Claims Representative Needed at Economical Insurance, Calgary

Job Title:    Claims Representative, AB
Job Ref.:    5095
Job Location:    Calgary, AB, Canada
Employer:    Economical Insurance
Job Type:    Contract
Department:    Commercial Insurance
About Us
Founded in 1871, Economical Insurance® is one of the largest property and casualty insurance companies in Canada, providing security and support for our customers and broker partners from coast to coast.
We make one simple promise to all of our customers: we'll be there when you need us most. When the unthinkable happens, you can count on Economical to take care of the details so you can get on with your life. Our innovative insurance products are backed by professional, 24-hour emergency claims service so we're always available when you need us.

Job Description:
Economical currently has a 1 year contract position open within our Calgary branch and reporting to the Team Leader, Casualty Accident Benefit Claims. In this role you are accountable for investigating, evaluating and settling Accident Benefit claims in accordance with the Insurance Act and the Diagnostic and Treatment Protocols Regulations.

Job Minimum Requirements:

•         University degree or a college diploma  or CIP designation.
•         Minimum of 2 years accident benefits claims handling experience.

Personal Characteristics:

•         Professional, friendly and courteous in all interactions, whether with customers or co-workers.
•         Perform well in a busy operation and remain calm under pressure.
•         Team player adaptable to a changing environment.
•         Strong written and verbal communication skills.

Job Duties:

•         Securing details of claims by corresponding with claimants via telephone.
•         Assessing coverage eligibility.
•         Reserving files appropriately after assessing claim.
•         Maintaining detailed file records on an electronic claims system.
•         Processing payments after confirming benefits, eligibility and reserves.
•         Coordinating the most effective course of action for claims.
•         Responding to claimant correspondence and Accident Benefit forms in accordance with the applicable legislation.
•         Reviewing and approving, when appropriate, treatment plans for claimant rehabilitation.
•         Arranging independent medical assessment to determine benefits eligibility.
•         Preparing referral packages for independent medical assessments.
•         Obtaining medical information necessary for independent medical assessments.
•         Responding to independent medical assessment recommendations.
•         Participating in the dispute process.

Deadline Date: 31/01/2014

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