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Claims Advisor Jobs

Disability Claims Advisor Jobs
By Agilus Work Solutions At Calgary, Alberta, Canada
5+ years’ related experience in health claims management
Post secondary diploma in social work, medical science, risk management or communications.
Advanced understanding of claims management processes and objectives from inception to resolution cycles.
Assess claims for benefit entitlement by reviewing legislative, medical, functional, and occupational information.
Other duties as directed by the Senior Manager, Total Rewards.
Advanced knowledge of Microsoft Office applications including Word, Excel, Outlook.
Claims Advisor I [Td Bank]
By CareerBeacon At Edmonton, Alberta, Canada
Intermediate level knowledge with some form of related training and/or related experience or skills; Industry accreditation and training generally required
Prioritize and manage own workload to meet SLA requirements for service and productivity
Maintain a culture of risk management and control, supported by effective processes in alignment with risk appetite
Participate in personal performance management and development activities, including cross training within own team
Complete work within specifically defined parameters with guidance /direction from management as necessary
Protect the interests of the organization – identify and manage risks, and escalate non-standard, high risk transactions / activities as necessary
Claims Advisor – Home Warranty Claims
By Aviva Canada At Edmonton, Alberta, Canada
2 years’ experience in a customer service role.
Experience in the general insurance industry, particularly in the surety and/or warranty claims fields preferred.
Practical experience within the development and/or residential construction industries is considered a huge plus.
Working knowledge of computer applications, including MS Word and Excel is required.
Knowledge of Xact-Analysis and other web-based databases would be beneficial
Strong investigation and negotiations skills.
Claims Advisor Jobs
By DSB Claims At Greater Toronto Area, Canada
*Post-secondary education or a combination of relevant education and on-the-job experience.
*1 - 3 years of insurance adjusting industry or broker claims experience an asset.
*Strong English oral and written communication skills; Mandarin an asset.
*Working knowledge of Auto/Property adjusting and claim adjudication process an asset.
*Prior experience in customer service environment required.
*Insurance Claims Licence and actively pursuing CIP designation preferred or willingness to enrol
Claims Advisor Jobs
By WCG Services At Ontario, Canada
Excellent organizational and time management skills
Effective use of WCG’s Case Management System and other systems and databases
Keep abreast of emerging trends for claims assessment and flag these to the Lead, Claims Management
Strong auditing background and data entry experience
Undertake standard and ad hoc data entry tasks
Process client and employer financial support claims and ensuring contractual and legislative requirements are met
Hr Claims Management Advisor Regular Full Time
By AgeCare At Calgary, Alberta, Canada
3-5 years of progressive Disability Claims Management experience in a large public corporate environment.
Self-directed and organized with effective time management skills.
Broad general knowledge of payroll, benefits, compensation programs and documentation.
Knowledge of BC and Alberta employment standards, wage, salary, benefits, and pension laws and regulations an asset.
Knowledge of Alberta, BC and Federal Worker’s Compensation legislation, programs, and processes.
Proven experience developing and rollout out programs across an organization.
Claims Client Care Advisor
By Northbridge Financial Corporation At Toronto, Ontario, Canada
1-3 years of office experience; an Insurance or Medical/Clinic background is an asset
We are invested in helping you grow in your career through education assistance, internal mobility, and mentoring programs.
We care about the community and support the causes you believe in with donation matching and team volunteer days.
Senior Ovation Claims Advisor
By Aviva Canada At Markham, Ontario, Canada
Handle relationships with internal and external partners involved in management of customer claims
Acquire and maintain appropriate provincial adjuster licenses and comply with continuing education requirements – where required
Communicate policy coverage and benefits to customers
Identify and report on any suspicions of fraud or financial irregularities in line with existing internal and external requirements and procedures
CIP or FCIP Industry designation or other relevant professional insurance qualification
University Degree or College Diploma or equivalent Property technical work experience
Field Claims Advisor, Property
By Gore Mutual Insurance At Cambridge, Ontario, Canada
Excellent customer service skills with the ability to manage multiple stakeholders
Minimum 5 years’ Adjusting experience.
Detailed knowledge of 1st Party Property Coverages
Strong communication skills and de-escalation methodologies
Attend claims assigned within a designated territory
Investigate, negotiate, and settle losses within set guidelines
Field Claims Advisor- En
By Desjardins At Montréal-Ouest, Quebec, Canada
You're looking for an employer that prioritizes the client and employee experience
Ongoing training and support to help you achieve your career goals (continuing education for PDUs 100% paid by Desjardins)
Defined benefit pension plan (65% employer-paid)
You're an AMF-licensed claims adjuster
You understand the insurance or construction industry
You're fascinated by the latest advances in technology

Are you looking for an exciting new challenge? Join our team as a Claims Advisor and help us make a difference! You'll be responsible for providing exceptional customer service and helping our customers navigate the claims process. If you're looking for a rewarding career with a great team, this is the job for you!

A Claims Advisor is responsible for providing advice and assistance to customers who have made a claim on their insurance policy. They are responsible for assessing the validity of the claim, gathering evidence and making a decision on whether to accept or reject the claim. They must also provide advice and guidance to customers on the claims process and ensure that all relevant paperwork is completed correctly. To become a Claims Advisor, you will need to have excellent customer service skills, strong communication skills and a good understanding of the insurance industry. You may also need to have a relevant qualification in insurance or a related field.

Claims Advisor Skills required for Your Resume and Career:

• Excellent customer service skills
• Strong communication skills
• Knowledge of the insurance industry
• Ability to assess and analyze claims
• Ability to make decisions quickly and accurately
• Ability to work independently and as part of a team
• Good problem-solving skills
• Ability to work under pressure
• Good organizational skills
• Computer literacy

Claims Advisor Knowledge for Your Resume and Career:

• Knowledge of insurance policies and procedures
• Knowledge of relevant legislation and regulations
• Knowledge of claims processing systems
• Knowledge of customer service principles
• Knowledge of data protection and confidentiality
• Knowledge of risk management principles

Claims Advisor Responsibilities for Your Resume and Career:

• Assessing the validity of claims
• Gathering evidence to support claims
• Making decisions on whether to accept or reject claims
• Providing advice and guidance to customers on the claims process
• Ensuring that all relevant paperwork is completed correctly
• Liaising with other departments to ensure claims are processed efficiently
• Investigating and resolving customer complaints
• Keeping up to date with changes in the insurance industry

Claims Advisor Experience for Your Resume and Career:

• Previous experience in a customer service role
• Previous experience in an insurance role
• Experience of working with claims processing systems
• Experience of working with data protection and confidentiality
• Experience of working with risk management principles

Claims Advisor Qualifications for Your Resume and Career:

• Relevant qualification in insurance or a related field
• Relevant professional qualifications such as CII or ACII
• Relevant IT qualifications such as Microsoft Office

Claims Advisor Educations for Your Resume and Career:

• Bachelor’s degree in insurance, finance, business or a related field
• Master’s degree in insurance, finance, business or a related field
• Professional qualifications such as CII or ACII
What tools help Claims Advisor work better?
• Claims processing software
• Customer relationship management (CRM) software
• Data analysis software
• Document management software
• Risk management software
Good tips to help Claims Advisor do more effectively?
• Stay up to date with changes in the insurance industry
• Develop strong customer service skills
• Develop strong communication skills
• Develop strong problem-solving skills
• Develop strong organizational skills
• Develop strong computer literacy skills
Common Claims Advisor interview questions?
• What experience do you have in the insurance industry?
• How do you handle customer complaints?
• What do you know about claims processing systems?
• How do you ensure data protection and confidentiality?
• What do you know about risk management principles?