Intermediate Adjuster (Accident Benefits)

SGI • Edmonton, AB

7d • CA$65,456 - CA$88,351 • Hybrid

About The Position

Responsible for investigating, evaluating and coordinating injury benefits for automobile accident benefit claims. Determines coverage in accordance with policy wordings and applicable automobile accident benefits legislation and regulations. This role is eligible for hybrid work, allowing flexibility between working from home and in the office (in Edmonton/Calgary) on a scheduled rotation after training. Initially, the successful incumbent will be expected to work on-site, full-time.

Requirements

• A two-year diploma from an accredited post-secondary education institution in a relevant field of study such as Business.
• 3 - 5 years’ experience in adjudicating accident benefit claims.
• Knowledge of the principles and practices of insurance, claims policies and procedures, and automobile insurance products.
• Knowledge of Alberta’s automobile accident benefits legislation and regulations, including the Diagnostic and Treatment Protocols.
• Knowledge of medical terminology, injuries and vocational rehabilitation concepts.

Responsibilities

• Adjudicates both routine and moderately complex accident benefit claims.
• Assigns, conducts and oversees investigations and examines, negotiates and settles accident benefits claims.
• Maintains a diary system to monitor and ensure delivery of accident benefits payments in accordance with the regulations.
• Ensure files are up to date with all information, notes and documentation.
• Maintains proper reserves as per exposure and developments.
• Liaises with clinicians to focus on early intervention, through rehabilitation to help injured persons return to their pre-accident status.
• Develops, monitors and redefines, in concert with injured persons, employers, treating practitioners and/or other interested parties, vocational rehabilitation plans including return to work and graduated return to work plans.
• Gathers and analyzes employment-related information necessary to calculate Income Replacement Benefits.
• Supports corporate culture and vision which fosters positive relationship with our customers.
• Provides timely and professional customer service.
• Handles claims issues and resolutions in a proactive manner.
• Builds and maintains a positive working relationship with insureds, brokers, service providers and industry participants.
• Actively contributes to and supports a culture of high performing workforce.
• Participates in divisional succession plans, ensuring ongoing professional and career development and supports development in others.
• Supports a culture of leadership and accountability to effectively deliver on strategic and corporate strategies.
• Is committed to leadership development across the company, supporting team and workforce readiness through mentoring, training and developmental opportunities.
• Enables the success of programs and policies that are in alignment with corporate, strategic and divisional strategies.
• Manages risk in area of authority.
• Ensures that the Health, Safety and Emergency Management Policy is applied in area of responsibility.

Benefits

• competitive pay
• great benefits, perks and options to balance work and everything else life sends their way
• support for education, accreditation and professional development

What This Job Offers

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