Claims Advisor - Accident Benefits (Calgary)

Peace Hills Insurance

📍 Edmonton, Alberta, Canada

Full-time Business Operations Specialists

Job Description

We currently have an opening for a Claims Advisor – Accident Benefits in our Calgary office. This role involves the handling of the Accident Benefits portion of the claim.

What You'll Do:

  • Confirming and explaining coverage is in place and how it applies to reported claims

  • Investigating, evaluating, negotiating, and settling total loss claims

  • Determining liability

  • Explaining the claims process to clients regarding accident benefits

  • Obtaining recorded statements

  • Collecting and reviewing medical documents and treatment plans

  • Obtaining and verifying employment information

  • Calculating benefit entitlements

  • Authorizing treatment and arranging appropriate billing with clients or providers

  • Corresponding with doctors, lawyers, treatment providers, employers, and clients

  • Identify questionable claims

  • Requesting and arranging MSE’s, IME’s and ID...
  • Apply for this Position