Accident Benefits Claims Specialist

1 week ago

Markham, Ontario, Canada Aviva Full time

**About the Role**

Aviva Canada is seeking a skilled Accident Benefits Claims Specialist to join our Healthcare Services team. As a key member of our team, you will be responsible for ensuring timely and equitable resolution of sophisticated Accident Benefit claims.

**Key Responsibilities**

  • Interpret insurance contracts, resolve policy coverages, and establish and adjust reserves in accordance with corporate guidelines.
  • Handle accident benefits claims according to individual authority, knowledge, and expertise.
  • Acquire investigative reports, independent medical examinations, statements from insureds/witnesses, and other specialists as required.
  • Educate customers and providers on new auto reform changes.
  • Ensure all aspects of the claim process are handled optimally and within company guidelines.
  • Assist in resolving claims issues related to interpretations, legislation, and settlement negotiations.
  • Ensure service levels and quality standards are met by approved specialists.
  • Educate insureds about Premiere Healthcare network.
  • Attend and actively participate in training and file clinic sessions.

**Requirements**

  • College Diploma/Associate Degree or similar experience.
  • 5+ years of Accident Benefits insurance claims handling experience (required).
  • Large Loss experience is preferred.
  • Post-secondary Education (College Diploma or Bachelor Degree) in a related field.
  • CIP or working towards CIP is required for licensing.
  • Excellent customer service skills.
  • Excellent communication skills.
  • Ability to learn and adapt to a fast-paced environment.
  • Good organization skills.
  • Ability to adapt and work within various computer programs, databases, and software.

**What We Offer**

  • A compelling rewards package including base compensation, eligibility for annual bonus, retirement savings, share plan, health benefits, personal wellness, and volunteer opportunities.
  • Outstanding Career Development opportunities.
  • We'll support your professional development education.

Aviva Canada has an accommodation process in place to provide accommodations for employees with disabilities. If upon commencement of employment you require a specific accommodation because of a disability, please contact your Talent Acquisition Partner so that an appropriate accommodation can be arranged. This process applies throughout your career with Aviva Canada.

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