Atlantic Accident Benefits Claim Advisor

Desjardins Insurance
Full time
Accounting and Finance
Canada
Hiring from: Canada

As an Atlantic Accident Benefits Claim Advisor, you investigate, evaluate and negotiate accident benefits claims and help serve and maintain business relationships with members and clients.


Proactively, you contact clients to establish rapport, discuss the claims process, and explain applicable benefits. You guide them through the claims process, understanding their unique needs while providing empathetic support.


Where applicable, you effectively manage and negotiate claims through the dispute resolution process. You manage and interact with stakeholders in the claims process to ensure client's rehabilitation needs are met. You ensure effective reserving practices and issue claim payments on a timely basis.


More specifically, you will be required to:


  • Investigate, evaluate, negotiate accident benefits claims.
  • Maintain clear and timely communication with clients, providing updates on the status of their claims, addressing inquiries and guiding them through the claims process.
  • Identify and resolve challenges that may arise during the claims process, with a focus on always doing what is best for the client.
  • Collaborate effectively with internal and external stakeholders.
  • Reserve claims in line with company best practices.


What we offer*


  • Competitive salary and annual bonus
  • 4 weeks of flexible vacation starting in the first year
  • Defined benefit pension plan that provides predictable, stable income throughout retirement
  • Group insurance including telemedicine
  • Reimbursement of health and wellness expenses and telework equipment

* Benefits apply based on eligibility criteria.


What you bring to the table


  • Bachelor's degree in a related field
  • Three years of relevant experience
  • Please note that other combinations of qualifications and relevant experience may be considered
  • New Brunswick, PEI and Newfoundland Adjusters License
  • CIP designation or enrolled in program
  • Strong communication skills in both French and English, both oral and written due to the nature of the duties or work tools or because the position involves interactions with (language)-speaking partners, members and/or clients
  • Intermediate knowledge of regulatory and contractual obligations (New Brunswick, Nova Scotia, PEI, and Newfoundland)
  • Intermediate knowledge of medical and legal terminology, vocational rehabilitation concepts and disability management principles

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