Senior Claims Advisor, Accident Benefits

💰 ₹18,000 - ₹28,800 (Est.) 📍 Toronto

Job Description

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than +0 years our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.

Job Description

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than +0 years our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.

Who is Allstate:

Allstate Insurance Company of Canada is a leading home and auto insurer focused on providing its customers prevention and protection products and services for every stage of life. The company is proud to have been named a Best Employer in Canada for nine consecutive years and prioritizes supporting employees and fostering an inclusive, welcoming corporate culture. Allstate is committed to making a positive difference in the communities in which it operates through partnerships with charitable organizations, employee giving and volunteerism. Serving Canadians since 1+53, Allstate strives to provide reassurance with its "You’re in Good Hands®" promise.

Through our Employee Value Proposition, Opportunity, Flexibility, Community, Diversity and Family, we have worked hard to develop and nurture a culture where employees feel valued, experience personal growth, have career options and truly enjoy the work they do.

Role Designation: Home Based

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!
#LI-DP2

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 is preferred or equivalent
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.
Allstate Canada Group has policies and practices that provide workplace accommodations. If you require accommodation, please let us know and we will work with you to meet your needs.

À propos d’Allstate :
Allstate du Canada, compagnie d’assurance est un chef de file dans le domaine des assurances automobile et habitation; elle offre à ses clients des produits et services de prévention et de protection qui conviennent à toutes les étapes de la vie. Au service des Canadiens depuis 1+53, l’entreprise met tout en œuvre pour que non seulement ses clients, mais aussi ses employés soient en bonnes mainsMD, comme en fait foi sa présence au palmarès des Employeurs de choix au Canada neuf années de suite, notamment en favorisant une culture organisationnelle inclusive et accueillante. Allstate du Canada tient à contribuer au mieux-être des communautés dans lesquelles elle exerce ses activités au moyen de partenariats avec des organismes caritatifs et de programmes misant sur la générosité de ses employés. À Allstate, nous avons conscience que la qualité de nos produits découle directement du niveau de satisfaction du personnel à l’égard de l’entreprise.

C’est pourquoi nous misons sur le maintien d’une culture où les employés se sentent valorisés et où ils peuvent poursuivre une carrière passionnante. Les 5 piliers de notre proposition de valeur aux employés – possibilités, souplesse, esprit communautaire, diversité et environnement familial – permettent de s’épanouir de façon unique.

Les avantages offerts par Allstate :

La flexibilité des modalités de travail;
Des rabais d’employé (15 % sur les assurances automobile et habitation, ainsi que des rabais sur de nombreux autres produits et services);
Le programme Bureau en bonnes mains (jusqu’à 400 $ sont octroyés pour se procurer de l’équipement de bureau nécessaire à domicile);
Un programme de paiement de contrepartie pour le remboursement des prêts étudiants aux programmes gouvernementaux;
Un régime d’épargne-retraite complet prévoyant des cotisations de contrepartie de l’employeur;
Une allocation annuelle couvrant des dépenses effectuées pour améliorer sa santé et son bien-être;
Un Jour de réflexion personnelle;
Remboursement de droits de scolarité;
Une implication dans la vie communautaire.
Description du poste :

Notre équipe, en plein essor, est à la recherche d’un conseiller ou d’une conseillère principal·e en réclamations, indemnités d’accident qui se joindra à notre équipe de l'Ontario! Relevant du directeur ou de la directrice, dommages corporels, réclamations complexes d’IA, la personne choisie occupera un poste centré sur la gestion de réclamations complexes (non liées à une catastrophe) avec blessures subies par l'assuré.

Désignation du rôle : à domicile (Alberta, Ontario, Québec, Nouvelle-Écosse ou Nouveau-Brunswick avec une expérience de la région de l'Ontario)

Responsabilités :

Interpréter les libellés de contrat d’assurance et déterminer les garanties de police ainsi que les provisions applicables pour les réclamations liées aux indemnités d'accident qui lui sont confiées;
Enquêter sur les sinistres, négocier et régler des réclamations portant sur les indemnités d’accident moyennement et hautement complexes par téléphone, par correspondance ou en personne;
Se conformer aux pratiques exemplaires établies dans les politiques et procédures d’Allstate;
Respecter les exigences réglementaires et légales;
Voir à ce que les dossiers soient adéquatement documentés;
Régler les réclamations lorsque son degré d’autorité le permet et suivre les lignes directrices de l’entreprise lorsqu’une réclamation dépasse son degré d’autorité;
Définir et établir les attentes en matière de service auprès de la clientèle;
Prendre en charge la résolution des problèmes des clients et en assumer la responsabilité;
Maintenir un nombre de dossiers travaillés correspond au niveau et à la définition du poste;
Communiquer et interagir avec les demandeurs, fournisseurs, professionnels de la santé et avocats avec professionnalisme;
Travailler en collaboration avec une équipe d’experts en sinistres (indemnités d’accident) et d’adjoints aux réclamations.
Compétences :

Études postsecondaires, ou expérience de travail équivalente, préférable;
Au moins 2 à 4 années d’expérience en indemnités d’accident en Ontario, hors LDBL;
Détenir le titre de professionnel d’assurance agréé (PAA) ou avoir la volonté de l’obtenir, un atout;
Expérience dans le domaine de l’assurance et connaissances en matière de réclamations avec blessures, de réadaptation médicale et de terminologie médicale, un atout;
Sens aigu de l’organisation et de la gestion du temps, ainsi que la capacité à travailler dans un environnement qui évolue rapidement;
Pensée critique permettant de repérer les forces et les faiblesses d’un dossier de réclamation;
Excellentes aptitudes en communication orale et écrite, ainsi que la volonté d’offrir un service à la clientèle hors pair;
Capacité de travailler en équipe et de manière autonome.
Le Groupe Allstate du Canada dispose de politiques et de pratiques permettant d’offrir des mesures d’adaptation en milieu de travail. Si nécessaire, nous établirons avec vous les mesures qui doivent être prises pour répondre à vos besoins.

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. And one where you can impact the future for the greater good.

You’ll do all this in a flexible environment that embraces connection and belonging. And with the recognition of several inclusivity and diversity awards, we’ve proven that Allstate empowers everyone to lead, drive change and give back where they work and live.

Good Hands. Greater Together.®

💡 Quick Summary

Seeking a career-building opportunity? The Senior Claims Advisor, Accident Benefits position is now open for candidates interested in the Work from home Jobs sector. This role in Toronto offers a professional environment and growth potential.

Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Work from home Jobs is a plus.

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Job Details

Company Name: Allstate

Frequently Asked Questions

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The expected salary for Senior Claims Advisor, Accident Benefits in Toronto is ₹18,000 - ₹28,800 (Est.) per month. Actual compensation may vary based on experience and negotiation.
No, Senior Claims Advisor, Accident Benefits is an on-site position based in Toronto. Candidates must be able to commute or relocate to this location.
Basic communication skills, a proactive attitude, and the ability to work in a team are required for Senior Claims Advisor, Accident Benefits. Previous experience in Work from home Jobs is a plus. Freshers may also apply depending on the employer's requirements.
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