Accident Benefits Claims Specialist - Edmonton - beBeeClaims

    beBeeClaims
    beBeeClaims Edmonton

    1 week ago

    Job title: Claims Advisor

    Description

    We are seeking an Accident Benefits Claims Specialist to handle the Accident Benefits portion of claims in our Calgary office. This role involves confirming and explaining coverage, investigating and evaluating total loss claims, determining liability, and corresponding with clients and providers.

    Key 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 regarding 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

    Requirements:

    • A minimum of 1+ years of adjusting experience in an Accident Benefits role is required
    • A post-secondary diploma or degree, or working towards a CIP/FCIP designation would be considered an asset
    • The ability to negotiate and critically analyze data and be decisive is essential
    • Familiarity with auto contract and laws applicable to Accident Benefits coverage is necessary
    • Awareness of medical terminology and medical abbreviations is important
    • Knowledge of common types of traumas, their treatment and recovery periods would be beneficial in this position
    • Familiarity with human anatomy and physiology and the psychological consequences of trauma would be helpful
    • Possess highly developed interpersonal, organizational and time management skills
    • Strong written and verbal communication skills are required
    • Auto Adjusting experience would be an asset but is not required
    • Guidewire (Claims Center) knowledge would be considered an asset

    About the Role:

    This role offers a challenging and dynamic work environment where you will have the opportunity to make a real difference in people's lives. If you are a motivated and detail-oriented individual who is passionate about delivering excellent customer service, we encourage you to apply.

    What We Offer:

    • A competitive compensation package
    • A comprehensive benefits program
    • Ongoing training and development opportunities
    • A supportive and collaborative team environment

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