Claims Representative II - Accident Benefits Special Handling Unit (SHU)

intactfc; Calgary; Hybrid; CAD 64,000 - 78,000; Full time

Benefits offered by this job

Hybrid work model

Wellness program

Employee share plan

Pension plan

Job summary

Intact is seeking a Claims Representative II - Accident Benefits Special Handling Unit (SHU) to join our growing team. You will coordinate investigations into potential fraud, collect evidence, and determine liability and coverage.

You will communicate with customers and lawyers, analyze complex information, and contribute to fair resolutions while meeting legislative requirements and supporting our Investigative Services and Claims departments.

Qualifications

• University degree or any combination of training and experience deemed relevant for the role.
• A minimum of 1 years of experience as Adjuster Accident Benefits claims or equivalent investigations experience.
• Can handle or oversee moderate to complex investigations.
• Can communicate and negotiate effectively.
• Excellent customer service skills.
• Excellent written and verbal communication skills.
• Strong analytical and decision-making skills.
• Excellent time management skills.
• Keen eye for detail.
• Comfortability providing coaching and training.
• Knowledge of the provincial legislation governing auto insurance.
• This role is a new member of our growing team.

Responsibilities

• Coordinate investigations into potential fraud, misrepresentation, and/or exaggeration within Accident Benefit Claims
• Collect evidence and analyze information to determine liability and coverage, including statements, independent medical examinations, customer medical documents and employment documents, claims documents, witness testimony, police reports, and all other information required to clarify and/or justify a claim
• Identify fraud indicators and effectively coordinate investigative, medical, and legal resources to validate indicators and make decisions on liability and coverage
• Communicate in a timely and respectful manner with customers, claimants and lawyers when making decisions on coverage, reporting findings, and settling claims
• Pursuing fair and equitable resolutions to customer disputes, complaints and escalations
• Participate and/or lead project work, by working with members of the Investigative Services and Claims departments to deliver on project goals
• Ensure all claims and investigations are clearly documented and meet all legislative requirements

Skills

Communication

Negotiation

Customer service

Written and verbal communication

Analytical thinking

Time management

Attention to detail

Coaching and training

Auto insurance knowledge

Education

University degree or equivalent experience

Job description

Our employees are at the heart of everything we do. Together, we help people, businesses, and society prosper in good times and be resilient in bad times.

Our employee promise represents Intact's commitment to you in exchange for living our Values, striving to do your best work, being open to change and investing in your career. In return, we promise to provide support, opportunities and performance-led financial rewards at a workplace where you can shape the future, win as a team and grow with us.

Pay at Intact is about much more than just salary.

Flexible work arrangements and a hybrid work model

Possibility to purchase up to 5 extra days off per year

Multiple benefits offered to support physical and mental wellbeing, including telemedicine, Wellness account and much more

Share plan & other savings

up to 12% of salary or even more (ask how you could earn guaranteed income for life)

Salary range (but not limited to):

64,100 - 78,300

Annual bonus target, based on the base salary, with a potential payout of up to double the target (subject to personal and company performance): 7.5%

As part of our commitment to Win As A Team , we share our success with employees through our annual bonus plan and Employee Share Purchase Plan (ESPP) - with Intact matching 50% of your net shares.

Our pension offerings provide flexibility and long-term security for our employees beyond their careers. We are one of the few companies offering the opportunity to receive guaranteed income for life via our defined benefit pension plan.

Salary for the candidate will be determined taking into consideration a number of factors including: experience, skills, qualifications, anticipated contribution to role, internal equity, etc. The salary range presented above is based on a 35-hour workweek and would represent a majority of different candidate profiles. However, we encourage candidates who may fall outside of this range to apply as well.

About the role

We're looking for a Claims Representative II - Accident Benefits Special Handling Unit (SHU) , to join our growing team!

What you'll do here:

• Coordinate investigations into potential fraud, misrepresentation, and/or exaggeration within Accident Benefit Claims
• Collect evidence and analyze information to determine liability and coverage, including statements, independent medical examinations, customer medical documents and employment documents, claims documents, witness testimony, police reports, and all other information required to clarify and/or justify a claim
• Identify fraud indicators and effectively coordinate investigative, medical, and legal resources to validate indicators and make decisions on liability and coverage
• Communicate in a timely and respectful manner with customers, claimants and lawyers when making decisions on coverage, reporting findings, and settling claims
• Pursuing fair and equitable resolutions to customer disputes, complaints and escalations
• Participate and/or lead project work, by working with members of the Investigative Services and Claims departments to deliver on project goals
• Ensure all claims and investigations are clearly documented and meet all legislative requirements

What you bring to the table:

• University degree or any combination of training and experience deemed relevant for the role
• A minimum of 1 years of experience as Adjuster Accident Benefits claims or equivalent investigations experience
• Can handle or oversee moderate to complex investigations
• Can communicate and negotiate effectively
• Excellent customer service skills
• Excellent written and verbal communication skills
• Strong analytical and decision-making skills
• Excellent time management skills
• Keen eye for detail
• Comfortability providing coaching and training
• Knowledge of the provincial legislation governing auto insurance
• Il s'agit d'un nouveau rôle au sein de notre équipe en pleine croissance | This role is a new member of our growing team.

We are an equal opportunity employer

At Intact, our Value of respect is founded on seeing diversity as a strength. We strive to create an accessible workplace where employees feel valued, included and encouraged to share their unique perspectives.

We encourage applications from individuals who are members of equity-deserving groups, including but not limited to women, Indigenous peoples, persons with disabilities, Black people, and members of the 2SLGBTQI+ community.

As part of Intact's commitment to reconciliation, we acknowledge that we work, meet and travel across the land currently called Canada, originally inhabited by First Nations, Metis and Inuit people. This history extends through many centuries and continues to evolve today.

We have policies to ensure equal access and participation for people with disabilities, including providing workplace adjustments (accommodations). A copy of applicable policies is available on request.