We currently have an opening for a Claims Advisor – Accident Benefits in our Calgary office. This role involves the handling of the Accident Benefits portion of the claim.

What You'll Do:

- Confirming and explaining coverage is in place and how it applies to reported claims
- Investigating, evaluating, negotiating, and settling total loss claims
- Determining liability
- Explaining the claims process to clients regarding accident perks
- Obtaining recorded statements
- Collecting and reviewing medical documents and treatment plans
- Obtaining and verifying employment information
- Calculating benefit entitlements
- Authorizing treatment and arranging appropriate billing with clients or providers
- Corresponding with doctors, lawyers, treatment providers, employers, and clients
- Identify questionable claims
- Requesting and arranging MSE’s, IME’s and IDE’s
- Arranging for treatment at specialized facilities
- Documenting activity on the file and issuing payments on a timely basis
- Liaising with Brokers and Underwriters
- Various other duties as required

What You'll Bring:

- Minimum of 1+ years of adjusting experience in an Accident Benefits role
- 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 and be decisive
- Familiarity with auto contract and laws applicable to Accident Benefits coverage
- Awareness of medical terminology and medical abbreviations
- Knowledge of common types of traumas, their treatment and recovery periods
- Familiarity with human anatomy and physiology and the psychological consequences of trauma would be helpful in this position
- Possess highly developed interpersonal, organizational and time management skills
- Strong written and verbal communication skills
- Auto Adjusting experience would be an asset but is not required
- Guidewire (Claims Center) knowledge would be considered an asset

What You'll Experience:

- Competitive base pay with annual bonus eligibility
- Healthy work-life balance including a day off every 4 weeks
- Matching contributions to your Registered Pension Plan
- Personal insurance reimbursement
- Social events held throughout the year
- Celebration of your team’s achievements each year with an annual staff appreciation event
- A career in a stable and essential industry, at a company with an exceptional corporate culture and opportunities for professional development and advancement

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📌 Claims Advisor - Accident Benefits (Calgary)
🏢 Peace Hills Insurance
📍 Calgary