Senior Claim Advisor Adr - Accident Benefits

Allstate Allstate · Insurance · ON GTA, Canada · Remote

This role is for a Senior Claim Advisor focused on Accident Benefits in Ontario, Canada. The responsibilities include interpreting policy wording, investigating, negotiating, and settling claims, ensuring compliance with regulations, documenting files, and collaborating with internal teams and external parties like medical professionals and lawyers. The role requires experience in Ontario Accident Benefits, strong communication, critical thinking, and time management skills. The company uses AI tools in its recruitment process.

What you'd actually do

  1. Interpret insurance policy wording, determine policy coverages and set reserves on Accident Benefit claims assigned
  2. Investigate, negotiate and settle accident benefits claims or moderate to high complexity by telephone, in person and/or by written correspondence
  3. Comply with best practices as set out in Allstate policies and procedures
  4. Adhere to legislative and regulatory requirements
  5. Ensure files are thoroughly documented

Skills

Required

  • A minimum of 2-4 years relevant Ontario Accident Benefits experience outside the MIG
  • Strong time management and organizational skills
  • Ability to work in a fast-paced environment
  • Strong critical thinking skills to identify strengths and weaknesses of claim
  • Strong written and verbal communication skills
  • Commitment to providing outstanding customer service
  • Ability to work independently and as part of a collaborative team environment

Nice to have

  • Completion of CIP designation or desire to pursue is preferred
  • Prior insurance experience and knowledge in injury claims, medical rehabilitation concepts, and medical terminology is preferred