Senior Claim Advisor ADR - Accident Benefits

At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.

Job Description

Job Description

Our team is growing, and we are actively looking to hire a Senior Claim Advisor ADR, Accident Benefits to join our Ontario team! Reporting to the Manager Casualty Claims Complex AB, you will be accountable for handling complex up to non-catastrophic first party injury claims.

Accountabilities:

• Interpret insurance policy wording, determine policy coverages and set reserves on Accident Benefit claims assigned
• Investigate, negotiate and settle accident benefits claims or moderate to high complexity by telephone, in person and/ or by written correspondence
• Comply with best practices as set out in Allstate policies and procedures
• Adhere to legislative and regulatory requirements
• Ensure files are thoroughly documented
• Settlement of claims within personal authority and follow company guidelines on claims exceeding personal authority
• Set and define customer service expectations
• Take ownership and accountability to solve customer problems
• Maintain a caseload reflective of a Senior Claim Advisor, Accident Benefits
• Communicate and interact with claimants, vendors, medical professionals, lawyers in a professional manner
• Work collaboratively with a team of Accident Benefit Adjusters and Claims Assistants

• A minimum of 2-4 years relevant Ontario Accident Benefits experience outside the MIG
• Completion of CIP designation or desire to pursue is preferred
• Prior insurance experience and knowledge in injury claims, medical rehabilitation concepts, and medical terminology is preferred
• Strong time management and organizational skills as well as the ability to work in a fast-paced environment
• Strong critical thinking skills to identify strengths and weaknesses of claim
• Strong written and verbal communication skills with a commitment to providing outstanding customer service
• Ability to work independently and as part of a collaborative team environment.