The Opportunity
This role is suited for a highly experienced Accident Benefits professional with strong technical expertise in complex claims management and dispute resolution. Reporting to the Team Leader, Accident Benefit Claims, you will manage a portfolio of complex claims, including catastrophic injuries, permanent impairment, and fatality benefits, while ensuring compliance with the Insurance Act and the organization's Care First principles. In addition to providing exceptional service to customers and stakeholders, you will collaborate closely with legal counsel, develop strategic file handling plans, and serve as a mentor and resource to team members by providing coaching and guidance on complex claims matters.

What to Expect

Report to the Team Leader, Accident Benefit Claims, while investigating, evaluating benefits, and administering the principles of Care First in accordance with the Insurance Act

Securing details of claims by corresponding with customers, care providers, and/or representatives

Regular communication with the customer and their health care practitioner(s)

Handling complex Accident Benefits claims including those involving catastrophic injuries and permanent impairment

Processing income replacement, non-earner, loss of studies, caregiver, fatality, and other perks

Handling ACT disputes with and without legal counsel

Formulating file handling strategies and work plans

Working with legal counsel

Providing coaching and support on file handling to Accident Benefit team members.

Assessing coverage eligibility and reviewing and applying interpretations of policy wordings in the resolution of coverage issues

Applying applicable Priority Rules chart to each claim file

Reserving files appropriately after assessing claim

Maintaining detailed file records on an electronic claims system

Processing payments after confirming benefits, eligibility and reserves

Coordinating the most effective course of action for claims

Responding to customer correspondence and forms in accordance with the applicable legislation

Reviewing and approving, when appropriate, treatment plans for customer rehabilitation.





Arranging medical assessments as necessary and reviewing and relaying recommendations

Other duties as assigned

What You Bring

5 years of experience handling Accident Benefits claims

Experience handling Accident Benefits in British Columbia, Saskatchewan, Manitoba, Ontario, or experience with WCB/WSIB/WorkSafe BC, etc. or experience with other long-term disability benefit administration

Experience coaching others.

University degree in any discipline or a college diplomain related field or the CIP designation

Excellent verbal and written communication skills

Professional, friendly and courteous in all interactions, whether with customers or co-workers.

Perform well in a busy operation and remain calm under pressure.

Team player adaptable to a changing environment.

Strong written and verbal communication skills.

Salary Range: $73,500 - $123,500

Actual salary for the role may vary depending on work location of the successful candidate and other factors including but not limited to, skills, education, experience, working conditions and the local labour market.

This position is being posted to fill an existing vacancy.

Interested in this role, but don’t meet every requirement? We know from experience that a candidate doesn’t need 100% of the qualifications listed to bring incredible value to our team. We’re actively seeking diverse backgrounds and perspectives to help us make insurance better. At Definity, inclusion, diversity, and equity aren’t just “nice to have” — they’re essential to our success.

What’s in it for you?

Hybrid work schedule for most roles

Company share ownership program





Incentive Program - Eligible employees may participate in various incentive plans which are paid out at the discretion of the company and subject to individual and company performance.

Pension and savings programs, with company-matched RRSP contributions

Paid volunteer days and company matching on charitable donations

Educational resources, tuition assistance, and paid time off to study for exams

Focus on inclusion with employee groups, support for gender affirmation surgery, access to BIPOC counsellors, access to programs for working parents

Wellness and recognition programs

Discounts on products and services

Go ahead and expect a lot — you deserve it.

It’s better here — but don’t take our word for it. Definity was named by Great Place to Work as one of the Best Workplaces in Canada for women, for youth, and for inclusion.

Our inclusive work environment welcomes diversity and supports accessibility. If you require accommodation at any time during the recruitment process, please let us know by contacting [email protected].

As part of Definity’s commitment to reconciliation, we acknowledge that our work, meetings, and travel take place on the lands now known as Canada, and recognize the enduring presence, wisdom, and stewardship of the First Nations, Métis, and Inuit peoples who have long cared for these lands.

Background checks

This role requires successful clearance of background checks (including criminal checks and leadership references).

Definity is the parent company to some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. Our ambition is to be one of Canada’s leading and most innovative property and casualty insurers. We can’t do that without our people, so we embrace and encourage a culture that’s collaborative, ambitious, rewarding, and empowering.

We offer a flexible, hybrid work experience where employees work from the office and virtually depending on the type of work they are doing and who they are working with. Bring your true self and be a part of our journey. It’s better here.

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📌 Specialist, Accident Benefits Claims (Alberta)
🏢 Socket.dev
📍 Alberta