Claims Adjuster - Accident Benefits

Apply now »

Date: Mar 25, 2026

Location: North York - Toronto, ON (Hybr, CA Ottawa, ON (Hybrid), CA Kitchener, ON (Hybrid), CA

Company: Wawanesa Insurance

 

Job ID: 9917 


Employment Type: Existing Role

Working Business Language: English
 

Salary: At Wawanesa, salary is only one component of a holistic, comprehensive and competitive offering that we provide to our employees. In addition to salary, full-time and part-time permanent employees are eligible for an annual bonus plan, leave of absence top-up programs and provided with generous vacation time, personal days, premium free benefits and pension plan. 
 

The salary offered for this role is determined with consideration to various factors, including but not limited to: your work location, local labour market conditions, external market salary data, internal pay equity and the knowledge, skills, experience and anticipated proficiency in the role. The salary offered is estimated to the following range: $60,000 - $65,000.

 

About Us
At Wawanesa, we offer a hybrid work environment that offers flexibility to our employees in balancing in-office (2 days per week OR 15 hours per week in a Wawanesa office) and remote work. You may work from any of the following locations: Toronto (North York), ON; Kitchener, ON; Ottawa, ON.

 

The Wawanesa Mutual Insurance Company (“Wawanesa Mutual”), founded in 1896, is one of Canada’s largest mutual insurers, with over $3.5 billion in annual revenue and assets of $10 billion (CAD). Wawanesa Mutual, with its National Headquarters in Winnipeg, is the parent company of Wawanesa Life, which provides life insurance products and services throughout Canada, and Western Financial Group, which distributes personal and business insurance across Canada. Wawanesa proudly serves more than 1.7 million members in Canada, and we are home to more than 3,300 employees distributed across the Canadian regions and communities where we operate. We give back to organizations that strengthen communities, donating more than $3.5 million annually to charitable organizations, including over $2 million annually in support of people on the front lines of climate change. We are also proud to be recognized as one of Manitoba’s Top Employers. To learn more visit wawanesa.com. 


We are currently looking for dedicated, driven, and enthusiastic individuals who thrive in an environment that welcomes change and are looking for an opportunity for diverse experience and advancement on a growing team.
 

Job Overview

As a Claims Adjuster I, Accident Benefits, you’ll play a key role in delivering a compassionate, fair, and consistent experience for our injured members. You’ll manage low to moderate complexity Accident Benefit claims from first notice to resolution—explaining coverage, coordinating care, and making thoughtful, well‑supported decisions every step of the way.

 

This role is ideal for someone who combines strong judgment with empathy, thrives in a fast‑paced environment, and takes pride in providing timely, high‑quality service.

The start date is June 1, 2026, and there is a training period of between 4-6 weeks. Training is conducted 100% in person at our Toronto office, between the hours of 9am - 5pm local time. 

 

Job Responsibilities

  • Guide and support injured members throughout the claims process, delivering an empathetic and exceptional member experience.
  • Communicate proactively and professionally with members and stakeholders via phone, digital, and written channels.
  • Adjust low to moderate complexity Accident Benefit claims from initial report to resolution.
  • Interpret policy wordings, determine coverage, and clearly communicate claim decisions.
  • Establish and maintain accurate loss and expense reserves using medical, legal, financial, and vocational information.
  • Conduct thorough investigations to determine coverage and liability, in line with adjusting guidelines and regulatory requirements.
  • Coordinate services with internal partners and external vendors, including medical providers, rehabilitation clinics, lawyers, and other service professionals.
  • Negotiate and communicate claim settlements within authority limits; prepare files for arbitration and litigation as required.
  • Maintain organized and up‑to‑date claim files, diaries, and documentation in accordance with established procedures and the Proactive Case Management Model.
  • Maintain strong knowledge of policy coverages and remain current on legislative, regulatory, and industry changes.
  • Liaise with claimants, healthcare professionals, employers, treatment providers, and internal teams to support return‑to‑work and recovery outcomes.
  • Perform other duties as assigned.

Qualifications

  • Minimum 1 year of experience in insurance adjusting, medical, or brokerage environments.
  • Willingness to pursue the Chartered Insurance Professional (CIP) designation.
  • Basic knowledge of medical terminology.
  • Proven time management and organizational skills, with the ability to prioritize in a fast‑paced, changing environment.
  • Strong customer service skills with a demonstrated ability to show empathy and prioritize member satisfaction.
  • Excellent verbal, written, and active listening communication skills.
  • Sound negotiation, decision‑making, and critical‑thinking skills, with a commitment to continuous improvement.
  • Strong investigative and analytical abilities, with a high level of accuracy and attention to detail.
  • Strong teamwork and collaboration skills.
  • Post‑secondary education considered an asset.


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.