Claims Representative II, Accident Benefits

Co-operators; Calgary; Hybrid; CAD 61,000 - 101,000; Full time

Job summary

CGIC in Calgary is seeking a Claims Representative II to investigate, negotiate and resolve complex Accident Benefits claims. This role works in a hybrid model with two days in the office and offers exposure to case management, defense litigation, and ADR while supporting client-centric solutions.

You will build expertise in AB claims handling, strengthen analytical and communication skills, and contribute to a culture of exceptional service.

Qualifications

• 3+ years of P&C liability claims handling or related insurance/ legal experience.
• Post-secondary degree or diploma.
• CIP or Medical Rehabilitation designation is preferred or open to pursuing.
• Strong problem-solving and priority-management skills.
• Understanding of accident benefits coverage is a plus.
• Provincial adjuster licence(s) may be required depending on province of work.

Responsibilities

• Investigate, interpret coverage, negotiate and decide on complex AB auto claims.
• Collaborate with clients, physicians, and providers to develop case management plans.
• Manage complex files in defence litigation and ADR.
• Coach and train the claims team.
• Deliver exceptional client service aligned with claims standards.

Skills

P&C liability claims

Customer service mindset

Communication skills

Education

Post-secondary degree or diploma

Job description

Company: CGIC
Department: Accident Benefit Claims
Employment Type: Regular Full-Time
Work Model: Hybrid (2 days in office)
Language: This role operates in English.

The Opportunity

We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy. That's why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose. The best part is that you will work with people that care passionately about you, our clients and our communities.

As a Claims Representative II, you will have a vital role in investigating, negotiating, and resolving complex Accident Benefits (AB) claims. Your daily interactions with clients and support of client‑centric innovative solutions will be impactful to contributing to our client service culture. As the Claims Representative II, you will have the opportunity to grow your expertise in AB claims handling, elevate your analytical mindset, and refine your communication skills.

How You Will Create Impact

• Investigating, interpreting coverage, negotiating and making decisions autonomously, to resolve complex automobile Accident Benefit claims.
• Collaborating with clients, physicians, treatment providers, employers and rehabilitation workers in the development, approval, implementation and monitoring of case management plans for clients.
• Managing complex files in defense litigation and Alternative Dispute Resolution (ADR).
• Coaching, training, and providing technical support to the claims team.
• Providing exceptional client service in accordance with our claims service and quality standards, with the view of enabling the organization to be the industry leader in client engagement.

To Join Our Team

• You have 3+ years of P&C liability claims handling, or related insurance, or legal and/or medically‑centric business experience.
• You have a post‑secondary degree or diploma.
• You have or are open to working towards the Chartered Insurance Professional (CIP) designation or Medical Rehabilitation designation.
• You have a passion for assessing and solving customer centric problems, and are skilled in priority management.
• Having an understanding of accident benefits insurance coverage is a strong asset.
• You have or will attain provincial adjuster license(s) depending on the province of work.

How You Will Succeed

• You influence change and are committed to continuous improvement, in order to exceed client expectations.
• You leverage critical thinking skills to identify problems and proactively propose solutions.
• Your strong communication skills allow you to clearly convey messages.
• You're an effective team player who shares knowledge to support our peers.

What You Need To Know

• You will be subject to a Background check as a condition of employment, in the event you are the successful candidate.

What's in it for you?

• Training and development opportunities to grow your career.
• Flexible work options and paid time off to support your personal and family needs.
• A holistic approach to your well‑being, with physical and mental health programs and a supportive workplace culture.
• Paid volunteer days to give back to your community.
• In addition to our competitive salary and incentive programs, eligible employees also benefit from a comprehensive total rewards package including group retirement savings plans, pension and benefits (e.g., health and wellness, dental, disability and life coverage), mental health support and an employee assistance program.

Salary information

Expected salary range $60,574 to $100,956
The salary amount for the successful candidate is determined by Co-operators in its discretion and will vary depending on several criteria including but not limited to: local market conditions, geography and relevant job‑related factors such as knowledge, skills, qualification, experience and education.
Employees may also have the opportunity to participate in incentive programs and earn additional compensation tied to individual and/or business performance, or other business metrics.