This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Claims Advisor, AB based in Canada.
As a Claims Advisor, you will manage complex first-party Accident Benefits claims and help customers navigate challenging situations with professionalism and empathy.
You’ll assess coverage, investigate claims, establish appropriate reserves, and negotiate settlements within your authority.
The role combines technical insurance knowledge, critical thinking, customer service, and careful file management.
You’ll communicate with claimants, vendors, medical professionals, lawyers, and internal teams throughout the claims process.
Working remotely, you’ll operate in a fast-paced environment while maintaining high standards for documentation, compliance, and service.
You’ll also collaborate closely with Accident Benefits Adjusters and Claims Assistants to resolve customer concerns and achieve effective outcomes.
This opportunity is well suited to an experienced insurance professional who values accountability, sound judgment, and meaningful customer interactions.
Accountabilities:
- Interpret insurance policy wording, determine applicable coverage, and establish appropriate reserves for assigned Accident Benefits claims.
- Investigate, negotiate, and settle moderate to highly complex claims through telephone, written correspondence, and in-person interactions where required.
- Manage claims in accordance with established policies, procedures, best practices, and applicable legislative and regulatory requirements.
- Maintain thorough and accurate claim files, ensuring documentation supports decisions and settlement activity.
- Resolve claims within personal settlement authority and follow appropriate guidelines when matters exceed assigned authority.
- Establish clear customer service expectations, take ownership of customer concerns, and proactively identify solutions to resolve problems.
- Communicate professionally and effectively with claimants, vendors, medical professionals, legal representatives, and other stakeholders.
- Work collaboratively with Accident Benefits Adjusters and Claims Assistants to support efficient and consistent claims handling.
Requirements:
- Experience in Accident Benefits, Bodily Injury, Property Claims, Underwriting, Sales, or another relevant insurance environment.
- Completion of a CIP designation, or a demonstrated interest and willingness to pursue the designation.
- Strong critical-thinking and analytical skills, with the ability to assess claim strengths and weaknesses and make well-reasoned decisions.
- Excellent written and verbal communication skills, with a strong commitment to delivering high-quality customer service.
- Strong time-management and organizational abilities, with the capacity to prioritize effectively in a fast-paced, high-volume environment.
- Ability to work independently while also contributing effectively within a collaborative team.
- Strong problem-solving skills, attention to detail, sound judgment, and accountability.
- Ability to interpret policy coverage, manage claim documentation, negotiate settlements, and work within regulatory requirements.
Benefits:
- Expected annual compensation ranging from CAD $59,900 to $93,725, with the actual salary determined based on skills and experience.
- Fully remote work arrangement.
- Flexible work arrangements designed to support different working needs.
- 7% employer match on contributions to the RRSP program.
- Comprehensive retirement savings program with employer-matched contributions.
- Employee discounts, including 15% on auto and property insurance plus discounts on other products and services.
- Student loan payment matching program for eligible government student loans.
- Annual wellness allowance to support health and wellbeing.
- Personal reflection day.
- Tuition reimbursement.
- Opportunities to participate in community initiatives, charitable activities, giving, and volunteerism.
- Workplace accommodation support for employees who require it.
How Jobgether works:
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.
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