Accident Benefits Claims Specialist

Posted 2 days ago

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About the role

  • Accident Benefits Claims Specialist managing complex automobile claims for Intact, a Canadian insurance provider. Investigating, negotiating, and resolving claims while supporting Alberta’s Care-First reform transition.

Responsibilities

  • 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 and coordinate benefits 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 and resolve claims within delegated authority
  • Coordinate independent medical examinations, rehabilitation services, and vendor support
  • Maintain accurate and timely file documentation, including reserves, file strategy, and activity notes
  • Contribute to process improvements and operational change initiatives related to Care-First reforms
  • Provide technical guidance, coaching, training, and mentorship to junior colleagues and team members
  • Partner with Legal, Underwriting, and other internal teams to support sound claim outcomes
  • Deliver exceptional customer service while navigating sensitive and complex situations professionally and empathetically

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
  • 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 active progress toward completion is an asset
  • Experience coaching, mentoring, and developing junior claims professionals is preferred
  • Knowledge of rehabilitation practices and medical terminology is preferred
  • Ability to work independently and contribute to a collaborative team culture
  • Demonstrated commitment to customer service excellence and continuous improvement
  • Must be eligible to work in Canada from the anticipated start date and throughout employment
  • Must maintain work eligibility in Canada
  • No employer sponsorship or support for immigration-related matters is provided

Benefits

  • Flexible work arrangements and a hybrid work model
  • Possibility to purchase up to 5 extra days off per year
  • Multiple benefits supporting physical and mental wellbeing, including telemedicine and Wellness account
  • Share plan and other savings of up to 12% of salary or more
  • Annual bonus target of 12% of base salary, with potential payout up to double the target, subject to personal and company performance
  • Employee Share Purchase Plan (ESPP) with Intact matching 50% of net shares
  • Defined benefit pension plan
  • Opportunity to receive guaranteed income for life via the defined benefit pension plan
  • Workplace support, career opportunities, and performance-led financial rewards

Job type

Full Time

Experience level

Mid levelSenior

Salary

CA$94,200 - CA$115,200 per year

Degree requirement

No Education Requirement

Location requirements

HybridEdmontonCanada

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