Junior/Intermediate Accident Benefits Advisor

About the role

We're looking for Healthcare Service Advisors to join our Healthcare Services team to ensure timely and equitable resolution of sophisticated Accident Benefit claims. Are you a customer focused individual looking to take the next step in their career? Come join our team!

Responsibilities

• Interpret insurance contracts, resolve policy coverages, and establish/adjust reserves in accordance with corporate guidelines
• Handle Accident Benefits claims according to individual authority, knowledge, and expertise
• Acquire investigative reports, independent medical examinations, statements from insureds/witnesses, and other specialists as required
• Educate customers and providers on any new auto reform changes
• Ensure adherence to internal policies and quality standards (Compliance & Governance)
• Actively coordinate customers' functional recovery, ensuring treatment goals are monitored
• Assist in resolving claims issues related to legislation interpretation and settlement negotiations
• Ensure service levels and quality standards are met by approved specialists
• Educate insureds about the 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 and/or Casualty insurance claims handling experience is preferred
• Prior case management experience (e.g., WCB/LTD or clinic setting) is an asset
• Post‑secondary education (College Diploma or Bachelor's Degree) in a related field
• CIP or working toward CIP is required for licensing
• Excellent customer service skills
• Excellent communication skills
• Ability to learn and adapt in a fast‑paced environment
• Strong organizational skills
• Ability to work within various computer programs, databases, and software
• What you'll get
• 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
• This job advertisement is for an existing vacancy which has been posted both internally & externally.
• Aviva Canada may use AI (Artificial Intelligence) tools to assist us throughout the recruitment process to screen, assess or select applicants for a position.
• #LI-PS2
• #LI-Hybrid

Benefits

Additional Information

Experience Aviva Individually we are people, but together we are Aviva. Individually these are just words, but together they are our Values - Care, Commitment, Community, and Confidence.

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