About Portage MutualImagine a workplace where your contributions are not only valued but also directly impact the lives of Canadians. At Portage Mutual Insurance, we’re more than just a trusted national property and casualty insurer—we’re a community of passionate individuals dedicated to serving our policyholders since 1884. Owned by our policyholders, we proudly offer competitive home, auto, commercial, and farm insurance products 100% through our broker network across Canada.Join a company rooted in tradition, driven by innovation, and powered by a people‑first culture.Benefits and Total RewardsCompetitive salary and incentive plan.Comprehensive health benefits.Pension plan.Generous paid time off, including personal days.Tuition reimbursement for relevant programs.Bonuses recognizing achievements in pursuing insurance designations.Flexible work arrangements: remote, in‑office, or hybrid.Diverse and inclusive workplace that values every employee.Opportunity to make a difference in the communities we serve.Accident Benefits Claims Representative IIAs an Intermediate Accident Benefits Claims Representative, you’ll investigate, evaluate, reserve, negotiate and resolve assigned automobile accident perks claims. Your role includes:Reviewing new losses, developing investigation plans, gathering statements, obtaining necessary documentation (medical records, authorizations, forms), and applying regulatory classifications accurately.Communicating with policyholders, treatment providers, investigators, accountants, and medical professionals to assess injuries, financial losses, and determine claim eligibility.Utilizing systems like HCAI, applying dispute resolution techniques,



and leveraging structured settlements and independent medical exams to ensure fair and timely claim outcomes.What You’ll DoReview new losses, prepare an investigation plan, and contact the insured to discuss loss details.Explain the claims process to policyholders in a clear and concise manner.Secure statements with policyholders, third parties, independent witnesses, and passengers as necessary.Secure medical authorizations, statutorily required forms, and medical opinions.Arrange appropriate independent medical examinations to aid in the assessment of coverage, injuries, and damages.Assess the need and retain licensed investigators to aid in understanding injury severity.Work with accountants to assess income and other financial losses related to accident benefit coverages.Review complex policy wordings and legislation to assess coverage eligibility.Communicate verbally and in writing with policyholders and broker coverage positions.Review complex medical forms and reports to determine benefit payment eligibility.Negotiate settlements based on loss investigation, coverage analysis, and damage assessment within authority limits.Complete ongoing follow‑up communication per corporate service standards with all file stakeholders to bring claim to resolution.Attend industry events to network with brokers and vendors,



portraying Portage Mutual Insurance positively.What You’ll BringMinimum of 3–5 years’ experience with auto physical damage adjusting in a medical skilled office and in a role dealing with accident benefit claims.Proficiency in Microsoft Office Suite and relevant claims systems (e.G., Guidewire), with the ability to adapt to new technologies.Consistent application of accuracy, thoroughness, and meticulousness in all aspects of work.Strong critical thinking and problem‑solving skills to assess strengths and weaknesses of each claim within authority limits.Excellent verbal and written communication skills.High level of confidentiality.Ability to work independently or collaboratively, self‑motivated in a fast‑paced environment.Post‑secondary education in business, nursing, health care aid, insurance, or medical reception.CIP designation completed, actively in progress, or willing to work toward.Hybrid Position – LocationThis hybrid position is based in Edmonton, Alberta and requires in‑office work 2–3 days per week.CompensationTargeted pay range for this position in Canada — Alberta: $64,000 – $80,000 CAD per year.The pay range is based on our compensation structure in place at the time of posting and may be updated periodically based on business needs.Equal Opportunity EmployerPortage Mutual Insurance is committed to providing accommodations for people with disabilities during all phases of the recruiting process, including the application process. If you require accommodation because of a disability, we will work with you to meet your needs.#J-18808-Ljbffr

📌 Accident Benefits Claims Representative - Ll - C$64,000 - C$80,000 A Year (Winnipeg)
🏢 Portage Mutual Insurance
📍 Winnipeg