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Junior/Intermediate Accident Benefits Advisor
AvivaHealthcare 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.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Accident Benefits claims handling, policy interpretation, and compliance with corporate guidelines. Proficient in customer education and case management, ensuring adherence to quality standards and effective communication.
Highest-signal resume keywords
Accident Benefits Claims HandlingPolicy InterpretationCase Management ExperienceCIP CertificationCustomer Service Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ResolutionReserve AdjustmentInvestigative ReportingLegislation InterpretationSettlement Negotiation
Soft Skills
Excellent Communication SkillsStrong Organizational SkillsAbility to Learn and Adapt
Tools & Technologies
Computer ProgramsDatabasesSoftware
Certifications & Qualifications
CIP Certification
Industry Keywords
Insurance ContractsComplianceGovernanceFunctional RecoveryPremiere Healthcare Network
About the role
Key responsibilities & impact- 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
What you’ll need- 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