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Insurance Claims Advisor
3 weeks ago
We currently have an opening for two Claims Advisors - Accident Benefits in our Edmonton office. These roles involve the handling of both the and of the claim, in most cases.
**Primary Duties and Responsibilities**
- Confirming and explaining coverage is in place and how it applies to reported claims
- Investigating, evaluating, negotiating, and settling total loss claims
- Determining liability
- Explaining the claims process to clients for both automobile and accident benefits
- Obtaining recorded statements
- Collecting and reviewing medical documents and treatment plans
- Obtaining and verifying employment information
- Calculating benefit entitlements
- Authorizing treatment and arranging appropriate billing with clients or providers
- Corresponding with doctors, lawyers, treatment providers, employers, and clients
- Identify questionable claims
- Requesting and arranging MSE’s, IME’s and IDE’s
- Arranging for treatment at specialized facilities
- Documenting activity on the file and issuing payments on a timely basis
- Liaising with Brokers and Underwriters
- Various other duties as required
**Required Qualifications**
- Minimum of 2+ years of adjusting experience in a similar role (with at least 1 year of Accident Benefits experience would be 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 and be decisive
- Familiarity with auto contract and laws applicable to Accident Benefits coverage
- Awareness of medical terminology and medical abbreviations
- Knowledge of common types of traumas, their treatment and recovery periods
- Familiarity with human anatomy and physiology and the psychological consequences of trauma would be helpful in this position
- Possess highly developed interpersonal, organizational and time management skills
- Strong written and verbal communication skills
**Working at Peace Hills**
Peace Hills understands that by reducing work-life struggles, individuals can enjoy a healthier lifestyle while improving productivity at work. Providing a collegial work environment and an excellent work life balance are just a couple of the ways we do this
**Benefits**:
- Company events
- Dental care
- Employee assistance program
- Extended health care
- Life insurance
- Vision care
- Wellness program
Flexible Language Requirement:
- French not required
Schedule:
- Monday to Friday
Supplemental pay types:
- Bonus pay
- Overtime pay
Work Location: Hybrid remote in Edmonton, AB T5J 3N3
