Claims Specialist

2 months ago


Edmonton, Alberta, Canada Peace Hills Insurance Full time

We are seeking a highly skilled Claims Advisor to join our team at Peace Hills Insurance. As a Claims Advisor, you will play a critical role in handling both Automobile and Accident Benefits claims, ensuring that our clients receive the best possible service.

Key Responsibilities:

  • Verify and explain coverage to clients, ensuring they understand their policy and how it applies to reported claims.
  • Investigate, evaluate, negotiate, and settle total loss claims, determining liability and ensuring fair outcomes.
  • Explain the claims process to clients, providing clear and concise information on both automobile and accident benefits.
  • Obtain recorded statements, collect and review medical documents, and verify employment information.
  • Calculate benefit entitlements, authorize treatment, and arrange billing with clients or providers.
  • Correspond with doctors, lawyers, treatment providers, employers, and clients, ensuring seamless communication.
  • Identify questionable claims, request and arrange MSE's, IME's, and IDE's, and arrange treatment at specialized facilities.
  • Document activity on the file, issue payments on a timely basis, and liaise with Brokers and Underwriters.

Requirements:

  • Minimum of 3+ years of adjusting experience in a similar role, with at least 1 year of Accident Benefits experience preferred.
  • Post-secondary diploma or degree, and/or working towards a CIP/FCIP designation, would be considered an asset.
  • Ability to negotiate and critically analyze data, with strong decision-making skills.
  • Familiarity with auto contract and laws applicable to Accident Benefits coverage, as well as medical terminology and abbreviations.
  • Awareness of common types of traumas, their treatments, and recovery periods, and knowledge of human anatomy and physiology.
  • Highly developed interpersonal, organizational, and time management skills, with strong written and verbal communication skills.

  • Claims Specialist

    4 weeks ago


    Edmonton, Alberta, Canada Peace Hills Insurance Full time

    We are seeking a highly skilled Claims Specialist to join our team at Peace Hills Insurance. As a Claims Specialist, you will be responsible for evaluating, negotiating, and settling claims arising under personal lines, farm, and commercial policies.Key Responsibilities:Evaluate and settle claims in a fair and timely mannerCommunicate directly with insureds...


  • Edmonton, Alberta, Canada Intact Financial Corporation Full time

    Welcome to Intact Financial Corporation, where our employees are the heart of what we do best: helping people, businesses, and society prosper in good times and be resilient in bad times. We're passionate about empowering our team members to learn and grow while being valued for who they are– here, diversity is a strength.We're committed to supporting our...


  • Edmonton, Alberta, Canada Intact Financial Corporation Full time

    Role OverviewAs a Claims Relationship Solutions Specialist at Intact Financial Corporation, you will play a key role in managing the internal and external claims relationship for Commercial and Specialty Lines, as well as some Personal Lines claims and underwriting.This exciting opportunity is perfect for individuals with technical claims expertise within a...


  • Edmonton, Alberta, Canada Peace Hills Insurance Full time

    We are seeking a skilled Insurance Claims Specialist to join our team at Peace Hills Insurance. In this role, you will be responsible for investigating, evaluating, and negotiating claims arising under our policies. Your primary duties will include confirming coverage, obtaining recorded statements, and verifying entitlement to coverage. You will also be...


  • Edmonton, Alberta, Canada Intact Financial Corporation Full time

    We're seeking a skilled Claims Resolution Specialist to join our team in Edmonton. As a key member of our claims team, you'll be responsible for investigating and resolving bodily injury claims in a fair and timely manner.Key Responsibilities:Investigate claims to ensure prompt and fair settlementAnalyze documentation, including medical history reports and...


  • Edmonton, Alberta, Canada Peace Hills Insurance Full time

    We are seeking a highly skilled Senior Claims Specialist to join our team at Peace Hills Insurance. This is a full-time, permanent position based in our office location.About the RoleThe successful candidate will be responsible for evaluating, negotiating, and settling claims arising under personal lines, fam, and commercial policies. You will handle claims...


  • Edmonton, Alberta, Canada Intact Financial Corporation Full time

    At Intact Financial Corporation, we're looking for a skilled Field Claims Specialist to join our Property Large Loss team. As a Field Claims Specialist, you will handle large and complex commercial property claims through all distribution channels. The types of losses may include Commercial Property, Energy, Equipment Breakdown, and additional Specialty...

  • Claims Specialist

    2 months ago


    Edmonton, Alberta, Canada Intact Financial Corporation Full time

    About the RoleWe're seeking a highly skilled Claims Specialist to join our Specialty Claims team at Intact Financial Corporation.Key ResponsibilitiesInvestigate and maintain complex defence and coverage claims in Specialty Lines.Manage class actions and extraordinary matters.Anticipate internal and/or external business challenges and/or regulatory issues;...

  • Claims Specialist

    2 months ago


    Edmonton, Alberta, Canada Intact Financial Corporation Full time

    About the RoleWe're seeking a highly skilled Claims Specialist to join our Specialty Claims team at Intact Financial Corporation.Key ResponsibilitiesInvestigate and maintain complex defence and coverage claims in Specialty Lines.Manage class actions and extraordinary matters.Anticipate internal and/or external business challenges and/or regulatory issues;...


  • Edmonton, Alberta, Canada Definity Full time

    Job Title: Specialist, Quality Assurance ClaimsDefinity is seeking a highly skilled and experienced Specialist, Quality Assurance Claims to lead the implementation and execution of a technical file review program within the claims area of the business. This role will ensure that our claims file handlers and leaders are meeting customer expectations, ensuring...


  • Edmonton, Alberta, Canada Definity Full time

    Job Title: Specialist, Quality Assurance ClaimsDefinity is seeking a highly skilled and experienced Specialist, Quality Assurance Claims to lead the implementation and execution of a technical file review program within the claims area of the business. This role will ensure that our claims file handlers and leaders are meeting customer expectations, ensuring...


  • Edmonton, Alberta, Canada Definity Full time

    Job Title: Specialist, Quality Assurance ClaimsDefinity is seeking a highly skilled and experienced Specialist, Quality Assurance Claims to lead the implementation and execution of a technical file review program within the claims area of the business. This role will ensure that our claims file handlers and leaders are meeting customer expectations, ensuring...


  • Edmonton, Alberta, Canada Definity Full time

    Job Title: Specialist, Quality Assurance ClaimsDefinity is seeking a highly skilled and experienced Specialist, Quality Assurance Claims to lead the implementation and execution of a technical file review program within the claims area of the business. This role will ensure that our claims file handlers and leaders are meeting customer expectations, ensuring...


  • Edmonton, Alberta, Canada Co-operators Full time

    OverviewCo-operators is a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society. Our Claims team aspires to create peace of mind for our clients and communities by serving them with compassion and integrity.About the RoleWe are seeking an experienced Bodily Injury Claims Resolution Specialist...

  • Claims Specialist

    1 month ago


    Edmonton, Alberta, Canada Peace Hills Insurance Full time

    Property Claims AdvisorWe are seeking a highly skilled Property Claims Advisor to join our team at Peace Hills Insurance. As a key member of our claims team, you will play a critical role in evaluating, negotiating, and settling claims arising under personal lines, farm, and commercial policies.Key Responsibilities:Communicate effectively with insureds and...

  • Claims Specialist

    1 month ago


    Edmonton, Alberta, Canada Peace Hills Insurance Full time

    Property Claims AdvisorWe are seeking a highly skilled Property Claims Advisor to join our team at Peace Hills Insurance. As a key member of our claims team, you will play a critical role in evaluating, negotiating, and settling claims arising under personal lines, farm, and commercial policies.Key Responsibilities:Communicate effectively with insureds and...

  • Claims Specialist

    1 month ago


    Edmonton, Alberta, Canada Peace Hills Insurance Full time

    Property Claims AdvisorWe are seeking a highly skilled Property Claims Advisor to join our team at Peace Hills Insurance. As a key member of our claims team, you will play a critical role in evaluating, negotiating, and settling claims arising under personal lines, farm, and commercial policies.Key Responsibilities:Communicate effectively with insureds and...

  • Claims Specialist

    1 month ago


    Edmonton, Alberta, Canada Peace Hills Insurance Full time

    Property Claims AdvisorWe are seeking a highly skilled Property Claims Advisor to join our team at Peace Hills Insurance. As a key member of our claims team, you will play a critical role in evaluating, negotiating, and settling claims arising under personal lines, farm, and commercial policies.Key Responsibilities:Communicate effectively with insureds and...

  • Claims Specialist

    2 months ago


    Edmonton, Alberta, Canada Peace Hills Insurance Full time

    We are seeking a skilled Claims Advisor to join our team at Peace Hills Insurance. As a Claims Advisor, you will play a critical role in handling Automobile and Accident Benefits claims, working closely with our Claims Manager to ensure seamless claim processing.Key Responsibilities:Verify and explain coverage details to clients, ensuring they understand...

  • Claims Specialist

    2 months ago


    Edmonton, Alberta, Canada Peace Hills Insurance Full time

    We are seeking a skilled Claims Advisor to join our team at Peace Hills Insurance. As a Claims Advisor, you will play a critical role in handling Automobile and Accident Benefits claims, working closely with our Claims Manager to ensure seamless claim processing.Key Responsibilities:Verify and explain coverage details to clients, ensuring they understand...