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
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