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About the Role
Handle complex up to non-catastrophic first-party injury claims, interpreting policy wording, determining coverages, and setting reserves. Investigate, negotiate, and settle claims through various communication channels while ensuring compliance with best practices, legislative requirements, and company guidelines.
Responsibilities
- Interpret insurance policy wording, determine policy coverages and set reserves on Accident Benefit claims assigned
- Investigate, negotiate and settle accident benefits claims or moderate to high complexity by telephone, in person and/or by written correspondence
- Comply with best practices as set out in Allstate policies and procedures
- Adhere to legislative and regulatory requirements
- Ensure files are thoroughly documented
- Settlement of claims within personal authority and follow company guidelines on claims exceeding personal authority
- Set and define customer service expectations
- Take ownership and accountability to solve customer problems
- Maintain a caseload reflective of a Senior Claim Advisor, Accident Benefits
- Communicate and interact with claimants, vendors, medical professionals, lawyers in a professional manner
- Work collaboratively with a team of Accident Benefit Adjusters and Claims Assistants
Requirements
- A minimum of 2-4 years relevant Ontario Accident Benefits experience outside the MIG
- 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
- Strong time management and organizational skills as well as the 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 with a commitment to providing outstanding customer service
- Ability to work independently and as part of a collaborative team environment
Skills
- Business Communications
- Critical Thinking
- Fraud Investigations
- Information Collection
- Time Management
Location
- Ontario
Work Type
- Full-time
Experience Level
- Senior
Education Level
- CIP designation preferred
Salary/Compensations
- $67,200.00 - $109,725.00 annually
About the Company
- At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties.
- For more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs.
- Allstate Canada Group uses AI technology tools to assist in screening, selecting, assessing, and scheduling interviews with candidates as part of the recruitment process.
Equal Opportunity
- Allstate Canada Group has policies and practices that provide workplace accommodations. If you require accommodation, please let us know and we will work with you to meet your needs.