06 Aug
|
Aviva
|
Winnipeg
Experience Aviva Individually we are people, but together we are Aviva. Individually these are just words, but together they are our Values – Care, Commitment, Community, and Confidence.The OpportunityThe Care Specialist Level 1 is responsible for the end‑to‑end management of healthcare claims within Alberta’s Care First programs of care. This foundational role focuses on supporting injured customers from initial claim reporting through to resolution by coordinating treatment, guiding recovery plans, and ensuring timely, accurate, and customer‑centered decisions. Working closely with customers, healthcare providers, and internal partners, Care Specialists play a critical role in delivering high‑quality injury management and positive recovery outcomes.What you’ll doAssess coverage and entitlement, interpret policy, and manage reserves within authorityGather and review medical and investigative information to support fair claim decisionsCoordinate care and recovery plans, including goal setting, milestones, and interventionsCommunicate clearly and empathetically with customers, providers, and internal teamsEnsure compliance with legislation, internal policies, and documentation standardsIdentify recovery barriers, risk indicators, and potential fraud; eliminate as appropriateManage vendors and service providers to agreed service and quality standardsEscalate claims where recovery is not progressing within approved programs of careMeasures of SuccessAccurate and timely coverage and entitlement decisionsAppropriate reserves and benefit paymentsHigh‑quality, audit‑ready documentationAchievement of service levels and positive customer experienceEffective issue resolution and escalation when requiredWhat you’ll bring2+ years of auto accident benefits, healthcare, or casualty claims handlingCase management experience (e.G., WCB, LTD, clinical setting) is an assetCIP designation completed or in progress preferredDegree or diploma in Social Sciences, Rehabilitation,
or related field considered an assetKnowledge of injury management, rehabilitation, and medical terminologyStrong communication, empathy, and active listening skillsAbility to manage a portfolio, prioritize work, and meet service targetsData‑informed decision making and comfort with multi‑system workflowsCollaborative mindset and willingness to learn and adapt in a changing environmentWhat you'll getCompelling rewards package including base compensation, eligibility for annual bonus, retirement savings, share plan, health benefits, personal wellness, and volunteer opportunitiesOutstanding Career Development opportunitiesWe’ll support your professional development educationCompetitive vacation package with the option to purchase 5 extra days off per yearEmployee driven programs focused on gender, LGBTQ+, origins, diversity and inclusionCorporate wellness programs to support our employees’ physical and mental healthHybrid adaptable work modelAviva Canada may use AI (Artificial Intelligence) tools to assist us throughout the recruitment process to screen, assess or select applicants for a position.Aviva Canada welcomes applications from all qualified individuals and has a process in place to provide accommodations for persons with disabilities at all stages of the hiring process and during employment.If you require an accommodation during the interview or hiring process, please contact your Aviva Talent Acquisition Partner so that an appropriate accommodation can be arranged.#LI-PS2 #LI-HybridWe help our 19.5 million customers to save for the future and manage the risks of everyday life. To give these customers the best possible products and service we know we must make Aviva the most attractive choice for talented, entrepreneurial people with diverse backgrounds and an evolving range of expertise and insight. So, we’re passionate about helping our 23,000 people to do the best work of their lives, to enable them to make a positive difference to the lives of our customers.#J-18808-Ljbffr
📌 Aviva Care Specialist In Healthcare Claims - C$50,000 - C$80,000 A Year (Winnipeg)
🏢 Aviva
📍 Winnipeg