Accident benefits claims advisor

7 days ago

Aurora, Canada Desjardins Assurances Full time

As an Accident Benefits Claims Advisor for Alberta, you investigate, evaluate and negotiate accident benefits claims and help serve and maintain business relationships with members and clients.Proactively, you contact clients to establish rapport, discuss the claims process, and explain applicable benefits. You guide them through the claims process, understanding their unique needs while providing empathetic support.Where applicable, you effectively manage and negotiate claims through the dispute resolution process. You manage and interact with stakeholders in the claims process to ensure client's rehabilitation needs are met. You ensure effective reserving practices and issue claim payments on a timely basis.More specifically, you will be required to:Investigate, evaluate, negotiate accident benefits claims of low to moderate complexityMaintain clear and timely communication with clients, providing updates on the status of their claims, addressing inquiries and guiding them through the claims processIdentify and resolve challenges that may arise during the claims process, with a focus on always doing what is best for the clientCollaborate effectively with internal and external stakeholdersReserve case claims in line with company best practices.What you bring to the table:Bachelor’s degree in a related field OR CIP designationTwo years of relevant experienceBasic knowledge of regulatory and contractual obligations (Alberta Insurance Act)Basic knowledge of medical and legal terminology, vocational rehabilitation concepts and disability management principlesAdvanced knowledge of English both oral and written, due to the nature of the duties or work tools or because the position involves interactions with English-speaking partners, members and/or clients.Please note that other combinations of qualifications and relevant experience may be consideredWork location: Aurora, Mississauga, Burlington, Calgary. Candidate must be able to work from the office 2 days a week.

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    Aurora, Canada Desjardins Assurances Full time

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