Senior Claims Advisor, AB
Core
Handle complex up to non-catastrophic first party injury claims, interpret policy wording, determine coverages, and set reserves for Accident Benefits.
Role type
Senior Claims Advisor (Accident Benefits)
Builds
Settled insurance claims for personal injury
Domain
Insurance / Accident Benefits
Deliverable
client delivery
Required skills
Policy interpretation, claim investigation, negotiation, reserve setting, regulatory compliance, documentation, customer service, critical thinking
Preferred skills
CIP designation, medical rehabilitation concepts, medical terminology
Technologies
None stated
Responsibilities
Interpret insurance policy wording and determine coverages; Investigate, negotiate, and settle accident benefits claims; Comply with best practices and legislative requirements; Ensure thorough file documentation; Set and define customer service expectations; Communicate with claimants, vendors, medical professionals, and lawyers