Claims Advisor, AB
Core
Manage complex first-party Accident Benefits claims, assessing coverage, investigating claims, establishing reserves, and negotiating settlements.
Role type
Claims Advisor (Accident Benefits)
Builds
Resolved insurance claims and settlements
Domain
Insurance / Accident Benefits
Deliverable
client delivery
Required skills
Insurance policy interpretation, claim investigation, reserve establishment, settlement negotiation, regulatory compliance, customer service, file management, stakeholder communication
Preferred skills
CIP designation, experience in Bodily Injury or Property Claims
Technologies
None stated
Responsibilities
Interpret insurance policy wording and determine applicable coverage; Investigate, negotiate, and settle moderate to highly complex claims; Manage claims in accordance with established policies and regulatory requirements; Maintain thorough and accurate claim files; Resolve claims within personal settlement authority; Communicate professionally with claimants, vendors, medical professionals, and legal representatives.
Seniority
Mid-level, experienced professional