Accident Benefits Advisor resolving sophisticated claims for Aviva Canada’s insurance customers. Handling coverage interpretation, investigations, legislation, reserves, and settlement negotiations.
About the role
- Healthcare Service Advisor responsible for ensuring timely resolution of Accident Benefit claims for Aviva. Collaborating with clients and specialists to achieve treatment goals and quality standards.
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
Benefits
- 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
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