Junior/Intermediate Accident Benefits Advisor

Aviva • Edmonton, AB

8d • Hybrid

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 involves interpreting insurance contracts, resolving policy coverages, and handling Accident Benefits claims according to individual authority, knowledge, and expertise. You will also be responsible for acquiring investigative reports, educating customers and providers on auto reform changes, and ensuring adherence to internal policies and quality standards. A key aspect of this role is actively coordinating customers’ functional recovery and assisting in resolving claims issues related to legislation interpretation and settlement negotiations.

Requirements

• College Diploma / Associate Degree or similar experience
• 2+ years of Accident Benefits and/or Casualty insurance claims handling experience is preferred
• Post‑secondary education (College Diploma or Bachelor’s Degree) in a related field
• 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) is an asset

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
• Professional development education
• Competitive vacation package with the option to purchase 5 extra days off per year
• Corporate wellness programs

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree