Accident Benefits Coordinator
6 days ago
We are seeking a highly skilled Claims Advisor to join our team at Peace Hills Insurance. As a Claims Advisor, you will play a critical role in handling both Automobile and Accident Benefits claims, ensuring that our clients receive the best possible service.
Key Responsibilities:
- Verify and explain coverage to clients, ensuring they understand their policy and its application to reported claims.
- Investigate, evaluate, negotiate, and settle total loss claims, determining liability and ensuring fair outcomes.
- Explain the claims process to clients, providing clear guidance on both automobile and accident benefits.
- Obtain recorded statements, collect and review medical documents, and verify employment information.
- Calculate benefit entitlements, authorize treatment, and arrange billing with clients or providers.
- Correspond with doctors, lawyers, treatment providers, employers, and clients, ensuring seamless communication.
- Identify questionable claims, request MSE's, IME's, and IDE's, and arrange treatment at specialized facilities.
- Document activity on the file, issue payments on a timely basis, and liaise with Brokers and Underwriters.
Requirements:
- Minimum of 3+ years of adjusting experience in a similar role, with at least 1 year of Accident Benefits experience preferred.
- Post-secondary diploma or degree, and/or working towards a CIP/FCIP designation, would be considered an asset.
- Ability to negotiate and critically analyze data, with strong decision-making skills.
- Familiarity with auto contract and laws applicable to Accident Benefits coverage, as well as medical terminology and abbreviations.
- Awareness of common types of traumas, their treatments, and recovery periods, and knowledge of human anatomy and physiology.
- Highly developed interpersonal, organizational, and time management skills, with strong written and verbal communication skills.
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Accident Benefits Claims Specialist
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Accident Benefits Claims Specialist
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Edmonton, Alberta, Canada Peace Hills Insurance Full timeWe are seeking a qualified individual for the position of Claims Advisor - Accident Benefits at Peace Hills Insurance. This role is pivotal in managing both the Automobile and Accident Benefits segments of claims, under the supervision of the Claims Manager. Key Responsibilities: Assessing and clarifying coverage details and their application to reported...
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