Intermediate Accident Benefits Advisor

Job summary

The advisor will interpret insurance contracts and resolve sophisticated accident benefit claims while managing reserves and investigative reports. They are also responsible for educating customers and providers on auto reform changes and ensuring service levels meet company standards.

Job details

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 What You’ll Bring College Diploma/ Associate Degree or similar experience 2+ years of Accident Benefits insurance claims handling experience is required required Large Loss experience is preferred Post-secondary Education (College Diploma or Bachelor Degree) in related field. 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 What You’ll Get The salary band for this position ranges from $60,000 – $75,000. 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 This job advertisement is for an existing vacancy which has been posted both internally & externally. Aviva Canada may use AI (Artificial Intelligence) tools to assist us throughout the recruitment process to screen, assess or select applicants for a position. Aviva Canada welcomes applications from all qualified individuals and has a process in place to provide accommodations for persons with disabilities at all stages of the hiring process and during employment. If you require an accommodation during the interview or hiring process, please contact your Aviva Talent Acquisition Partner so that an appropriate accommodation can be arranged. This posting is intended to build a pipeline of qualified candidates for future opportunities. While we welcome your interest and application, please note that this role may not be actively hiring at the moment. As such, you may not receive an immediate response, and not all applicants will be contacted. We appreciate your patience and interest in joining our team.

What you’ll do

The advisor will interpret insurance contracts and resolve sophisticated accident benefit claims while managing reserves and investigative reports. They are also responsible for educating customers and providers on auto reform changes and ensuring service levels meet company standards.

Requirements

Candidates must have at least 2 years of accident benefits insurance claims handling experience and a college diploma or associate degree. A CIP designation or active progress toward one is required for licensing.

Benefits

• Annual bonus • Retirement savings • Share plan • Health benefits • Personal wellness • Volunteer opportunities • Professional development • Vacation package • Gender programs • LGBTQ+ programs • Diversity and inclusion programs • Corporate wellness programs

Listed skills

• Customer service · Preferred
• Organization · Preferred
• Data analysis · Preferred
• Negotiation · Preferred
• Communication · Preferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

• Accident benefits claims
• Insurance contract interpretation
• Reserve establishment
• Investigation
• Independent medical examination
• Customer service
• Communication
• Negotiation
• Data analysis
• Organization
• Computer proficiency
• Database management

Job areas

• Finance & Accounting
• Customer Service & Support
• Healthcare