Claims Representative II - Accident Benefits Special Handling Unit (SHU)

Posted 2 Days Ago
Be an Early Applicant
2 Locations
In-Office
64K-78K Annually
Junior
Insurance • Financial Services
The Role
Investigate accident benefit claims involving potential fraud, misrepresentation, and exaggeration. Gather and analyze medical, employment, legal, police, witness, and claim evidence to determine liability and coverage. Coordinate investigative, medical, and legal resources; communicate decisions and negotiate resolutions with customers, claimants, and lawyers. Document investigations according to legislation, resolve complaints and escalations, and contribute to departmental projects while providing coaching and training.
Summary Generated by Built In

Our employees are at the heart of everything we do. Together, we help people, businesses, and society prosper in good times and be resilient in bad times.

Our employee promise represents Intact’s commitment to you in exchange for living our Values, striving to do your best work, being open to change and investing in your career. In return, we promise to provide support, opportunities and performance-led financial rewards at a workplace where you can shape the future, win as a team and grow with us.

Pay at Intact is about much more than just salary.

  • Flexible work arrangements and a hybrid work model

  • Possibility to purchase up to 5 extra days off per year

  • Multiple benefits offered to support physical and mental wellbeing, including telemedicine, Wellness account and much more

  • Share plan & other savings: up to 12% of salary or even more (ask how you could earn guaranteed income for life)

Salary range (but not limited to):

64,100 - 78,300

Annual bonus target, based on the base salary, with a potential payout of up to double the target (subject to personal and company performance):

7.5%

As part of our commitment to Win As A Team, we share our success with employees through our annual bonus plan and Employee Share Purchase Plan (ESPP) – with Intact matching 50% of your net shares.

Our pension offerings provide flexibility and long-term security for our employees beyond their careers. We are one of the few companies offering the opportunity to receive guaranteed income for life via our defined benefit pension plan.

Salary for the candidate will be determined taking into consideration a number of factors including: experience, skills, qualifications, anticipated contribution to role, internal equity, etc. The salary range presented above is based on a 35-hour workweek and would represent a majority of different candidate profiles. However, we encourage candidates who may fall outside of this range to apply as well.

About the role

We’re looking for a Claims Representative II - Accident Benefits Special Handling Unit (SHU), to join our growing team!
What you'll do here: 

  • 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, customer medical documents and employment documents, claims documents, witness testimony, police reports, and all other information required to clarify and/or justify a claim 
  • Identify fraud indicators and effectively coordinate investigative, medical, and legal resources to validate indicators and make decisions on liability and coverage 
  • Communicate in a timely and respectful manner with customers, claimants and lawyers when making decisions on coverage, reporting findings, and settling claims 
  • Pursuing fair and equitable resolutions to customer disputes, complaints and escalations 
  • Participate and/or lead project work, by working with members of the Investigative Services and Claims departments to deliver on project goals 
  • Ensure all claims and investigations are clearly documented and meet all legislative requirements 

 
What you bring to the table: 

  • University degree or any combination of training and experience deemed relevant for the role 
  • A minimum of 1 years of experience as Adjuster Accident Benefits claims or equivalent investigations experience
  • Can handle or oversee moderate to complex investigations
  • Can 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 the provincial legislation governing auto insurance
Il s'agit d'un nouveau rôle au sein de notre équipe en pleine croissance | This role is a new member of our growing team.


We are an equal opportunity employer

At Intact, our Value of respect is founded on seeing diversity as a strength. We strive to create an accessible workplace where employees feel valued, included and encouraged to share their unique perspectives.

We encourage applications from individuals who are members of equity-deserving groups, including but not limited to women, Indigenous peoples, persons with disabilities, Black people, and members of the 2SLGBTQI+ community.

As part of Intact’s commitment to reconciliation, we acknowledge that we work, meet and travel across the land currently called Canada, originally inhabited by First Nations, Metis and Inuit people. This history extends through many centuries and continues to evolve today.

We have policies to ensure equal access and participation for people with disabilities, including providing workplace adjustments (accommodations). A copy of applicable policies is available on request.

If we can provide a specific adjustment to make the recruitment process more accessible for you, please let us know when we reach out about a job opportunity. We’ll work with you to meet your needs.

Learn more about our recruitment process and your candidate journey here.

Please note that Intact does not provide sponsorship or other support for immigration-related matters including but not limited to employer-specific closed work permits. Candidates must be eligible to work in Canada from the anticipated start date and throughout their employment and are solely responsible for maintaining their work eligibility.

If you are an employee of Intact or belairdirect, please apply for this role on Internal Career Site.

Skills Required

  • University degree or equivalent combination of relevant training and experience
  • At least 1 year of experience as an Accident Benefits claims adjuster or equivalent investigations experience
  • Ability to handle or oversee moderate to complex investigations
  • Effective communication and negotiation skills
  • Excellent customer service skills
  • Excellent written and verbal communication skills
  • Strong analytical and decision-making skills
  • Excellent time management skills
  • Strong attention to detail
  • Ability and willingness to provide coaching and training
  • Knowledge of provincial legislation governing auto insurance

Intact (intactfc.com) Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Intact (intactfc.com) and has not been reviewed or approved by Intact (intactfc.com).

  • Fair & Transparent Compensation — Pay is often framed as competitive for core roles like tech, underwriting, and claims, with base pay and total compensation commonly positioned above typical sector benchmarks. Salary ranges and bonus targets are frequently presented as explicit components of the package, which supports clarity on what compensation is intended to include.
  • Retirement Support — Retirement offerings stand out through RRSP matching and pension options that emphasize long-term security. A defined benefit pension option is also described, which is often treated as a differentiator versus many large employers.
  • Healthcare Strength — Health coverage is described as comprehensive across medical, dental, vision, and prescriptions, with additional support such as EAP services and access to virtual care. Wellness accounts and reimbursements are also included, adding breadth beyond core insurance coverage.

Intact (intactfc.com) Insights

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The Company
HQ: Toronto
18,239 Employees
Year Founded: 1809

What We Do

We are here to help people, businesses and society prosper in good times and be resilient in bad times. This is our purpose and the foundation of our company – it drives everything we do and gives meaning to our work. - Nous sommes là pour aider les gens, les entreprises et la société à aller de l'avant dans les bons moments et à être résilients dans les moments difficiles. C'est notre raison d'être et l'essence même de notre entreprise

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