Catastrophic Claims Advisor
Core
Advocate for clients navigating complex catastrophic accident benefit claims, focusing on functional recovery and coordinating with healthcare, legal, and rehabilitation stakeholders.
Role type
Senior Catastrophic Claims Advisor
Builds
Client-centered claim resolutions and support for functional recovery
Domain
Insurance / Accident Benefits / Disability Management
Deliverable
client delivery
Required skills
Complex claim investigation and negotiation, Functional recovery management, Settlement discussions, LAT dispute collaboration, Regulatory compliance (SABS), Medical and legal terminology, Vocational rehabilitation concepts, Disability management principles, Reserving practices
Preferred skills
CIP designation, Advanced English proficiency
Technologies
None stated
Responsibilities
Investigate, evaluate, and negotiate high-complexity accident benefit claims; Manage catastrophic claims with a focus on functional recovery; Conduct settlement discussions and negotiate resolutions; Collaborate with internal and external legal counsel on LAT disputes, reconsiderations, judicial reviews, mediations, and hearings; Apply accurate reserving practices and ensure timely issuance of claim payments.
Seniority
Senior, hands-on IC