Claims Advisor – Bodily Injury

Claims Advisor – Bodily Injury

Requirements

• Preferred post-secondary education or equivalent.
• Minimum 1 year of direct claims handling experience
• Bodily Injury claim handling experience is preferred
• Completion of the CIP designation or a strong desire to pursue it is preferred.
• Previous experience in insurance, along with knowledge of injury claims, medical rehabilitation concepts, and medical terminology, is advantageous.
• Exceptional time management and organizational skills, including the ability to thrive in a fast-paced environment.
• Strong critical thinking capabilities for assessing claim strengths and weaknesses.
• Excellent written and verbal communication skills, with a commitment to delivering outstanding customer service.
• Familiarity with the Rules of Court procedures and associated timelines is a plus.

Responsibilities

• Conduct comprehensive investigations into the coverage, liability, and quantum aspects of all assigned cases.
• Evaluate claims quantum by analyzing medical and wage documentation and conducting research.
• Establish and adjust reserves as necessary.
• Negotiate and resolve claims over the phone, involving plaintiffs and/or their counsel.
• Follow company guidelines for updates and authorization requests.
• Collaborate with external vendors to ensure compliance with company policies.

Preferred Qualifications

• Bodily Injury claim handling experience is preferred
• Completion of the CIP designation or a strong desire to pursue it is preferred
• Previous experience in insurance, along with knowledge of injury claims, medical rehabilitation concepts, and medical terminology, is advantageous.