Claims Analyst

iA Financial Group; Burnaby; Hybrid; CAD 50,000 - 66,000; Full time

Benefits offered by this job

Flexible insurance

Pension plan

Stock plan

Vacation days

Wellness days

Telemedicine

Employee assistance

Ergonomic furniture

Performance bonus

iA product discounts

Job summary

iA Financial Group in Burnaby is seeking a Claims Analyst to adjudicate lower-risk Special Markets claims and support policy interpretation, file management, and client communication.

You will develop foundational claims expertise, maintain accurate documentation, escalate complex cases, and collaborate with Claims Specialists to deliver service excellence.

The role offers a hybrid work model, competitive benefits, and opportunities to advance within the claims team.

Qualifications

• Adjudicate non-core and lower-risk Special Markets claims within assigned authority levels.
• Assess eligibility and entitlement based on policy provisions, medical information, and supporting documentation.
• Request, review, and analyze the documentation required to support fair and objective claim decisions.
• Communicate claim decisions clearly to claimants, brokers, third-party administrators, policyholders, benefit administrators, and internal partners.
• Maintain accurate, timely, and objective claim file documentation in accordance with regulatory, privacy, and audit requirements.
• Identify and escalate complex, sensitive, or higher-risk claims to the appropriate senior-level resource.

Responsibilities

• Adjudicate non-core and lower-risk Special Markets claims.
• Assess eligibility based on policy provisions and documentation.
• Review and analyze documentation to support fair decisions.
• Communicate decisions clearly to stakeholders.
• Maintain compliant claim files and records.
• Escalate higher-risk claims to senior resources.

Job description

Build the future with us

Are you analytical, detail-oriented, and motivated by the opportunity to support clients when it matters most? As a Claims Analyst with our Special Markets Claims team, you will assess lower-risk and non-core claims in accordance with policy provisions, internal guidelines, and service standards.

This role offers an excellent opportunity to develop strong foundational claims expertise in policy interpretation, file management, decision-making, and customer communication. Depending on your experience and training, you may also adjudicate limited-risk products and a defined portion of a core product.

You will work closely with Claims Specialists, contribute to the team’s day-to-day operations, and progressively build the knowledge and capabilities required to advance your career within claims.

What you’ll accomplish with us

As a Claims Analyst, you’ll be at the core of our mission. Here are the main responsibilities:

• Adjudicate non-core and lower-risk Special Markets claims within assigned authority levels.
• Assess eligibility and entitlement based on policy provisions, medical information, and supporting documentation.
• Request, review, and analyze the documentation required to support fair and objective claim decisions.
• Communicate claim decisions clearly, professionally, and respectfully to claimants, brokers, third-party administrators, policyholders, benefit administrators, and internal partners.
• Maintain accurate, timely, and objective claim file documentation in accordance with regulatory, privacy, and audit requirements.
• Identify and escalation complex, sensitive, or higher-risk claims to the appropriate senior-level resource.
• Depending on business needs, experience, and training, assist with a defined portion of a core product within an established scope and authority.
• Develop and maintain positive working relationships with clients and business partners while ensuring compliance with policy provisions and privacy requirements.
• Participate in meetings and discussions related to claims-handling practices and service delivery.
• Build and maintain your knowledge of Special Markets products, policies, procedures, and industry practices.
• Participate in training, coaching, and knowledge-sharing activities.
• Apply feedback to continuously improve decision-making, communication, and claim quality.
• Support team operations through collaboration, information sharing, professionalism, openness, and respect.

What could accelerate your success in this role

We’re looking for someone who:

• Has experience in the insurance industry or in a related claims environment;
• Demonstrates strong analytical, critical-thinking, and problem-solving skills;
• Is recognized for their attention to detail and ability to make objective, well-supported decisions;
• Can interpret policy provisions and supporting documentation effectively;
• Manages competing priorities while consistently meeting established service standards;
• Demonstrates strong customer service, verbal communication, and written communication skills;
• Builds positive and professional relationships with clients, colleagues, and business partners;
• Is committed to continuous learning and receptive to coaching and feedback;
• Has foundational knowledge of group life, health, accident, and sickness plans, which would be considered an asset;
• Bilingualism in English and French would be considered a strong asset, as the preferred candidate will be expected to support a significant volume of both English and French claims on a regular basis.

Why you’ll love working with us

• A work environment where learning and development merge with a collective pursuit of excellence;
• AI is in everyone’s hands, empowering you to increase your personal effectiveness while supporting the organization’s growth;
• A healthy, safe, fair, and inclusive environment where potential can be freely expressed and developed;
• The opportunity to work in a hybrid environment, supported by flexibility and access to inspiring and innovative workspaces;
• Competitive benefits: Flexible group insurance, competitive pension plan, stock purchase plan, vacation and wellness/personal development days, telemedicine, employee and family assistance program, ergonomic furniture program, performance bonus, discounts on iA products, and much more!

At iA, we believe in potential and value diverse experiences. Your place might be with us, and we want to get to know you!

The typical hiring range for this position is between CAD $50,159 and CAD $65,833 per year; the base salary offered may vary depending on knowledge, skills, years of experience, and internal equity related to the role.