Intermediate/Senior Accident Benefits Advisor

AvivaOakville, ON
$65,000 - $85,000Hybrid

About The Position

Experience Aviva: Individually we are people, but together we are Aviva. Individually these are just words, but together they are our Values – Care, Commitment, Community, and Confidence. The Opportunity: We’re looking for Healthcare Service Advisors to join our Healthcare Services team to ensure timely and equitable resolution of sophisticated Accident Benefit claims. Are you a customer focused individual looking to take the next step in their career? Come join our team! What you’ll do: Interpret insurance contracts, resolve policy coverages, establish and adjust reserves in accordance with corporate guidelines To appropriately handle Accident Benefits claims according to individual authority, knowledge and expertise Acquire investigative reports, independent medical examination where appropriate, statements from insured's/witnesses and other specialists as required Educate customers and providers of any new auto reform changes Ensure all aspects of the claim process are handled optimally and within company guidelines Assist in resolving claims issues with respect to interpretations, as they relate to the legislation and settlement negotiations Ensure service levels and quality standards are met by approved specialists Educate our insureds about Premiere Healthcare network Attend and actively participate in training and file clinic sessions

Requirements

  • College Diploma/ Associate Degree or similar experience
  • 2+ years of Accident Benefits insurance claims handling experience is required required
  • CIP or working towards CIP is required for licensing
  • Excellent customer services skills
  • Excellent communication skills
  • Ability to learn and adapt to a fast paced environment
  • Good organization skills
  • Ability to adapt and work within various computer programs, databases and software

Nice To Haves

  • Large Loss experience is preferred
  • Post-secondary Education (College Diploma or Bachelor Degree) in related field.

Responsibilities

  • Interpret insurance contracts, resolve policy coverages, establish and adjust reserves in accordance with corporate guidelines
  • To appropriately handle Accident Benefits claims according to individual authority, knowledge and expertise
  • Acquire investigative reports, independent medical examination where appropriate, statements from insured's/witnesses and other specialists as required
  • Educate customers and providers of any new auto reform changes
  • Ensure all aspects of the claim process are handled optimally and within company guidelines
  • Assist in resolving claims issues with respect to interpretations, as they relate to the legislation and settlement negotiations
  • Ensure service levels and quality standards are met by approved specialists
  • Educate our insureds about Premiere Healthcare network
  • Attend and actively participate in training and file clinic sessions

Benefits

  • The salary band for this position ranges from $65,000 – $85,000. Please note that individual salary is determined by factors such as job-related knowledge, skills and experience, as well as internal equity
  • Compelling rewards package including base compensation, eligibility for annual bonus, retirement savings, share plan, health benefits, personal wellness, and volunteer opportunities
  • Outstanding Career Development opportunities
  • We’ll support your 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
  • Hybrid flexible work model
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