Inside Adjuster Consultant II -

Allstate; South Dundas; On-site; CAD 67,000 - 110,000; Full time

Job summary

Allstate Canada Group in Ontario is seeking a Senior Claim Advisor, Accident Benefits to handle complex up to non-catastrophic first party injury claims, reporting to the Casualty Claims Complex AB Manager.

The role involves interpreting policy wording, setting reserves, negotiating settlements, and maintaining documentation while collaborating with adjusters and medical professionals.

Qualifications

• Minimum of 2–4 years relevant Ontario Accident Benefits experience outside the MIG.
• Prior insurance experience and knowledge in injury claims, medical rehabilitation concepts, and medical terminology.
• Strong time management and organizational skills in a fast-paced environment.
• Strong written and verbal communication with a commitment to outstanding customer service.
• Ability to work independently and as part of a collaborative team.

Responsibilities

• Interpret policy wording, determine coverages and set reserves on Accident Benefit claims.
• Investigate, negotiate and settle accident benefits claims by telephone, in person, and/or by written correspondence.
• Comply with Allstate policies and procedures.
• Adhere to legislative and regulatory requirements.
• Ensure files are thoroughly documented.
• Settlement of claims within personal authority and follow company guidelines on claims exceeding personal authority.
• Set and define customer service expectations.
• Take ownership and accountability to solve customer problems.
• Maintain a caseload reflective of a Senior Claim Advisor, Accident Benefits.
• Communicate and interact with claimants, vendors, medical professionals, lawyers.
• Work collaboratively with a team of Accident Benefit Adjusters and Claims Assistants.

Skills

Business Communications

Critical Thinking

Fraud Investigations

Information Collection

Time Management

Education

CIP designation or equivalent

Job description

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.

Job Description

Job Description

Our team is growing, and we are actively looking to hireSenior Claim Advisor, Accident Benefitsto join ourOntarioteam! Reporting to the Manager Casualty Claims Complex AB, you will be accountable for handling complex up to non-catastrophic first party injury claims.

Accountabilities:

• Interpret insurance policy wording, determine policy coverages and set reserves on Accident Benefit claims assigned
• Investigate, negotiate and settle accident benefits claims or moderate to high complexity by telephone, in person and/ or by written correspondence
• Comply with best practices as set out in Allstate policies and procedures
• Adhere to legislative and regulatory requirements
• Ensure files are thoroughly documented
• Settlement of claims within personal authority and follow company guidelines on claims exceeding personal authority
• Set and define customer service expectations
• Take ownership and accountability to solve customer problems
• Maintain a caseload reflective of a Senior Claim Advisor, Accident Benefits
• Communicate and interact with claimants, vendors, medical professionals, lawyers in a professional manner
• Work collaboratively with a team of Accident Benefit Adjusters and Claims Assistants

Qualifications:

• A minimum of 2-4 years relevant Ontario Accident Benefits experience outside the MIG
• Completion of CIP designation or desire to pursue is preferred
• Prior insurance experience and knowledge in injury claims, medical rehabilitation concepts, and medical terminology is preferred
• Strong time management and organizational skills as well as the ability to work in a fast-paced environment
• Strong critical thinking skills to identify strengths and weaknesses of claim
• Strong written and verbal communication skills with a commitment to providing outstanding customer service
• Ability to work independently and as part of a collaborative team environment.

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Allstate Canada Group has policies and practices that provide workplace accommodations. If you require accommodation, please let us know and we will work with you to meet your needs.

Skills

Business Communications, Critical Thinking, Fraud Investigations, Information Collection, Time Management

Compensation

Expected compensation for this role ranges from $ 67,200.00 - 109,725.00 annually. Actual salary offered to successful candidates will vary based on their skills and experience.

Joining our team isn’t just a job — it’s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger – a winning team making a meaningful impact.

Allstate Canada Group uses AI technology tools to assist in screening, selecting, assessing, and scheduling interviews with candidates as part of the recruitment process.

This job posting is for a current open role within the organization.