Benefits Advisor

• 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

Benefits Advisor jobs in Canada

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Junior/Intermediate Accident Benefits Advisor