Accident Benefits Adjuster Level 1
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Role Overview
At Wawanesa, we’re committed to delivering a thoughtful, supportive claims experience when our members need us most. We’re looking for a Claims Adjuster 1 / Recovery Care Specialist 1 – Accident Benefits to join our team and help injured members navigate low to moderate complexity accident benefits claims with care, empathy, and sound judgment.
In this role, you’ll proactively investigate claims, apply policy coverages, collaborate with internal and external partners, and support early, appropriate, and sustainable claim outcomes while meeting service, regulatory, and financial expectations.
We are hiring for 10 Level 1 Claims Adjusters to join our Accident Benefits team on November 5, 2026. Deadline to apply is Friday, September 25, 2026.
Job Responsibilities
Provide empathetic guidance and support to injured members throughout the claims process, delivering an exceptional member experience.
Communicate clearly and professionally with injured members and stakeholders through telephone, digital, and written correspondence, ensuring inquiries are addressed promptly.
Collaborate with treatment providers, service vendors, and other stakeholders to help ensure members receive appropriate support and services throughout their recovery.
Set and update claim and expense reserves in a timely manner based on available information and established guidelines.
Support litigated claims by instructing and directing external counsel, participating in dispute resolution processes, and contributing to resolution strategy within assigned authority.
Proactively identify claim developments, determine next steps, and escalate matters appropriately when required.
Maintain detailed, analytical, and timely file documentation that reflects claim strategy, rationale, and next steps.
Stay current with applicable legislation, regulatory requirements, dispute processes, and industry trends related to accident benefits.
Manage priority of payment investigations, WSIB/WCB considerations, loss transfer matters, litigation processes, and related requirements within assigned authority or with escalation as needed.
Perform other duties as assigned.
Full Job Posting
Job Overview
At Wawanesa, we’re committed to delivering a thoughtful, supportive claims experience when our members need us most. We’re looking for a Claims Adjuster 1 / Recovery Care Specialist 1 – Accident Benefits to join our team and help injured members navigate low to moderate complexity accident benefits claims with care, empathy, and sound judgment.
In this role, you’ll proactively investigate claims, apply policy coverages, collaborate with internal and external partners, and support early, appropriate, and sustainable claim outcomes while meeting service, regulatory, and financial expectations.
We are hiring for 10 Level 1 Claims Adjusters to join our Accident Benefits team on November 5, 2026. Deadline to apply is Friday, September 25, 2026.
Job Responsibilities
Provide empathetic guidance and support to injured members throughout the claims process, delivering an exceptional member experience.
Communicate clearly and professionally with injured members and stakeholders through telephone, digital, and written correspondence, ensuring inquiries are addressed promptly.
Collaborate with treatment providers, service vendors, and other stakeholders to help ensure members receive appropriate support and services throughout their recovery.
Set and update claim and expense reserves in a timely manner based on available information and established guidelines.
Support litigated claims by instructing and directing external counsel, participating in dispute resolution processes, and contributing to resolution strategy within assigned authority.
Proactively identify claim developments, determine next steps, and escalate matters appropriately when required.
Maintain detailed, analytical, and timely file documentation that reflects claim strategy, rationale, and next steps.
Stay current with applicable legislation, regulatory requirements, dispute processes, and industry trends related to accident benefits.
Manage priority of payment investigations, WSIB/WCB considerations, loss transfer matters, litigation processes, and related requirements within assigned authority or with escalation as needed.
Perform other duties as assigned.
Qualifications
- Previous claims adjusting or relevant insurance experience preferred; experience with accident benefits, bodily injury, disability, rehabilitation-related claims, or medical disciplines such as kinesiology, physiotherapy, occupational therapy, psychology, or nursing is considered an asset.
- Foundational understanding of accident benefits, policy interpretation, claims handling practices, fraud mitigation, entitlement assessment, and analysis within policy parameters.
- Strong organizational, time management, desk management, written and verbal communication skills, with the ability to build positive working relationships in a fast-paced, high-volume environment.
- Demonstrated ability to listen compassionately, gather required information, make sound and timely decisions, and work collaboratively with adaptability, resilience, and a commitment to continuous learning.
- Progress toward the Chartered Insurance Professional (CIP) designation is considered an asset.
- Valid adjusting license, where required by provincial legislation, or the ability and willingness to obtain and maintain required licensing.
- Diversity Equity, Inclusion & Belonging At Wawanesa, we are committed to Diversity, Equity, Inclusion and Belonging (DEIB) and believe that our strength lies in the diversity of our people – this is supported by having a representative workforce.
- We welcome applications from all qualified candidates, including racialized persons, women, Indigenous Peoples, persons with disabilities, members of the 2SLGBTQIA+ community, gender-diverse and neurodiverse individuals, and anyone who can contribute to the further diversification of thought and ideas.
- We aim to ensure our recruitment process is accessible to all candidates. If you require accommodations during any stage of the recruitment process, please reach out in confidence to jobs@wawanesa.com .
- All Wawanesa job applicants are subject to Wawanesa's Privacy Policy .
- Please note that the recruitment process for this position may involve the use of AI tools to screen, assess, or select applicants. All final decisions are taken or reviewed by human recruiters and human hiring leaders in compliance with all applicable legislation.
About The Wawanesa Mutual Insurance Company
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