Accident Benefits Claims Specialist
2 months ago
**About the Role**
Aviva 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.
- 1+ 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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