The OpportunityThis opportunity is well suited for an experienced Accident Benefits professional who thrives in a fast-paced environment and is committed to delivering exceptional customer service. Reporting to the Team Leader, Accident Benefit Claims, you will be responsible for managing a diverse and complex portfolio of claims, including income replacement, non-earner, caregiver, permanent impairment, and fatality benefits. Working closely with customers, healthcare practitioners, and other stakeholders, you will assess coverage eligibility, facilitate rehabilitation and recovery, and ensure claims are administered fairly, accurately, and in compliance with the Insurance Act and Care First principles.Job DescriptionWhat To ExpectReport to the Team Leader, Accident Benefit Claims, while investigating, evaluating benefits, and administering the principles of Care First in accordance with the Insurance ActSecuring details of claims by corresponding with customers, care practitioners, and/or representativesRegular communication with the customer and their health care practitioner(s)Assessing coverage eligibility and reviewing and applying interpretations of policy wordings in the resolution of coverage issuesApplying applicable Priority Rules chart to each claim fileProcessing out of province and election of benefit claimsProcessing income replacement, non-earner, loss of studies, caregiver, permanent impairment, fatality, and other benefitsReserving files appropriately after assessing claimMaintaining detailed file records on an electronic claims systemProcessing payments after confirming benefits,



eligibility and reservesCoordinating the most effective course of action for claimsConfirming collateral benefitsResponding to customer correspondence and forms in accordance with the applicable legislationReviewing and approving, when appropriate, treatment plans for customer rehabilitationArranging medical assessments as necessary and reviewing and relaying recommendationsOther duties as assignedWhat You BringUniversity degree in any discipline or a college diploma or the CIP designationMinimum of 4 years Claims handling experienceComputer proficient in MS Word and ExcelProfessional, friendly and courteous in all interactions, whether with customers or co-workersPerform well in a busy operation and remain calm under pressureTeam player adaptable to a changing environmentStrong written and verbal communication skillsSalary Range:$59,300 - $109,200Actual 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.What's in it for you?Hybrid work schedule for most rolesCompany share ownership programIncentive 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 contributionsPaid volunteer days and company matching on charitable donationsEducational resources, tuition assistance, and paid time off to study for examsFocus on inclusion with employee groups,



support for gender affirmation surgery, access to BIPOC counsellors, access to programs for working parentsWellness and recognition programsDiscounts on products and servicesGo 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] 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 checksThis role requires successful clearance of background checks (including criminal checks and leadership references).About The TeamDefinity 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 cutting-edge 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.

📌 Sr Representative, Accidents Benefits Claims (Calgary)
🏢 Definity
📍 Calgary