Medical Claims Adjuster (Calgary)

Medical Claims Adjuster (Calgary)

16 Sep
|
Intact
|
Calgary

16 Sep

Intact

Calgary

Nous vous promettons de vous soutenir et de vous offrir des occasions de développement et des avantages financiers axés sur la performance dans un milieu de travail où vous pouvez façonner l’avenir, réussir en équipe et évoluer avec nous. Aménagements de travail flexibles et formule de travail hybride Possibilité d’acheter jusqu’à cinq jours de vacances additionnels par année Autres avantages sociaux visant à soutenir votre bien‑être mental et physique, incluant des soins de santé virtuels, un compte de dépenses mieux‑être, et plus encore. RAAE et autres possibilités d’épargne : jusqu’à 12 % du salaire, voire plus (renseignez‑vous sur la possibilité d’un revenu de retraite garanti à vie) Boni annue l cible, basé sur le salaire de base, avec un versement potentiel pouvant aller jusqu’au double de la cible (selon la performance individuelle de l’employé et les résultats financiers de l’entreprise) Pour honorer notre promesse de réussir en équipe, nous partageons les fruits de notre succès avec nos employés par l’entremise d’un programme de bonis annuels et d’un régime d’achat d’actions des employés (RAAE), dans le cadre duquel Intact verse une cotisation correspondant à 50 % des actions nettes achetées par l’employé.

Nos régimes de retraite sont flexibles et offrent une sécurité à long terme pour nos employés après leur carrière. Nous sommes l’une des rares entreprises à toujours offrir un régime de retraite à prestations déterminées qui assure un revenu de retraite garanti à vie. We are currently looking for a Casualty Claims Adjuster II to join our team in the Calgary, Edmonton or Vancouver office.

This is a permanent full‑time hybrid position and requires a minimum of 2 days per week working in the office.

Effective

January 1, 2027, Alberta is transitioning to a new Care‑First auto insurance system. This significant change will introduce a no‑fault model, enhanced medical advantages, limitations on the right to sue following an accident, changes to the insurance rating system, and strict rate caps. During this transition, you will begin your role as a Casualty Claims Adjuster II , managing automobile bodily injury claims and supporting customers through complex and often stressful circumstances.

You will be responsible for investigating claims, making evidence‑based decisions, managing financial exposures, and delivering timely, fair outcomes. As part of your career development,



you will receive additional training with the potential to transition to the Care First Team in late 2027 or early 2028. In that role, you will continue to use your claims experience while applying a more health‑and recovery‑focused approach to supporting injured customers.

This opportunity is well suited to an experienced casualty adjuster who is interested in developing expertise in accident benefits, medical terminology, eligibility and entitlement determinations, and customer‑centered recovery outcomes. As a Casualty Claims Adjuster II, you will: Investigate automobile bodily injury claims to support prompt, fair resolution. Use sound judgment to make independent decisions, assess risk, think critically, and prioritize effectively.

Review and analyze medical records, police reports, expert reports, and other relevant documentation. Represent the company in negotiations and settlements with third parties, claimants, and/or legal counsel. Manage claims through the litigation process, where required.

Maintain complete, accurate, and timely claim file documentation in accordance with company standards, policies, and guidelines. Evaluate settlement criteria and authorize payments in accordance with policy, legislation, authority levels, and best practices. Collaborate effectively with Claims Assignment, Collections, Underwriting, Appraisal, Legal, and other internal departments.

Manage a high‑volume workload while maintaining quality, accuracy, service standards, and a sense of urgency. Support injured customers with a health- and recovery‑focused approach rather than a purely transactional claims mindset. Assess eligibility and entitlement using policy provisions, legislation, medical information, and available evidence.

Apply analytical and evidence‑based decision‑making to accident benefits claims. Review medical information and use medical terminology to understand a claimant’s injuries, treatment needs, functional limitations, and recovery goals. Help customers navigate complex and stressful situations while providing timely, respectful, and consistent support.





Collaborate with healthcare providers, rehabilitation professionals, employers, legal representatives, and other stakeholders involved in the claimant’s recovery. Identify opportunities for early intervention and appropriate support while maintaining sound claim and financial management practices. Continue developing your technical knowledge through training, coaching, feedback, and ongoing professional development.

A minimum of two years of experience handling casualty claims, preferably involving automobile bodily injury. Post‑secondary education in a health‑related discipline, insurance, business, or a related field is an asset.

Experience working with medical terminology or in a healthcare, rehabilitation, disability, or medical setting is an asset. A customer focused approach, with the ability to communicate with empathy and professionalism in stressful situations. The ability to make well‑reasoned, evidence‑based decisions using medical, policy, and other claim‑related information.

A growth‑oriented attitude and openness to coaching, feedback, continued learning, and changing business processes. This role offers the prospect to build on your casualty claims expertise while developing the skills required for Alberta’s evolving auto insurance environment. You will gain experience supporting customers through the transition to Care First and will be positioned to contribute to a team focused on timely decisions, compassionate service, recovery, and positive customer outcomes.

Please note: Successful candidates will be expected to participate in the training and development required to transition into the Care First Team in late 2027 or early 2028, subject to business and operational requirements. Nous encourageons les candidatures de personnes appartenant à des groupes dignes d’équité, notamment les femmes, les Autochtones, les personnes handicapées, les personnes noires et les personnes faisant partie de la communauté 2ELGBTQI+. Nous avons mis en place des politiques qui visent à assurer aux personnes handicapées l’égalité d’accès et de participation, entre autres grâce à des mesures d’adaptation (accommodements) en milieu de travail.

Un exemplaire de ces politiques est disponible sur demande. Merci de prendre note qu'Intact n'offre ni parrainage ni soutien concernant les démarches d'immigration, y compris, mais sans s'y limiter, les permis de travail fermés liés à l'entreprise.

📌 Medical Claims Adjuster (Calgary)
🏢 Intact
📍 Calgary

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