Claims Adjuster, Accident Benefits

Millennium Insurance Corporation; Sherwood Park; On-site; CAD 55,000 - 75,000; Full time

Job summary

Millennium Insurance is seeking a Claims Adjuster, Accident Benefits to join our team in Sherwood Park, AB. Reporting to the Claims Manager, you will investigate accidents, review policy coverage and manage medical and rehab expense claims.

This is a 2-year fixed-term role focused on transitioning to care-first, with opportunities for internal progression as the project concludes. You will collaborate with healthcare providers, independent medical examiners, legal representatives and internal

Qualifications

• Two or more years of accident benefit claims handling experience.
• Post-secondary education or CIP designation are assets.
• In-depth knowledge of auto insurance policies and Section B benefits.

Responsibilities

• Conduct thorough investigations of accident benefit claims, including statements and interviews.
• Review policy coverage and determine liability.
• Assess and process medical and rehabilitation expense claims per DTPR, and beyond when needed.
• Review medical docs to determine what is reasonable, necessary and payable.
• Coordinate with healthcare providers, IMEs, legal representatives and internal specialists.
• Provide excellent customer service with timely updates and clear communications.
• Maintain detailed claim files and reports per guidelines and timelines.
• Stay current on legal developments and best practices in Section B claims management.

Skills

Accident benefit claims handling

Client interaction

Analytical skills

Education

Post-secondary education

CIP designation (asset)

Tools

Claims management software

MS Office Suite

Job description

Description

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. Some of the amazing benefits our employees have access to include:

• 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.

We thank all candidates for their interest but only candidates selected to advance in the hiring process will be contacted. Final candidates will be asked to undergo pre-employment backchecks, results of which must be satisfactory to Millennium.

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