Accident Benefits Claims Adjuster I (Hybrid)

Wawanesa; Calgary; Hybrid; CAD 61,000 - 71,000; Full time

Benefits offered by this job

Annual bonus

Vacation time

Premium-free benefits

Pension plan

Job summary

The Wawanesa Mutual Insurance Company is seeking a Claims Adjuster 1 / Recovery Care Specialist 1 – Accident Benefits to join our team in a hybrid work environment across Winnipeg, Calgary, Edmonton and other locations. This role focuses on investigating and settling low to moderate complexity accident benefits claims with care and sound judgment.

We value empathetic guidance for injured members and collaboration with internal and external partners to achieve timely and sustainable outcomes.

Qualifications

• Previous claims adjusting or relevant insurance experience preferred.
• Foundational understanding of accident benefits and policy interpretation.
• Strong organizational and communication skills in a fast-paced environment.

Responsibilities

• Provide empathetic guidance to injured members throughout the claims process.
• Communicate with injured members and stakeholders via phone, digital, and written correspondence.
• Collaborate with treatment providers, service vendors, and other stakeholders to ensure appropriate support.
• Set and update claim and expense reserves in a timely manner.
• Support litigated claims by instructing external counsel and participating in dispute resolution.
• Identify claim developments and determine next steps, escalating when needed.
• Maintain detailed, timely file documentation of claim strategy and steps.
• Stay current with legislation, regulatory requirements, and industry trends.

Skills

Claims adjusting

Policy interpretation

Communication

Decision making

Licensing readiness

Job description

The Wawanesa Mutual Insurance Company is seeking a Claims Adjuster 1 / Recovery Care Specialist 1 – Accident Benefits to join our team in a hybrid work environment across Winnipeg, Calgary, Edmonton and other locations. This role focuses on investigating and settling low to moderate complexity accident benefits claims with care and sound judgment.

We value empathetic guidance for injured members and collaboration with internal and external partners to achieve timely and sustainable outcomes.