Int Representative, Accident Benefits Claims- West
3 days ago
Reporting to the Team Leader, Accident Benefit Claims, you are accountable for investigating, evaluating and settling Accident Benefit claims
What to expect
- Report to the Team Leader, Accident Benefit Claims, while investigating, evaluating and settling accident benefit claims in accordance with the Insurance Act
- Securing details of claims by corresponding with claimants and/or representatives
- Assessing coverage eligibility and reviewing and applying interpretations of policy wordings in the resolution of coverage issues
- Applying applicable Priority Rules chart to each claim file
- Processing income replacement claim
- Reserving files appropriately after assessing claim
- Maintaining detailed file records on an electronic claims system
- Processing payments after confirming benefits, eligibility and reserves
- Coordinating the most effective course of action for claims
- Confirming collateral benefits
- Responding to claimant correspondence and accident benefit forms in accordance with the applicable legislation
- Reviewing and approving, when appropriate, treatment plans for claimant rehabilitation
- Arranging insurer examinations to determine benefits eligibility
- Preparing referral packages and obtaining the necessary medical information for insurer examinations
- Responding to assessment recommendations
- Other duties as assigned
What you bring
- University degree, college diploma in related field or the CIP designation
- Minimum 2-3 years of claims handling experience
- Proficient in MS Word and Excel
- Professional, friendly and courteous in all interactions, whether with customers or co-workers
- Able to perform well in a busy operation and remain calm under pressure
- Team player adaptable to a changing environment
- Strong written and verbal communication skills
Salary Range: $51,300 - $94,400
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Edmonton, Alberta, Canada Definity Insurance Company Full time $51,300 - $94,400Reporting to the Team Leader, Accident Benefit Claims, you are accountable for investigating, evaluating and settling Accident Benefit claims What to expectReport to the Team Leader, Accident Benefit Claims, while investigating, evaluating and settling accident benefit claims in accordance with the Insurance ActSecuring details of claims by corresponding...
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