Claims Coordinator managing health insurance claims for Alberta Blue Cross in Edmonton. Entering, adjudicating, and resolving claims and member inquiries in a temporary 12 - month role.
About the role
- Expert en sinistres automobile télétravail au Québec chez Sedgwick, qui gère des réclamations d’assurance. Enquête sur les sinistres, analyse la couverture et négocie les règlements.
Responsibilities
- Investigate automobile insurance claims on behalf of insurers or third parties
- Gather relevant information related to losses
- Determine coverage and claim validity
- Communicate with insureds and claimants
- Prepare reports and negotiate settlements
- Maintain concise and accurate records in internal computer systems
- Review and interpret policy wording to apply coverage
- Manage billing for assigned files within prescribed timelines
- Maintain excellent working relationships with existing clients
- Participate in ongoing training on industry issues, legislative changes, and trends
- Identify needs and coordinate the assignment of mandates to field claims adjusters
- Perform any other related duties as assigned
Requirements
- Hold the claims adjuster license required in the applicable province
- Obtain the required license in the local province or in a combination of other provinces within six months of the hire date
- Hold a four-year university degree or equivalent, relevant claims-handling experience, or a two-year college diploma in a related field
- Be enrolled in the Chartered Insurance Professional (CIP) program or hold the CIP designation
- Quebec claims adjuster license (AMF) required, or the ability to obtain one
- Experience handling commercial claims and/or holding a Quebec commercial claims adjuster license is considered a significant asset
- Successful completion of Sedgwick’s trainee program or prior experience with a third-party administrator (TPA), field claims adjusting, or an insurer
- One to three years of experience managing and settling claims
- Transportation/cargo claims experience is an asset
- Excellent claims-handling, negotiation, and analytical skills
- Excellent interpersonal and communication skills
- Advanced proficiency with computer tools, including Microsoft Office, Outlook, and web applications
Benefits
- Work-life balance
- Inclusive, barrier-free recruitment and selection processes
- Recruitment accommodations available upon request
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
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