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Claims Adjuster, Accident Benefits

  • Sherwood Park, AB, Canada

Full-time

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Job details

Job type
Full-time
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Posting language
English
Posted

Original job description

Opportunity

Are you customer-service oriented and energized by analytical, investigative work? Millennium Insurance is looking for a Claims Adjuster, Accident Benefits to join our dynamic team and support the transition to care-first.

Reporting to the Claims Manager, you’ll investigate and manage Section B claims while delivering exceptional service to our customers. This is a 2-year fixed-term opportunity focused on adjusting claims arising from accidents before January 1, 2027, with the opportunity to gain valuable experience and explore internal opportunities as the project concludes.

What you will be doing

  • Conduct thorough investigations of accident benefit claims, including obtaining statements, conducting interviews and gathering the documentation needed for evaluation.
  • Review policy coverage and determine the extent of liability.
  • Assess, evaluate, and process medical and rehabilitation expense claims in accordance with the Diagnostic and Treatment Protocols Regulation (DTPR), progressing to claims outside the DTPR and Total Disability payments.
  • Review medical documentation and treatment plans to determine what is reasonable, necessary, and payable.
  • Coordinate with healthcare providers, independent medical examiners, legal representatives, and internal specialists as needed.
  • Provide exceptional customer service by promptly responding to inquiries, providing status updates, and addressing concerns from claimants, policyholders, and other stakeholders.
  • Maintain accurate and detailed claim files, documentation, and reports in accordance with company guidelines, regulatory timelines, and industry standards.
  • Stay current on legal developments, industry trends, and best practices in Section B claims management as the transition to care-first unfolds.

What you bring to the team

  • Minimum of two (2) years of accident benefit claims handling experience
  • Post-secondary education and/or CIP designation are considered an asset
  • In-depth knowledge of auto insurance policies, Section B benefits, regulations and claims procedures
  • Excellent communication and negotiation skills to effectively interact with clients
  • Proficient computer skills, including experience with claims management software and MS Office Suite
  • Strong analytical and problem-solving skills, with the ability to evaluate complex information and make informed decisions
  • High level of attention to detail, organization skills and ability to prioritize tasks
  • High degree of emotional intelligence and empathy

How you will succeed

Success will mean independently assessing, evaluating, and processing medical expense claims within the Diagnostic and Treatment Protocols Regulation (DTPR), then progressing to medical claims outside the DTPR and Total Disability payments. As part of our dedicated transition team, you’ll move a defined inventory of legacy accident benefit claims toward resolution in a timely, accurate, and compliant way.

How we take care of our Employees

Benefits

By joining Millennium Insurance, you will belong to a passionate and purpose-driven team. As part of the Wheaton Group Companies, we pride ourselves on being family oriented, socially responsible, and in doing business the right way. Millennium is proud to be Great Place to Work Certified for creating an outstanding employee experience and an amazing workplace culture. Some of the amazing benefits our employees have access to include:

  • Generous Paid Time Off Program
  • Fitness Subsidy
  • Health, Dental and Insured Benefit Offerings
  • Health and Lifestyle Spending Account
  • Employee Discount Programs

About Millennium Insurance

Millennium Insurance is a locally owned and operated property and casualty insurance company based in Sherwood Park, AB. We pride ourselves on offering relevant and competitively priced insurance products, along with industry-leading customer service. Our business lines include personal automobiles, personal property, home warranty, commercial property, and commercial liability insurance. With over $400 million in written premium, Millennium Insurance is proud to be part of the Wheaton Group of Companies.

Interested in applying?

If you are ready to pursue a new challenge, visit our careers page at My Job Search (ultipro.ca) and apply today!

We thank all candidates for their interest but only candidates selected to advance in the hiring process will be contacted. Final candidates will be asked to undergo pre-employment backchecks, results of which must be satisfactory to Millennium.

Millennium is committed to fostering an inclusive, equitable and accessible workplace. If we can make any adjustments to the hiring process to better accommodate you, please provide feedback when submitting your application or let us know when we reach out about a job opportunity
More about this job

Responsibilities

Investigate and manage Section B accident benefit claims, including assessing coverage and liability, reviewing medical documentation, and processing eligible medical, rehabilitation, and disability payments. Coordinate with claimants, healthcare providers, legal representatives, and internal specialists while maintaining accurate files and resolving a defined inventory of legacy claims in a timely and compliant manner.

Requirements

Applicants need at least two years of accident benefit claims handling experience and in-depth knowledge of auto insurance policies, Section B benefits, regulations, and claims procedures. Post-secondary education and/or a CIP designation are assets; strong communication, negotiation, analytical, organizational, computer, and interpersonal skills are also expected.

Skills

  • Accident Benefits Claims Handling
  • Claims Investigation
  • Policy Coverage Assessment
  • Liability Evaluation
  • Medical Claims Processing
  • Diagnostic and Treatment Protocols Regulation
  • Medical Documentation Review
  • Negotiation
  • Customer Service
  • Communication
  • Analytical Thinking
  • Problem-Solving
  • Claims Management Software
  • Microsoft Office
  • Organization
  • Emotional Intelligence

Benefits

  • Paid Time Off
  • Fitness Subsidy
  • Health Insurance
  • Dental Insurance
  • Insured Benefits
  • Health and Lifestyle Spending Account
  • Employee Discount Programs

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Categories

  • Finance & Accounting
  • Customer Service & Support
  • Legal

Keywords

  • Accident Benefits
  • Section B Claims
  • Auto Insurance
  • Claims Investigation
  • Claims Management
  • Policy Coverage
  • Liability Assessment
  • Diagnostic and Treatment Protocols Regulation
  • DTPR
  • Medical Claims
  • Rehabilitation Expenses
  • Total Disability Payments
  • Medical Documentation
  • Treatment Plans
  • Independent Medical Examiners
  • Claims Management Software
  • Microsoft Office
  • CIP Designation
  • Regulatory Compliance
  • Customer Service
  • Claims Negotiation
  • Legacy Claims

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