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Intermediate Adjuster – Accident Benefits
SGIInvestigates and coordinates injury benefits for automobile accident claims at SGI. Engages with clients and oversees claims, ensuring compliance with regulations and policies.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in adjudicating accident benefit claims, with a strong understanding of Alberta’s automobile accident benefits legislation and regulations. Proficient in analyzing medical terminology and vocational rehabilitation concepts to ensure accurate claims processing and customer service.
Highest-signal resume keywords
Accident Benefit Claims AdjudicationKnowledge of Alberta’s Automobile Accident Benefits LegislationCustomer Service SkillsClaims Policies and ProceduresMedical Terminology
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 AdjudicationInvestigation CoordinationIncome Replacement Benefits CalculationRegulatory ComplianceClaims Negotiation
Soft Skills
Professional CommunicationRelationship Building
Tools & Technologies
Diary System Management
Certifications & Qualifications
Two-Year Diploma in Relevant Field
Industry Keywords
Automobile Insurance ProductsVocational Rehabilitation ConceptsDiagnostic and Treatment Protocols
About the role
Key responsibilities & impact- 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
What you’ll need- 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.