Accident Benefits Representative II

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Job Overview

The Accident Benefits Representative II contributes to Wawanesa’s goal of delivering an exceptional and consistent claims service experience through the fair and equitable adjustment of first party claims falling under relevant legislation.

  

Job Responsibilities 

  • Provide exceptional customer service
  • Interpret policy wordings , determine policy coverage and ensure appropriate reserving  
  • Investigate and manage first party injury claims by telephone and correspondence
  • Coordinate services with vendors and service providers
  • Liaise with claimants, doctors and rehabilitation specialists
  • Prepares files for arbitration and litigation
  • Adjust claims from inception to completion in a proactive manner
  • Maintain accurate records based on company standards and policies within the claims system
  • Keep apprised of current changes and trends in the accident benefits/insurance industry through legislation, arbitration decisions, case law, etc.
  • Perform other duties as assigned
Qualifications
  • 2+ years insurance adjusting experience
  • College/University degree is preferred
  • Working toward Chartered Insurance Professional (CIP) designation
  • Good knowledge of medical terminology
  • Effective customer service skills including empathy and concern for our customers
  • Excellent communication skills, both written and oral
  • Strong investigative and analytical skills
  • Strong time management and organizational skills with the ability to prioritize work in a fast paced, changing environment
  • Detail oriented with a critical degree of accuracy regarding data entry
  • Strong negotiation skills