Investigates and coordinates injury benefits for automobile accident claims at SGI. Engages with clients and oversees claims, ensuring compliance with regulations and policies.
Responsibilities
Responsible for investigating, evaluating and coordinating injury benefits for automobile accident benefit claims
Determines coverage in accordance with policy wordings and applicable automobile accident benefits legislation and regulations
Adjudicates both routine and moderately complex accident benefit claims
Assigns, conducts and oversees investigations and examines, negotiates and settles accident benefits claims
Maintains a diary system to monitor and ensure delivery of accident benefits payments in accordance with the regulations
Gathers and analyzes employment-related information necessary to calculate Income Replacement Benefits
Provides timely and professional customer service
Builds and maintains a positive working relationship with insureds, brokers, service providers and industry participants
Requirements
A two-year diploma from an accredited post-secondary education institution in a relevant field of study such as Business
3 - 5 years’ experience in adjudicating accident benefit claims
Knowledge of the principles and practices of insurance, claims policies and procedures, and automobile insurance products
Knowledge of Alberta’s automobile accident benefits legislation and regulations, including the Diagnostic and Treatment Protocols
Knowledge of medical terminology, injuries and vocational rehabilitation concepts.
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