Intermediate Accident Benefits Advisor
About The Position
We’re looking for Healthcare Service Advisors to join our Healthcare Services team to ensure timely and equitable resolution of sophisticated Accident Benefit claims. This role is for a customer-focused individual looking to take the next step in their career. The role involves interpreting insurance contracts, resolving policy coverages, and establishing/adjusting reserves in accordance with corporate guidelines. You will handle Accident Benefits claims according to individual authority, knowledge, and expertise, and acquire investigative reports, independent medical examinations, statements from insureds/witnesses, and other specialists as required. You will also educate customers and providers on any new auto reform changes, ensure adherence to internal policies and quality standards (Compliance & Governance), and actively coordinate customers’ functional recovery, ensuring treatment goals are monitored. Additionally, you will assist in resolving claims issues related to legislation interpretation and settlement negotiations, ensure service levels and quality standards are met by approved specialists, educate insureds about the Premiere Healthcare Network, and attend and actively participate in training and file clinic sessions.
Requirements
- College Diploma / Associate Degree or similar experience
- 2+ years of Accident Benefits and/or Casualty insurance claims handling experience
- CIP or working toward CIP is required for licensing
- Excellent customer service skills
- Excellent communication skills
- Ability to learn and adapt in a fast-paced environment
- Strong organizational skills
- Ability to work within various computer programs, databases, and software
Nice To Haves
- Prior case management experience (e.g., WCB/LTD or clinic setting)
- Post‑secondary education (College Diploma or Bachelor’s Degree) in a related field
Responsibilities
- Interpret insurance contracts, resolve policy coverages, and establish/adjust reserves in accordance with corporate guidelines
- Handle Accident Benefits claims according to individual authority, knowledge, and expertise
- Acquire investigative reports, independent medical examinations, statements from insureds/witnesses, and other specialists as required
- Educate customers and providers on any new auto reform changes
- Ensure adherence to internal policies and quality standards (Compliance & Governance)
- Actively coordinate customers’ functional recovery, ensuring treatment goals are monitored
- Assist in resolving claims issues related to legislation interpretation and settlement negotiations
- Ensure service levels and quality standards are met by approved specialists
- Educate insureds about the Premiere Healthcare Network
- Attend and actively participate in training and file clinic sessions
Benefits
- Eligibility for annual bonus
- Retirement savings
- Share plan
- Health benefits
- Personal wellness
- Volunteer opportunities
- Outstanding Career Development opportunities
- Professional development education
- Competitive vacation package with the option to purchase 5 extra days off per year
- Employee driven programs focused on gender, LGBTQ+, origins, diversity and inclusion
- Corporate wellness programs to support our employees’ physical and mental health
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
