Claims Advisor - Accident Benefits (Calgary)

Peace Hills Insurance; Edmonton; On-site; CAD 60,000 - 75,000; Full time

Job summary

A well-established insurance firm in Edmonton seeks a Claims Advisor – Accident Benefits. The role involves managing claims, confirming coverage, and negotiating settlements. Ideal candidates will have at least 1 year of relevant experience and a post-secondary diploma. This position offers competitive pay, a healthy work-life balance, and potential for professional growth.

Benefits

Competitive base pay with annual bonus eligibility

Healthy work-life balance with days off

Matching contributions to Registered Pension Plan

Personal insurance reimbursement

Social events throughout the year

Annual staff appreciation event

Qualifications

• Minimum of 1+ years of adjusting experience in an Accident Benefits role.
• Familiarity with auto contract and applicable laws.
• Awareness of medical terminology and common treatment types.

Responsibilities

• Confirming and explaining coverage to clients.
• Investigating and settling total loss claims.
• Calculating benefit entitlements and authorizing treatments.

Skills

Negotiation

Critical analysis

Interpersonal skills

Organizational skills

Time management

Verbal communication

Written communication

Education

Post-secondary diploma or degree

Working towards CIP / FCIP designation

Tools

Guidewire (Claims Center)

Job description

Overview

We currently have an opening for a Claims Advisor – Accident Benefits in our Calgary office. This role involves the handling of the Accident Benefits portion of the claim.

What You'll Do

• Confirming and explaining coverage is in place and how it applies to reported claims
• Investigating, evaluating, negotiating, and settling total loss claims
• Determining liability
• Explaining the claims process to clients regarding accident benefits
• Obtaining recorded statements
• Collecting and reviewing medical documents and treatment plans
• Obtaining and verifying employment information
• Calculating benefit entitlements
• Authorizing treatment and arranging appropriate billing with clients or providers
• Corresponding with doctors, lawyers, treatment providers, employers, and clients
• Identify questionable claims
• Requesting and arranging MSE’s, IME’s and IDE’s
• Arranging for treatment at specialized facilities
• Documenting activity on the file and issuing payments on a timely basis
• Liaising with Brokers and Underwriters
• Various other duties as required

What You'll Bring

• Minimum of 1+ years of adjusting experience in an Accident Benefits role
• Post-secondary diploma or degree and / or working towards a CIP / FCIP designation would be considered an asset
• Ability to negotiate and critically analyze data and be decisive
• Familiarity with auto contract and laws applicable to Accident Benefits coverage
• Awareness of medical terminology and medical abbreviations
• Knowledge of common types of traumas, their treatment and recovery periods
• Familiarity with human anatomy and physiology and the psychological consequences of trauma would be helpful in this position
• Possess highly developed interpersonal, organizational and time management skills
• Strong written and verbal communication skills
• Auto Adjusting experience would be an asset but is not required
• Guidewire (Claims Center) knowledge would be considered an asset

What You'll Experience

• Competitive base pay with annual bonus eligibility
• Healthy work-life balance including a day off every 4 weeks
• Matching contributions to your Registered Pension Plan
• Personal insurance reimbursement
• Social events held throughout the year
• Celebration of your team’s achievements each year with an annual staff appreciation event
• A career in a stable and essential industry, at a company with an exceptional corporate culture and opportunities for professional development and advancement

Why Peace Hills

Peace Hills General Insurance Company has been serving Western Canada since 1982 with home, auto and business insurance products. Our head office is in Edmonton, Alberta, with branch offices in Calgary and Vancouver. We currently employ over 300 staff who work withmore than 1,000 broker offices across British Columbia, Alberta, Saskatchewan, Manitoba, the Northwest Territories, Nunavut and Yukon Territory.

Peace Hills is proudly owned by the Samson Cree Nation, and it is through Wahkôtowin – a Cree word that means “kinship” and the interconnectedness of all beings – that we are and continue to be a respected insurer that provides creative and responsive solutions.

Ready to apply? Send your resume and cover letter to

This job posting will remain open until a suitable candidate is found.