Become a vital part of Gore Mutual as an Accident Benefits Claims Advisor. Your expertise will help interface with clients while managing claims in a hybrid work setting.
Gore Mutual is actively seeking a Claims Advisor to join our team focused on Accident Benefits. This position centers on investigating and managing claims of low-to-moderate complexity, particularly under the Minor Injury Guideline. You will be pivotal in guiding clients through the claims process while ensuring compliance with regulations.
Key Responsibilities:
• Evaluate medical reports to document claims
• Negotiate settlements for claims within required guidelines
• Support timely review of treatment and assessment plans
• Maintain communication with claimants and legal counsel
• Perform administrative duties including invoicing
Requirements:
• Bachelor’s degree or equivalent
• CIP designation is a plus
• 2+ years of claims handling experience
• Adept at problem-solving and reso...