Claim Adjuster Sr.-Accident Benefits

Join Sedgwick as a Senior Claim Adjuster – Accident Benefits and help individuals navigate the claims process when they need it most. Based in Canada, this full-time position offers the opportunity to make a real difference in people's lives while building your career with a global leader in claims management and benefits administration.

The Opportunity

As a Senior Claim Adjuster specializing in accident benefits, you'll take on a leadership role within our claims team. This position combines analytical expertise with genuine care for claimants, allowing you to advance claims processing while ensuring every case receives thorough, fair review. With Sedgwick's commitment to work-life balance and professional growth, you'll develop new skills while supporting individuals through challenging circumstances.

Key Responsibilities

• Review, investigate, and adjudicate accident benefits claims in accordance with relevant legislation and provincial policy requirements
• Evaluate medical documentation, employment records, and claimant statements to determine benefit eligibility and entitlements
• Communicate with claimants, employers, medical providers, and other stakeholders to clarify information and manage expectations
• Maintain accurate, organized claim files and ensure compliance with regulatory standards and company procedures
• Resolve complex claim issues and provide mentorship to junior claims staff members
• Monitor claim status, manage processing timelines, and escalate issues appropriately for resolution

Qualifications

• Proven experience in claims administration, preferably with accident benefits or workers' compensation claims
• Strong knowledge of Canadian employment insurance, workers' compensation, or accident benefits legislation
• Excellent written and verbal communication skills for clear documentation and stakeholder interactions
• Demonstrated ability to manage multiple claims efficiently while meeting processing deadlines
• Proficiency with claims management software and standard office applications
• Attention to detail, analytical thinking, and commitment to fair, compliant decision-making

About Sedgwick

Sedgwick is a global leader in claims management and employee benefits administration, supporting 33,000 colleagues who serve millions of people facing unexpected events. Certified as a Great Place to Work® and recognized as one of Fortune's Best Workplaces in Financial Services & Insurance, Sedgwick fosters a culture rooted in genuine care, professional development, and the conviction that meaningful work creates meaningful lives.

Ready to Apply?

To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there.