Accident Benefits Claims Specialist handling complex claims for Intact in Canada. Investigating, evaluating, negotiating, and resolving Accident Benefits claims in alignment with corporate policies.
Responsibilities
Deliver high-quality service while investigating, evaluating, negotiating, and resolving complex Accident Benefits claims in compliance with corporate policies, provincial legislation, and regulatory standards
Investigate and manage complex Accident Benefits claims arising from automobile losses
Assess entitlement, exposure, and reserving requirements in alignment with Alberta legislation and company guidelines
Manage claims with out-of-province exposures, coordinating benefits appropriately across jurisdictions
Communicate with claimants, legal counsel, medical professionals, rehabilitation providers, vendors, and internal stakeholders throughout the claim lifecycle
Review and analyze medical records, treatment plans, assessments, and financial documentation to support claim decisions
Negotiate fair and timely settlements, resolving claims within delegated authority
Coordinate independent medical examinations (IMEs), rehabilitation services, and vendor support as required
Maintain accurate, timely file documentation, including reserves, file strategy, and activity notes
Contribute to process improvements and support operational change initiatives related to Care-First reforms
Provide technical guidance, coaching, training, and mentorship to junior colleagues and team members
Partner effectively with internal teams (e.g., Legal, Underwriting, and other departments) to support sound claim outcomes
Deliver exceptional customer service while navigating sensitive and complex situations with professionalism and empathy
Requirements
5-7+ years of insurance experience, including Accident Benefits claims handling within the P&C insurance industry
Strong technical knowledge of Accident Benefits claims practices, including investigation, evaluation, negotiation, and resolution
Experience managing complex and litigated Accident Benefits claims
Working knowledge of out-of-province claims handling and inter-jurisdictional coordination
Solid understanding of Alberta auto insurance legislation and evolving reforms, including preparedness for the Care-First model
Excellent negotiation, analytical, and decision-making skills
Strong written and verbal communication skills, with the ability to manage difficult conversations confidently and professionally
Proven ability to prioritize and manage a high-volume caseload in a fast-paced environment
Proficiency with claims management systems and Microsoft Office
CIP designation (or actively working toward completion) is an asset
Benefits
Flexible work arrangements and a hybrid work model
Possibility to purchase up to 5 extra days off per year
Multiple benefits offered to support physical and mental wellbeing, including telemedicine, Wellness account and much more
Share plan & other savings: up to 12% of salary or even more
Annual bonus target, based on the base salary, with a potential payout of up to double the target: 12%
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