Accident Benefits Claims Specialist

Intact FC • Edmonton, AB

10d • CA$94,200 - CA$115,200 • Hybrid

About The Position

We’re seeking an Accident Benefits Claims Specialist to join our growing team in a full-time, permanent capacity, based in Edmonton or Calgary. In this role, you’ll deliver high-quality service while investigating, evaluating, negotiating, and resolving complex Accident Benefits claims in compliance with corporate policies, provincial legislation, and regulatory standards. You’ll also play an important role in supporting our operational readiness as we transition toward the upcoming Care-First auto reform environment.

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.

Nice To Haves

• CIP designation (or actively working toward completion) is an asset.
• Experience coaching, mentoring, and developing junior claims professionals.
• Knowledge of rehabilitation practices and medical terminology.
• Ability to work independently while contributing positively to a collaborative team culture.
• Demonstrated commitment to customer service excellence and continuous improvement.

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, 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.

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 (ask how you could earn guaranteed income for life)
• Annual bonus target, based on the base salary, with a potential payout of up to double the target (subject to personal and company performance): 12%
• Employee Share Purchase Plan (ESPP) – with Intact matching 50% of your net shares.
• Pension offerings provide flexibility and long-term security for our employees beyond their careers.
• Defined benefit pension plan offering the opportunity to receive guaranteed income for life.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed