Clinical Advisor – Injury Claims

Aviva • Edmonton, AB

4d • Hybrid

About The Position

The Clinical Advisor is a consultative (non-clinical) role that provides expert clinical consultations and supports claims teams administering primarily auto accident benefits. As a subject matter expert in injury, treatment, and rehabilitation, the Clinical Advisor helps align care decisions with legislation, approved Programs of Care, and best practice standards, supporting effective recovery and return-to-work outcomes. The focus is on enhancing customer outcomes and clinical consistency by supporting front line claims teams with medical interpretations, recovery planning, and evidence-based recommendations—without assuming claim ownership or adjudication authority.

Requirements

• Degree in Health Sciences, rehabilitation, disability management or related field, with strong preference for Occupational Therapy, Physiotherapy, Registered Nurse, or Kinesiologist
• Regulated Healthcare Professional, registered and in good standing with their respective College (e.g., Alberta College of Occupational Therapists or equivalent)
• 5+ years of clinical practice in injury management, rehabilitation, case management, return to work or disability settings
• Strong clinical reasoning and ability to translate medical information into practical guidance
• Advanced understanding of functional recovery, rehabilitation, and disability management principles
• Ability to balance empathy for injured customers with evidence-based recommendations
• Strong communication skills - able to influence without direct authority
• Passion for improving customer outcomes and commitment to ongoing professional development
• Comfort navigating ambiguity, complexity, and regulatory frameworks
• Collaborative mindset with coaching and advisory orientation
• Strong documentation, organization, and digital proficiency in MS Office (Word, PowerPoint, Excel, etc.) and data management/analysis skills

Nice To Haves

• Experience with complex or catastrophic injuries preferred, including chronic conditions and permanent disabilities
• Preference for candidates with insurance, disability management, or injury claims experience
• Certified Disability Management Professional designation
• Knowledge of auto accident benefits, WCB, or disability systems and prior experience supporting non-clinical stakeholders are considered a strong asset

Responsibilities

• Assist front line claims staff in interpreting complex medical and functional information
• Provide consultations on barriers to recovery, treatment appropriateness, and functional restoration strategies
• Assist with aligning functional impairments to recovery trajectories to achieve sustainable return to work and activities of daily living outcomes
• Provide insight and training on catastrophic injury management and permanent impairment considerations
• Knowledge transfer and delivery of training to support building medical acumen of Claims Adjusters
• Lead special projects and initiatives to improve processes and/or quality of claims management
• Identify when additional clinical expertise or medical opinions are warranted
• Support litigation and dispute resolution strategy by providing expertise in injury, recovery, and disability issues
• Collaborate with vendor managers and preferred treatment networks (PPN) to ensure customers are receiving evidence-based treatment consistently and in compliance with legislative requirements

Benefits

• base compensation
• eligibility for annual bonus
• retirement savings
• share plan
• health benefits
• personal wellness
• volunteer opportunities
• Outstanding career development opportunities
• professional development education
• Competitive vacation package with the option to purchase 5 extra days off per year
• Employee-driven programs focused on gender, LGBTQ+, origins, diversity, and inclusion
• Corporate wellness programs to support our employees’ physical and mental health

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level