Senior Accident Benefits Claims Advisor - Western Region

Desjardins Group; Mississauga; Hybrid; CAD 65,000 - 85,000; Full time

Job summary

A leading insurance provider is seeking a Senior Accident Benefits Claims Advisor for a temporary position in Mississauga, Ontario. This senior-level role involves managing accident benefits claims with a focus on conflict resolution and client care. Candidates should have a Bachelor's degree, at least three years of relevant experience, and strong communication skills. This position offers competitive salary, flexible vacation, a defined benefit pension plan, and group insurance. Join a supportive team dedicated to making a meaningful impact for clients.

Benefits

Competitive salary and annual bonus

4 weeks of flexible vacation

Defined benefit pension plan

Group insurance including telemedicine

Reimbursement of health and wellness expenses

Qualifications

• Minimum of three years of relevant experience in accident benefits claims handling.
• Advanced proficiency in English for professional interactions.
• Understanding of medical, legal terminology and disability management principles.

Responsibilities

• Investigate, evaluate and negotiate accident benefits claims.
• Maintain communication with clients for updates and inquiries.
• Lead conflict resolution through formal processes when necessary.
• Collaborate with medical professionals and legal representatives.
• Apply accurate reserving practices and ensure timely claim payments.

Skills

Accident benefits claims handling

Conflict resolution

Stakeholder collaboration

Communication skills

Regulatory knowledge

Education

Bachelor's degree in a related field

CIP designation or enrolled in a program

Job description

Temporary position for 12 months.

We are seeking a highly skilled and empathetic Senior Accident Benefits Claims Advisor to join our Western Region team, supporting clients across Alberta. In this senior-level role, you will manage accident benefits claims of moderate to high complexity, with a strong focus on conflict resolution and stakeholder collaboration. You will play a critical role in guiding clients through the claims process, ensuring their unique needs are met with professionalism and compassion. You will also lead dispute resolution efforts, manage rehabilitation coordination, and maintain strong relationships with internal and external partners. This is an opportunity to make a meaningful impact in the lives of our clients while working in a dynamic, supportive, and collaborative environment. As a senior claims advisor, you will be a key contributor to our mission of delivering exceptional claims service and client care. More specifically, you will be required to:

• Investigate, evaluate, and negotiate accident benefits claims of moderate to high complexity, ensuring compliance with regulatory and contractual obligations
• Maintain clear, timely, and empathetic communication with clients, providing updates, addressing inquiries, and guiding them through the claims process
• Proactively identify and resolve challenges, including complex or sensitive issues, with a focus on achieving fair outcomes and supporting client well-being
• Lead conflict resolution efforts, including managing claims through formal dispute resolution processes when necessary
• Collaborate effectively with internal teams and external stakeholders—such as medical professionals, legal representatives, and rehabilitation providers—to support client recovery and claim resolution
• Apply accurate reserving practices and ensure timely issuance of claim payments in accordance with company standards and best practices.

What we offer

• Competitive salary and annual bonus
• 4 weeks of flexible vacation starting in the first year
• Defined benefit pension plan that provides predictable, stable income throughout retirement
• Group insurance including telemedicine
• Reimbursement of health and wellness expenses and telework equipment

*Benefits apply based on eligibility criteria.

#LI-Hybrid

What you bring to the table

• Bachelor's degree in a related field
• A minimum of three years of relevant experience in accident benefits claims handling experience
• Please note that other combinations of qualifications and relevant experience may be considered
• CIP designation or enrolled in a program
• Advanced proficiency of English due to the nature of the duties or work tools or because the position involves interactions with English-speaking partners, members and/or clients
• Advanced knowledge and understanding of regulatory and contractual obligations under the Alberta Insurance Act
• Advanced knowledge of medical and legal terminology, vocational rehabilitation concepts, and disability management principles

Trade Union (If applicable)

At Desjardins, we believe in equity, diversity and inclusion. We're committed to welcoming, respecting and valuing people for who they are as individuals, learning from their differences, embracing their uniqueness, and providing a positive workplace for all. At Desjardins, we have zero tolerance for discrimination of any kind. We believe our teams should reflect the diversity of the members, clients and communities we serve.

If there's something we can do to help make the recruitment process or the job you're applying for more accessible, let us know. We can provide accommodations at any stage in the recruitment process. Just ask!

Job Family

Member/client sales and service (FG)