Benefits, Retirement and Leave Management Advisor managing employee benefits for over 10,000 employees at iA Financial Group. Collaborating on strategic initiatives and ensuring quality HR data in Workday systems.
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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Accident Benefits Claims Advisor managing client claims with a focus on functional recovery and service excellence at Desjardins. Collaborating with medical and legal stakeholders to ensure compliance and support client well - being.