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Claims Advisor - Bodily Injury

10 Percent Recruiting Ltd.

Job Title:
Claims Advisor, Bodily InjuryLocation:
Edmonton, Alberta (onsite for the first 3 months, then hybrid)Type:
Permanent, Full-Time
All applicants must be legally entitled to work in Canada.
The Position:Our client is seeking an experienced Claims Advisor, Bodily Injury to join their Claims team in Edmonton. You are responsible for the investigation, evaluation, negotiation, and settlement of bodily injury and casualty claims. Working with claimants, legal counsel, medical professionals, and internal stakeholders, you will ensure claims are handled efficiently, fairly, and in accordance with applicable policies and regulations.
This position offers an opportunity to work on a diverse portfolio of claims while contributing to a collaborative and professional team environment. To support onboarding and training, you will work full-time onsite during the first three months before transitioning to a hybrid work arrangement.
If you are an experienced bodily injury claims professional with strong negotiation skills and a passion for delivering fair claim outcomes, this could be an excellent opportunity for you!
What You'll Do:Claims Management & Investigation
Manage a portfolio of bodily injury and casualty claims from initial notice through final resolution.
Confirm policy coverage and determine liability and entitlement to coverage.
Investigate claim circumstances and evaluate exposure.
Collect, review, and assess medical documentation, treatment plans, and supporting evidence.
Quantify claims and establish appropriate reserves.
Maintain accurate and detailed file documentation throughout the claim lifecycle.
Negotiation & Resolution
Negotiate settlements with claimants, legal counsel, and other stakeholders.
Participate in mediations, examinations for discovery, questioning, arbitration proceedings, and litigation-related activities as required.
Develop and execute effective settlement strategies to achieve timely and fair claim resolution.
Analyze complex information and make sound, defensible claim decisions.
Collaboration & Communication
Maintain strong working relationships with internal stakeholders, legal counsel, medical professionals, and external service providers.
Communicate claim developments clearly and effectively to all interested parties.
Support departmental priorities and assist with additional claims activities as required.
Contribute to a positive, collaborative team environment.
Mandatories:
Extensive experience handling bodily injury claims.
Post-secondary education and/or completion of, or progress toward, a CIP or FCIP designation.
Experience working with Commercial General Liability and Personal Liability policies.
Demonstrated experience with mediation, arbitration, and litigation.
Strong analytical, critical thinking, and decision-making abilities.
Excellent negotiation skills with the ability to achieve positive outcomes in complex claim situations.
Strong understanding of medical terminology, medical documentation, and injury assessment.
Knowledge of common injury types, treatment plans, and recovery timelines.
Excellent organizational and time management skills.
Strong verbal and written communication abilities.
Ability to effectively manage competing priorities and deadlines.
Assets:
Experience handling multi-jurisdictional claims.
Experience with Guidewire or similar claims management systems.
Knowledge of Alberta automobile insurance legislation, the Traffic Safety Act, and Minor Injury Regulation.
Advanced insurance designations or continuing professional development within the claims field.
What's In It For You:
Competitive compensation and performance-based rewards.
Comprehensive benefits package.
Employer-supported retirement savings programs.
Professional development and continuing education opportunities.
A collaborative and supportive workplace culture.
Long-term career growth opportunities within a stable and essential industry.
A hybrid work arrangement following successful completion of the initial onboarding and training period.
We thank all applicants;
however, only those selected for interviews will be contacted.
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Vacancy posted 1 hour ago
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