Claims Specialist- Complex Injury, Accident Benefits

Intact; Ajax; Hybrid; CAD 94,000 - 115,000; Full time

Benefits offered by this job

Hybrid work model

Employee referral bonus

Inclusive workplace

Job summary

Intact is seeking a Claims Specialist, Accident Benefits to join our complex injury team. You will handle pending AB files, analyze policy wording to determine coverage, and communicate with claimants, lawyers and rehabilitation experts to determine fair entitlements.

You will conduct investigations, gather information, and coordinate reporting, while mentoring staff within the COE in a hybrid Ontario environment across multiple offices including Ottawa, Ajax, Mississauga, Toronto and London.

Qualifications

• University degree or equivalent training/experience.
• At least 5+ years of Accident Benefit claims handling experience.
• Knowledge of provincial auto insurance legislation.
• Strong negotiation and independent settlement experience on complex files.
• Excellent communication and interpersonal skills.

Responsibilities

• Handle pending Accident Benefit files and intake of complex/catastrophic claims.
• Analyze policy wording to determine coverage and entitlements.
• Communicate with claimants, lawyers, and rehabilitation experts; report findings.
• Conduct investigations and gather additional information to justify claims.
• Coordinate regular reporting and liaise with Technical Services for reserving.
• Mentor/coaching within the COE and support staff development.
• Perform other duties as required to support the business.

Skills

Claims handling

Negotiation

Communication

Customer service

Education

University degree

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)

94,200 - 115,200

Annual Bonus Target, Based On The Base Salary, With a Potential Payout Of Up To Double The Target (subject To Personal And Company Performance)

12%

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 Specialist, Accident Benefits, to join our complex injury team!

The Complex Injury Team has experience in all levels of AB file handling with a strong understanding of legislation and regulations, also the members of this team must be detail oriented, have exhibited strong communication, written and presentation skills, analytical, problem solving and negotiation skills. In addition, our Claims Specialists are mentoring and coaching throughout the COE in support of staff development.

This role is part of our hybrid working environment with support and training. Permanent positions available across multiple locations in Ontario: Ottawa, Ajax, Mississauga, Toronto, Richmond Hill, and London (Ontario) offices.

What You’ll Do Here

• Handle a pending of Accident Benefit files while receiving regular intake of Complex and Catastrophic claims
• Analyze and interpret insurance policy wording to determine coverage and assess entitlements which are fair and equitable
• Communicate in a timely and respectful manner with the customer claimants, lawyers and rehabilitation experts and report findings
• Conduct investigations and identify additional information such as an independent medical examination, customer medical or employment history required to clarify and/or justify a claim
• Complete regular reporting as required and liaising with Technical Services to ensure appropriate action and reserving is in place
• Complete coaching initiatives
• Complete other duties as assigned as deemed reasonable to assist the Business

What You Bring To The Table

• University degree or any combination of training and experience deemed relevant for the role
• At least 5+ years of Accident Benefit claims handling experience.
• Handling experience of complex and catastrophic files is considered an asset.
• Knowledge of provincial legislation governing auto insurance.
• Experienced in negotiations and demonstrated experience with independently settling Complex Accident Benefit files.
• Excellent communication and interpersonal skills with all levels of staff.
• Excellent customer service skills.
• Bring a can-do attitude, and openness to tackle new things.

Posting expires October 30, 2026 11:59 PM EST.

This role is eligible for employee referral bonus. #myReferrals3000

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.

If we can provide a specific adjustment to make the recruitment process more accessible for you, please let us know when we reach out about a job opportunity. We'll work with you to meet your needs.

Learn more about our recruitment process and your candidate journey here.

Please note that Intact does not provide sponsorship or other support for immigration-related matters including but not limited to employer-specific closed work permits. Candidates must be eligible to work in Canada from the anticipated start date and throughout their employment and are solely responsible for maintaining their work eligibility.

If you are an employee of Intact or belairdirect, please apply for this role on Internal Career Site.