Senior Accident Benefits Lead — Complex Claims

First Canadian Financial Group; Sherwood Park; On-site; CAD 110,000 - 140,000; Full time

Benefits offered by this job

Generous PTO

Employer retirement match

Fitness subsidy

Training & Development assistance

Health & dental insurance

HSA

Job summary

Millennium Insurance, based in Sherwood Park, AB, seeks a senior technical leader for the Care-First Claims team. You will provide advanced guidance on complex claims, review coverage decisions, and oversee quality through audits and coaching across the team.

The role emphasizes technical leadership over people management, with exposure to tribunals, loss transfers, and high-exposure cases. CIP preferred.

Qualifications

• 7+ years in insurance claims, with Accident Benefits or complex claims experience.
• Advanced knowledge of claims handling, coverage, benefits, and legislation.
• Experience guiding technical teams on complex or high-exposure claims.
• Experience with reserves management, financial controls, and QA.

Responsibilities

• Act as primary technical resource for Case Coordinators/Managers on coverage, benefits, and complex claims.
• Provide guidance on disputed, catastrophic, high-exposure, or unusual claims.
• Review complex information and make well-supported coverage/benefit decisions.
• Conduct claim file audits and quality reviews of coverage, reserves, and documentation.
• Identify opportunities to improve claims practices, processes, and training.
• Establish and adjust reserves across Care-First claims and monitor exposures.
• Exercise secondary payment approval and ensure payments are properly supported.
• Coordinate specialized claim matters including tribunals and loss transfers.
• Provide coaching and knowledge sharing across the team to ensure consistency.
• Escalate complex matters to Care-First Manager when needed.

Education

CIP designation

Job description

Millennium Insurance, based in Sherwood Park, AB, seeks a senior technical leader for the Care-First Claims team. You will provide advanced guidance on complex claims, review coverage decisions, and oversee quality through audits and coaching across the team.

The role emphasizes technical leadership over people management, with exposure to tribunals, loss transfers, and high-exposure cases. CIP preferred.