Claims Advisor - Edmonton, Canada - Peace Hills Insurance
Description
Primary Duties and Responsibilities:
- Review all information available to confirm coverage is in place and applies to the reported claim
- Explain coverage and the claims process to Insureds and claimants
- Communicate directly with insureds and assist them through the claims process to facilitate fair and reasonable settlements
- Evaluate potential opportunities for recovery including through subrogation and salvage
- Collect and review documents and other relevant information that assist in the evaluation and quantification of the claim file
- Set, evaluate, and maintain appropriate reserves based on the expected final payout
- Retain and / or coordinate the retention of appropriate external resources as required
- Oversee, monitor, and control costs associated with external resources
- Evaluate and adjust claims in accordance with the company's customer service standards
- Correspond verbally and in writing within and outside of the organization
- Maintain & keep current file diaries and abeyances
- Identify potentially fraudulent claims and coordinate file activity with the Special Investigations Unit
Required Qualifications:
- Minimum of 12 years of experience in an insurance customer service environment supplemented with postsecondary education and/or working toward a CIP or FCIP designation;
- Highly developed interpersonal, organizational and time management skills;
- Strong written and verbal communication skills with the ability to deliver messages with tact and diplomacy
- Ability to make decisions that support the company's claims handling philosophy.
Working at Peace Hills:
Peace Hills understands that by reducing work-life struggles, individuals can enjoy a healthier lifestyle while improving productivity at work.
Ensuring an appropriate work/life balance and a collegial and supportive office environment are just a couple of ways we do this.
Job Types:
Full-time, Permanent
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
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