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Insurance Claims Processing Jobs in Edmonton, AB

Accident Benefits Adjuster

Edmonton, AB ยท Hybrid

  • Life

  • Retirement

Identify process improvement needs and recommend changes to policies or procedures to improve ... Accident Benefits claims handling is an asset. * Working toward the Chartered Insurance ...

Prepares third-party insurance claims, processes invoices and makes accounting entries using computerized system. * Orders, receives, tags and stocks prescription drugs and supplies. Follows product ...

Prepares third-party insurance claims, processes invoices and makes accounting entries using computerized system. * Orders, receives, tags and stocks prescription drugs and supplies. Follows product ...

Prepares third-party insurance claims, processes invoices and makes accounting entries using computerized system. * Orders, receives, tags and stocks prescription drugs and supplies. Follows product ...

Prepares third-party insurance claims, processes invoices and makes accounting entries using computerized system. * Orders, receives, tags and stocks prescription drugs and supplies. Follows product ...

Prepares third-party insurance claims, processes invoices and makes accounting entries using computerized system. * Orders, receives, tags and stocks prescription drugs and supplies. Follows product ...

Showing results 21-40

Insurance Claims Processing information

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What are the key skills and qualifications needed to thrive in insurance claims processing?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

How to get a job as an insurance claims processor?

To become an insurance claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary training or certifications in insurance or claims processing. Relevant skills include attention to detail, communication, and familiarity with claims management software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require background checks or specific licensing depending on the state or company policies.

Is insurance claims processing a stressful job?

Insurance claims processing can be a stressful job due to tight deadlines, high workload, and the need for accuracy in evaluating claims. It often requires strong attention to detail, communication skills, and the ability to handle difficult customer interactions, which can contribute to job-related stress.

What does an insurance claims processing do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using claims management software. Attention to detail and knowledge of insurance policies are essential for this role.
Infographic showing various Insurance Claims Processing job openings in Edmonton, AB as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Claims Consultant, Specialty - Property and Builder's Risk

Intact Financial Corporation

Edmonton, AB โ€ข Hybrid

Full-time

Life, Retirement

Re-posted 3 days ago


Job description

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):

118,700 - 145,100

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

15%

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

As a Property & Builders Risk Claims Consultant in our Specialty Lines team, you will handle Wood-Frame construction Builder's Risk claims from our STRIIOR (MGA) distribution channel. In addition to this, you will handle traditional and renewable Energy Commercial Property claims and Equipment Breakdown claims, including those from our Global Network.

What you'll do here:

Investigate and evaluate complex Property, including Builders Risk/Course of Construction, and Equipment Breakdown claims to determine coverage and liability

Conduct thorough and timely investigations, including gathering and analyzing relevant information and documentation

Communicate with policyholders, brokers, and other parties involved in the claims process to gather information and provide updates on the status of claims

Negotiate and settle claims in accordance with company policies and procedures

Attend mediations and trials

Utilize knowledge of insurance contracts and industry standards to determine appropriate coverage and settlement amounts

Maintain accurate and detailed claim files, including documentation of all activities and decisions made

Leverage your expertise in a creative, continuous improvement environment to support a model of best practice operations

Collaborate with other departments and teams within the company to ensure efficient and effective claims handling

Identify and investigate potential fraudulent claims and take appropriate action

Deliver and exceed on all key performance indicators as it relates to loss development, claims leakage control and expense management

Keep up to date with industry trends, changes in laws and regulations

Provide excellent customer service to insureds and brokers, addressing any questions or concerns in a timely and professional manner

Mentor and provide guidance to less experienced claims adjusters on complex or high-value claims

Adhere to all company policies, procedures, and ethical standards

Participate in training and professional development opportunities to enhance job knowledge and skills

Represent the company in a professional manner and maintain positive relationships with all stakeholders

What you bring to the table:

Self-motivated and detail-oriented

Critical thinking with intellectual curiosity when approaching complex problems in time-sensitive situations

Skilled communicator who fosters favorable business relationships and provides clear guidance to clients and stakeholders, internal and external

Problem-solver and ability to gather information, evaluate a situation and negotiate the next steps toward a solution

Able to adapt to changing needs and understand the need to be flexible and agile

A planner and able to effectively organize to establish an effective strategy

A strong collaborator and have a passion for mentoring and coaching others

Experience in Builder's Risk claims handling (preferred)

Undergraduate Degree or CIP designation (asset)

Flexibility to travel as needed

#LI-LA1

Ce poste jouera un role essentiel au sein de notre equipe. | This position will fill an essential role in our 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.