Claims Representative II – Accident Benefits Special Handling Unit

Intact

. Coordinate investigations into potential fraud, misrepresentation, and/or exaggeration within Accident Benefit Claims .

Posted 9/24/2026full-timeCalgary • CanadaJunior💰 CA$64,100 - CA$78,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Accident Benefit Claims investigations, including evidence collection, fraud detection, and compliance with provincial legislation. Strong communication and negotiation skills are essential for effective customer interactions and dispute resolution.

Highest-signal resume keywords

Accident Benefits Claims InvestigationFraud DetectionAnalytical SkillsCustomer ServiceProvincial Legislation Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Evidence CollectionLiability DeterminationClaims DocumentationIndependent Medical Examination AnalysisDecision-Making

Soft Skills

Effective CommunicationNegotiation SkillsTime ManagementAttention to DetailCoaching and Training

Industry Keywords

Auto InsuranceFraud IndicatorsInvestigative ServicesClaims ManagementCustomer Disputes

About the role

Key responsibilities & impact

Coordinate investigations into potential fraud, misrepresentation, and/or exaggeration within Accident Benefit Claims
Collect evidence and analyze information to determine liability and coverage, including statements, independent medical examinations, medical and employment documents, claims documents, witness testimony, police reports, and other relevant information
Identify fraud indicators and coordinate investigative, medical, and legal resources to validate indicators and make decisions on liability and coverage
Communicate with customers, claimants, and lawyers regarding coverage decisions, findings, and claim settlements
Pursue fair and equitable resolutions to customer disputes, complaints, and escalations
Participate in and/or lead projects with Investigative Services and Claims departments
Ensure claims and investigations are clearly documented and meet legislative requirements

Requirements

What you’ll need

University degree or any combination of training and experience deemed relevant for the role
Minimum of 1 year of experience as an Adjuster in Accident Benefits claims or equivalent investigations experience
Ability to handle or oversee moderate to complex investigations
Ability to communicate and negotiate effectively
Excellent customer service skills
Excellent written and verbal communication skills
Strong analytical and decision-making skills
Excellent time management skills
Keen eye for detail
Comfortability providing coaching and training
Knowledge of provincial legislation governing auto insurance
Must be eligible to work in Canada from the anticipated start date and throughout employment
Candidates are solely responsible for maintaining their work eligibility