Description
We're looking for Healthcare Service Advisors to join our Healthcare Services team to ensure timely and equitable resolution of sophisticated Accident Benefit claims.
Responsibilities
- Interpret insurance contracts, resolve policy coverages, establish and adjust reserves in accordance with corporate guidelines
- 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
Requirements
- College Diploma/Associate Degree or similar experience
- 2+ years of Accident Benefits insurance claims handling experience
- Large Loss experience is preferred
- Post-secondary Education (College Diploma or Bachelor Degree) in a related field
- CIP or working towards CIP is required for licensing
- Excellent customer service 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
- 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