At the Claim Table: (Part Two)- Navigating Coverage Gaps & Client Expectations After SABS 2026

from applying new benefit limits to investigating files, documenting decisions, and managing tough coverage conversations with injured clients

When the SABS change in July 2026, clients will first feel it at the claim table. This session is built for claim professionals who will be answering the hard questions when coverage isn’t what a client expected.　 We’ll walk through the key SABS reforms that directly affect claims handling: new benefit limits and structures, what clients will no longer receive automatically, and how the new OPCF-47 Priority of Payments endorsement will impact investigations during both the transition and renewal periods. You’ll gain clarity on new accident benefit claim handling impacts, application of collateral benefits, bodily injury claim handling impacts, and how coverage decisions made at sales and renewal will show up in your files.　 The seminar focuses on practical, day-to-day tools: investigation tactics, how to explain coverage gaps in plain language, how to document consent and conversations properly, when to escalate to legal or compliance, and how to manage difficult conversations with empathy while still protecting the organization. We’ll also look ahead at emerging fraud risks in the new environment and the evolving role of SIU.　 Using real case reviews and cross-functional discussion (claims, legal, healthcare, underwriting), we’ll explore what can go wrong, how disputes and lawsuits may unfold under the new regime, and how claims teams can feed insights back to brokers and underwriters to reduce future issues. You’ll leave with clearer processes, stronger documentation habits, and more confidence handling tough claim conversations after SABS 2026.　 Who Should Attend & Why Auto Claims Adjusters (AB/BI)　 To understand exactly how SABS 2026 and OPCF-47 change coverage, investigations, and conversations with injured clients.　 Claims Supervisors, Managers & Team Leads　 To set consistent standards for documentation, escalation, and client communication, and to manage increased dispute and litigation risk.　 Customer Service Representatives & Frontline Claims Staff　 To gain plain-language explanations, script development, and empathy tools for handling coverage-gap questions and emotional first-notice interactions.　 SIU / Fraud Analysts　 To anticipate how new benefit structures and access issues may shift fraud patterns and to integrate fraud awareness into everyday claims handling.　 Legal, Compliance, and Claims Strategy Leaders　 To see how the reforms will impact operations, align escalation triggers, and prepare for how early cases and precedents may reshape expectations and processes.　 Seminar Leader: Janet Annis, CIP, Vice President Ontario South & Ontario Accident Benefits Claims Pro Alex Sasic, CAIB, CRM Tamara Tomomitsu, Partner at Borden Ladner Gervais LLP Laurie Walker, FCIP, CRM | Walker Consulting &Auditing Ltd.　 Paul Wanamaker BA, FCIP, CRM RIBO CE Hours: Technical FOR GROUP RATES OF 3 OR MORE, or if you need assistance with registration, email us: gtaseminars@insuranceinstitute.ca