Claims Advisor – Home Warranty Claims Jobs in Alberta

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.

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

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.