistance as requested.

• Key responsibility of the Analyst, Accident Benefits, is to act with a sense of urgency in identifying and meeting client needs
• This includes ensuring timely & thorough investigation of claims involving predominantly complex issues and/or high exposures, identifying client eligibility and/or entitlement, and ensuring quick access to all available benefits to promote treatment and recovery, and to help the client return to optimal function
• Responsible for case handling of claims involving predominantly complex issues and/or high exposures including catastrophic injuries; priority of payment, loss transfer and loss reserving
• Participation in large loss meetings, mediations, arbitrations, and litigations
• Ensure accurate and timely reserves and take a total cost management approach to claims
• Record and verify information and documentation from all available sources to ensure a thorough and complete compilation of facts required to resolve the claim; and identify potential coverage issues and/or recovery/liability opportunities
• Using established protocols, analyze and evaluate facts of an individual case to assess the benefits available to the client
• Make good decisions based upon a mixture of analysis, wisdom, experience, and judgement
• Read and remain current and up to date on case law, legal changes and recent settlements which affect accident benefit claims
• Apply departmental protocols to ensure efficient, productive, and cost-effective results
• Meet productivity objectives set by the department in terms of pending file count and open/close ratio.

• Key responsibility of the Analyst, Accident Benefits, is to act with a sense of urgency in identifying and meeting client needs
• This includes ensuring timely & thorough investigation of claims involving predominantly complex issues and/or high exposures, identifying client eligibility and/or entitlement, and ensuring quick access to all available benefits to promote treatment and recovery, and to help the client return to optimal function
• Responsible for case handling of claims involving predominantly complex issues and/or high exposures including catastrophic injuries; priority of payment, loss transfer and loss reserving
• Participation in large loss meetings, mediations, arbitrations, and litigations
• Ensure accurate and timely reserves and take a total cost management approach to claims
• Record and verify information and documentation from all available sources to ensure a thorough and complete compilation of facts required to resolve the claim; and identify potential coverage issues and/or recovery/liability opportunities
• Using established protocols, analyze and evaluate facts of an individual case to assess the benefits available to the client
• Make good decisions based upon a mixture of analysis, wisdom, experience, and judgement
• Read and remain current and up to date on case law, legal changes and recent settlements which affect accident benefit claims
• Apply departmental protocols to ensure efficient, productive, and cost-effective results
• Meet productivity objectives set by the department in terms of pending file count and open/close ratio.

• Assisted 13 analysts in total including 2 Level 3's
• Ensure assigned medical invoices and disability payments are entered into the system and processed according to financial guidelines
• Process returned cheques and loss transfer recoveries according to protocols
• Complete necessary forms and steps relating to accepting and rejecting treatment plans and/or assessments
• Provide ongoing, instantaneous support for internal clients.