Claims Adjuster, Accident Benefits

First Canadian Financial Group; Sherwood Park; On-site; CAD 60,000 - 80,000; Full time

Job summary

Millennium Insurance, a Wheaton Group company based in Sherwood Park, AB, seeks a Claims Adjuster for Accident Benefits. The role focuses on investigating and managing Section B claims with care-first alignment, delivering exceptional service to claimants and stakeholders.

You will work under the Claims Manager, handling investigations, coverage reviews, and medical/rehabilitation expenses while advancing legacy claims toward timely resolution.

Qualifications

• Minimum of two years of accident benefit claims handling experience.
• In-depth knowledge of auto insurance policies, Section B benefits, regulations and claims procedures.
• Excellent communication and negotiation skills to interact with clients.
• Proficient computer skills with claims management software and MS Office Suite.
• Strong analytical and problem-solving skills.
• High attention to detail and strong organization.
• High emotional intelligence and empathy.

Responsibilities

• Conduct investigations of accident benefit claims, obtain statements, interviews and gather documentation for evaluation.
• Review policy coverage and determine liability.
• Assess and process medical and rehabilitation expense claims per DTPR, advancing to non-DTPR and Total Disability claims.
• Review medical documentation to determine reasonable, necessary and payable items.
• Coordinate with healthcare providers, IMEs, legal and internal specialists as needed.
• Provide excellent customer service with timely updates and responses to claimants and policyholders.
• Maintain accurate claim files and reports per guidelines and timelines.
• Stay current on legal developments and industry best practices during transition to care-first.
• Support transition team to move legacy claims toward resolution.

Skills

Claims handling

Communication

Analytical thinking

Negotiation

MS Office

Attention to detail

Empathy

Education

Post-secondary education

CIP designation

Tools

Claims management software

MS Office Suite

Job description

Opportunity

Are you customer-service oriented and energized by analytical, investigative work? Millennium Insurance is looking for a Claims Adjuster, Accident Benefits to join our dynamic team and support the transition to care-first.

Reporting to the Claims Manager, you’ll investigate and manage Section B claims while delivering exceptional service to our customers. This is a 2-year fixed-term opportunity focused on adjusting claims arising from accidents before January 1, 2027, with the opportunity to gain valuable experience and explore internal opportunities as the project concludes.

What you will be doing

• Conduct thorough investigations of accident benefit claims, including obtaining statements, conducting interviews and gathering the documentation needed for evaluation.
• Review policy coverage and determine the extent of liability.
• Assess, evaluate, and process medical and rehabilitation expense claims in accordance with the Diagnostic and Treatment Protocols Regulation (DTPR), progressing to claims outside the DTPR and Total Disability payments.
• Review medical documentation and treatment plans to determine what is reasonable, necessary, and payable.
• Coordinate with healthcare providers, independent medical examiners, legal representatives, and internal specialists as needed.
• Provide exceptional customer service by promptly responding to inquiries, providing status updates, and addressing concerns from claimants, policyholders, and other stakeholders.
• Maintain accurate and detailed claim files, documentation, and reports in accordance with company guidelines, regulatory timelines, and industry standards.
• Stay current on legal developments, industry trends, and best practices in Section B claims management as the transition to care-first unfolds.

What you bring to the team

• Minimum of two (2) years of accident benefit claims handling experience
• Post-secondary education and/or CIP designation are considered an asset
• In-depth knowledge of auto insurance policies, Section B benefits, regulations and claims procedures
• Excellent communication and negotiation skills to effectively interact with clients
• Proficient computer skills, including experience with claims management software and MS Office Suite
• Strong analytical and problem-solving skills, with the ability to evaluate complex information and make informed decisions
• High level of attention to detail, organization skills and ability to prioritize tasks
• High degree of emotional intelligence and empathy

How you will succeed

Success will mean independently assessing, evaluating, and processing medical expense claims within the Diagnostic and Treatment Protocols Regulation (DTPR), then progressing to medical claims outside the DTPR and Total Disability payments. As part of our dedicated transition team, you’ll move a defined inventory of legacy accident benefit claims toward resolution in a timely, accurate, and compliant way.

How we take care of our employees

By joining Millennium Insurance, you will belong to a passionate and purpose-driven team. As part of the Wheaton Group Companies, we pride ourselves on being family oriented, socially responsible, and in doing business the right way. Millennium is proud to be Great Place to Work Certified for creating an outstanding employee experience and an amazing workplace culture.

Benefits

• Generous Paid Time Off Program
• Fitness Subsidy
• Health, Dental and Insured Benefit Offerings
• Health and Lifestyle Spending Account
• Employee Discount Programs

About Millennium Insurance

Millennium Insurance is a locally owned and operated property and casualty insurance company based in Sherwood Park, AB. We pride ourselves on offering relevant and competitively priced insurance products, along with industry-leading customer service. Our business lines include personal automobiles, personal property, home warranty, commercial property, and commercial liability insurance. With over $400 million in written premium, Millennium Insurance is proud to be part of the Wheaton Group of Companies.

Millennium is committed to fostering an inclusive, equitable and accessible workplace. If we can make any adjustments to the hiring process to better accommodate you, please provide feedback when submitting your application or let us know when we reach out about a job opportunity