Claims Advisor, AB

Jobgether SRL; United States; Remote; USD 42,000 - 66,000; Full time

Benefits offered by this job

Fully remote work arrangement

RRSP employer match

Retirement savings program

Employee discounts on insurance

Tuition reimbursement

Wellness allowance

Volunteer initiatives

Accommodation support

Job summary

Jobgether SRL is seeking an experienced Insurance Claims Specialist to interpret policy wording, assess coverage, and establish reserves for Accident Benefits claims. You will negotiate settlements on complex cases and ensure compliance with regulatory requirements.

This role emphasizes strong communication, analytical thinking, and time management in a remote work setting. You will collaborate with Adjusters and support teams to deliver high-quality service while maintaining thorough

Qualifications

• Experience in Accident Benefits, Bodily Injury, Property Claims, Underwriting, Sales, or another relevant insurance environment.
• CIP designation pursued or willingness to pursue.
• Strong critical-thinking and analytical skills to assess claim strengths and weaknesses.

Responsibilities

• Interpret policy wording, determine coverage, and establish reserves for Accident Benefits claims.
• Investigate, negotiate, and settle moderate to highly complex claims.
• Manage claims per policies, procedures, and regulatory requirements.
• Maintain thorough claim files with documented decisions and settlements.
• Resolve claims within personal authority and follow guidelines for higher matters.

Skills

Communication skills

Analytical thinking

Time management

Organization

Independent work

Team collaboration

Problem solving

Education

CIP designation

Job description

Accountabilities:

- Interpret insurance policy wording, determine applicable coverage, and establish appropriate reserves for assigned Accident Benefits claims.

- Investigate, negotiate, and settle moderate to highly complex claims through telephone, written correspondence, and in-person interactions where required.

- Manage claims in accordance with established policies, procedures, best practices, and applicable legislative and regulatory requirements.

- Maintain thorough and accurate claim files, ensuring documentation supports decisions and settlement activity.

- Resolve claims within personal settlement authority and follow appropriate guidelines when matters exceed assigned authority.

- Establish clear customer service expectations, take ownership of customer concerns, and proactively identify solutions to resolve problems.

- Communicate professionally and effectively with claimants, vendors, medical professionals, legal representatives, and other stakeholders.

- Work collaboratively with Accident Benefits Adjusters and Claims Assistants to support efficient and consistent claims handling.

Requirements:

- Experience in Accident Benefits, Bodily Injury, Property Claims, Underwriting, Sales, or another relevant insurance environment.

- Completion of a CIP designation , or a demonstrated interest and willingness to pursue the designation.

- Strong critical-thinking and analytical skills, with the ability to assess claim strengths and weaknesses and make well-reasoned decisions.

- Excellent written and verbal communication skills, with a strong commitment to delivering high-quality customer service.

- Strong time-management and organizational abilities, with the capacity to prioritize effectively in a fast-paced, high-volume environment.

- Ability to work independently while also contributing effectively within a collaborative team.

- Strong problem-solving skills, attention to detail, sound judgment, and accountability.

- Ability to interpret policy coverage, manage claim documentation, negotiate settlements, and work within regulatory requirements.

Benefits:

- Expected annual compensation ranging from CAD $59,900 to $93,725 , with the actual salary determined based on skills and experience.

- Fully remote work arrangement.

- Flexible work arrangements designed to support different working needs.

- 7% employer match on contributions to the RRSP program.

- Comprehensive retirement savings program with employer-matched contributions.

- Employee discounts, including 15% on auto and property insurance plus discounts on other products and services.

- Student loan payment matching program for eligible government student loans.

- Annual wellness allowance to support health and wellbeing.

- Personal reflection day.

- Tuition reimbursement.

- Opportunities to participate in community initiatives, charitable activities, giving, and volunteerism.

- Workplace accommodation support for employees who require it.