Claims Advisor
BFL Canada
Edmonton, CA
3d ago
  • Upon notification of a new claim, reviews the relevant policy, gathers all necessary facts / information and contacts the insurer.
  • Conducts analysis of claims and coverage and recommends solutions to coverage issues.
  • Provides technical expertise to internal and external clients regarding claims coverage.
  • Negotiates payments and reimbursements with the insurers on the client’s behalf.
  • Updates the client and Client Executive on the status of the claim as required.
  • Enters current and accurate information and documentation in our EPIC system for each claim.
  • Manages and maintains an up to date claim file abeyance.
  • Builds and maintains excellent working relationships with Adjusters, Insurers and related trades and suppliers.
  • Identifies any client or system issues that may arise and report to the appropriate team member.
  • Complies with all corporate policies and procedures.
  • Develops claims management reports and distributes reports to management and / or clients as required.
  • Develops and distributes claim notification reports identifying major losses, trends or frequency for management and / or clients.
  • Assists the Claims Manager with various projects and presentations to prospective clients and / or associations while providing meaningful feedback to the claims team.
  • Minimum 5 years claims handling experience as a field adjuster on both property and casualty claims. Examining experience would also be an asset.
  • Level 1 General Agent License or able to obtain this license
  • Excellent knowledge of policy wordings and coverage interpretation as well as good analytical skills.
  • Strong problem solving skills
  • Strong verbal and written communication skills.
  • Ability to work well independently, as part of a team and with others throughout the organization.
  • Good project management and presentation skills.
  • Effective time management and organizational skills.
  • Customer focused and service oriented.
  • Attention to detail and precision essential.
  • Good knowledge of Microsoft Word, Excel and EPIC
  • Must have a vehicle and a valid driver’s license, as travel will be required on specific claims.
  • You will be working in a thriving, progressive and well-established insurance brokerage company
  • Competitive salary, group insurance benefits, and RRSP matching plans from your first day
  • A culture that encourages and supports continued education
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