Intermediate Accident Benefits Advisor

Aviva; London; Hybrid; CAD 60,000 - 75,000; Full time

Benefits offered by this job

Hybrid work model

Health benefits

Retirement savings plan

Employee share plan

Professional development

Job summary

Aviva Canada is hiring a Healthcare Service Advisor to support timely and equitable resolution of Accident Benefit claims. You will interpret contracts, handle claims, and educate customers and providers on changes while ensuring adherence to guidelines.

The role requires college diploma or equivalent experience with 2+ years in Accident Benefits claims handling. A CIP certification or progress toward it is preferred. Hybrid work opportunity and a competitive rewards package are offered.

Qualifications

• College Diploma/Associate Degree or equivalent experience.
• 2+ years of Accident Benefits insurance claims handling experience required.
• Large Loss experience preferred.
• Post-secondary education in related field (Diploma or Bachelor).
• CIP or working towards CIP required for licensing.

Responsibilities

• Interpret insurance contracts, resolve policy coverages, establish and adjust reserves.
• Handle Accident Benefits claims according to authority and expertise.
• Acquire investigative reports and medical/expert statements as required.
• Educate customers and providers on auto reform changes.
• Ensure all aspects of the claim process meet company guidelines.
• Assist in resolving claims issues related to interpretation and negotiations.
• Ensure service levels and quality standards with approved specialists.
• Educate insureds about Premiere Healthcare network.
• Participate in training and file clinic sessions.

Skills

Accident Benefits claims handling

Large Loss experience

Excellent customer services

Excellent communication

Fast-paced adaptability

Organizational skills

Technical adaptability to software

Education

College Diploma / Associate Degree or equivalent experience

Post-secondary Education in related field (Diploma or Bachelor)

CIP or working towards CIP

Job description

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.

#LI-PS2
#LI-Hybrid