Senior Claim Advisor, Accident Benefits

Allstate Insurance Company

$67K — $105K *
US-AnywhereRemote in Ontario, CA
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Post-secondary education or equivalent required.
  • 2-4 years of relevant Ontario Accident Benefits experience outside the MIG.
  • CIP designation completed or desire to pursue it preferred.
  • Prior insurance experience, particularly in injury claims and medical rehabilitation concepts.
  • Strong time management and organizational skills for a fast-paced environment.
  • Critical thinking skills for claim assessment.
  • Excellent written and verbal communication skills for outstanding customer service.
  • Ability to work both independently and collaboratively in a team setting.

Responsibilities

  • Interpret insurance policy wording and determine coverage for claims.
  • Investigate, negotiate, and settle complex accident benefits claims via various communication methods.
  • Adhere to all company policies and claims best practices.
  • Comply with legislative and regulatory requirements in claims handling.
  • Maintain thorough documentation of claims files and processes.
  • Set expectations for customer service during claims processing.
  • Take ownership and resolve customer issues effectively.
  • Manage a caseload appropriate for a Senior Claim Advisor.
  • Engage professionally with claimants, providers, and legal representatives.
  • Collaborate with team members to support accident benefit adjustments.

Benefits

  • Flexible work arrangements allowing for a better work-life balance.
  • Employee discounts on auto and property insurance, along with various products and services.
  • Reimbursement program for office equipment purchases, up to $400.
  • Student Loan Payment Matching Program for government student loans.
  • Comprehensive retirement savings plan with employer matching contributions.
  • Annual wellness allowance to support health initiatives.
  • Personal reflection day to promote mental well-being.
  • Tuition reimbursement for further education and skills development.
  • Opportunities for community involvement and giving back.
Full Job Description
Role Designation: Remote

Benefits to joining Allstate
  • Flexible Work Arrangements
  • Employee discounts (15% on auto and property insurance, plus many other products and services)
  • Good Office program (receive up to 400$ back after purchasing office equipment)
  • Student Loan Payment Matching Program for Government Student loans
  • Comprehensive Retirement Savings Program with employer matched contributions
  • Annual Wellness allowance to support employees with improving health and wellbeing
  • Personal reflection day
  • Tuition Reimbursement
  • Working within the community and giving back!


Job Description

Our team is growing, and we are actively looking to hire a Senior Claim Advisor, Accident Benefits to join our Ontario team! Reporting to the Manager Casualty Claims Complex AB, you will be accountable for handling complex up to non-catastrophic first party injury claims.

Accountabilities:
  • Interpret insurance policy wording, determine policy coverages and set reserves on Accident Benefit claims assigned
  • Investigate, negotiate and settle accident benefits claims or moderate to high complexity by telephone, in person and/ or by written correspondence
  • Comply with best practices as set out in Allstate policies and procedures
  • Adhere to legislative and regulatory requirements
  • Ensure files are thoroughly documented
  • Settlement of claims within personal authority and follow company guidelines on claims exceeding personal authority
  • Set and define customer service expectations
  • Take ownership and accountability to solve customer problems
  • Maintain a caseload reflective of a Senior Claim Advisor, Accident Benefits
  • Communicate and interact with claimants, vendors, medical professionals, lawyers in a professional manner
  • Work collaboratively with a team of Accident Benefit Adjusters and Claims Assistants


Qualifications:
  • Post-secondary education or equivalent required.
  • A minimum of 2-4 years relevant Ontario Accident Benefits experience outside the MIG
  • Completion of CIP designation or desire to pursue is preferred
  • Prior insurance experience and knowledge in injury claims, medical rehabilitation concepts, and medical terminology is preferred
  • Strong time management and organizational skills as well as the ability to work in a fast-paced environment
  • Strong critical thinking skills to identify strengths and weaknesses of claim
  • Strong written and verbal communication skills with a commitment to providing outstanding customer service
  • Ability to work independently and as part of a collaborative team environment.

#LI-DP2

Skills
Business Communications, Critical Thinking, Fraud Investigations, Information Collection, Time Management

Compensation
Compensation
Expected compensation for this role ranges from $67,200 - 105,000 annually. Actual salary offered to successful candidates will vary based on their skills and experience.

Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact.

Allstate Canada Group uses AI technology tools to assist in screening, selecting, assessing, and scheduling interviews with candidates as part of the recruitment process.

This job posting is for a current open role within the organization.

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