Skip to main content
Post your resume and find your next job on Indeed!

Claim Adjudicator jobs

Sort by: -
    • Use various communication methods (phone, conference calls, and written correspondence) when delivering regular claim updates or decisions.
    • View all WCB Alberta jobs - Edmonton jobs
    • Salary Search: Adjudicator salaries
    • See popular questions & answers about WCB Alberta
    • This includes development of a strategy to bring each claim to resolution.
    • Manages noise induced hearing loss claims for the entire duration of the claim.
    • The position reviews complex supporting documentation, investigates claim issues, applies currency conversions, and communicates decisions clearly and…
    • They also verify customer production information, and process claims and claim payments for programs delivered by Agricorp.
    • Work Status: Full time in office.
    • The position location is flexible, and we can offer in-office, hybrid or fully remote working arrangements.
    • Full Provincial Adjusting License or CIP designation…
    • Capable of interpreting and applying claim guidelines while working through ambiguous situations.
    • Identify and resolve claim situations in a timely manner,…
    • Adjudicating health and dental claims accurately and efficiently, including both basic and complex cases.
    • Assisting members and providers by answering telephone…
    • Document all claim developments promptly and accurately within the claim file.
    • Maintain an active claim diary to ensure the proactive and timely disposition of…
    • Conduct and direct proactive investigations on all aspects of the claim.
    • Assess loss documentation and its impact on the quantum of the claim;
    • Claims Adjudicators help deliver financial and risk management government programs for Ontario’s agriculture sector.
    • Work Status: Full-time in office.
    • Strong critical thinking skills to identify strengths and weaknesses of claim.
    • Reporting to the Manager Casualty Claims AB, you will be accountable for handling…
  • View similar jobs with this employer
    • Assess the appropriateness and completeness of original claim determinations.
    • Render well-reasoned decisions to uphold, modify, or overturn previous claim…
    • As a leading authority in the pet category, we operate with a full stack of resources, capital, and services to support pet parents.
    • Maintain complete and accurate claim documentation.
    • Monitor vendor performance and ensure timely progress toward claim resolution.
    • Establish and manage claim reserves within delegated authority, recommend reserve adjustments where appropriate, and maintain clear, thorough, and well‑…
Get e-mail updates for the latest Claim Adjudicator jobs

By creating a job alert, you agree to our Terms . You can change your consent settings at any time by unsubscribing or as detailed in our terms.

People also searched:

claims adjudication

Career Resources:

Adjudicator
Edmonton, AB T5K 1G5
•
Hybrid work
$70,190–$79,288 a year
Full-time

Job details

$70,190–$79,288 a year
Flexible schedule
Full-time
Hybrid work in 9912 107 St NW, Edmonton, AB T5K 1G5

Full job description

As an equal opportunity employer, we are looking to build a diverse workforce that reflects the diversity of our clients and the customers we serve. Learn more about working for WCB at Careers - WCB Alberta

Job Title:

Adjudicator

Job Type:

Permanent / Full time

Job Location:

Edmonton, Alberta

Adjudicator
Client Services

Edmonton & Calgary, AB

Permanent, Full Time


Start every day feeling good about the work you do.
If you value service, care, excellence and fairness, you’ll fit right in. Embrace a rewarding role with diverse and challenging work to make a difference that creates a safer, healthier and stronger Alberta by putting people first.


How you’ll make a difference:

By demonstrating your critical thinking and problem-solving skills through gathering and analyzing relevant information, you’ll help injured workers recover their lives. You can thrive in this dynamic position where you’ll determine entitlements on disability claims according to the Workers’ Compensation Act and policies. You’ll make balanced and accurate decisions on a high volume of claims and communicate them promptly while treating clients with respect and fairness. You’ll also assess and facilitate access to appropriate benefits and unique services that help injured workers in their recovery and return to work. With your expertise in caseload management, you’ll be a valued member of our team, sharing your passion for helping people and building relationships with clients and colleagues.


Your responsibilities:

  • Maintain a high-volume caseload by making timely, well-informed decisions regarding claims, including entitlement of medical and financial benefits.
  • Determine when claims may require further services or support from a case manager.
  • Obtain medical opinions and coordinate or authorize medical treatment by liaising with injured workers, employers, health-care providers, and representatives.
  • Establish compensation rates, determine the appropriate wage replacement benefits payable, medical aid and non-rate-based entitlements, anchored to the Workers’ Compensation Act and policies.
  • Navigate conflict and lead challenging conversations using de-escalation and empathy. Maintain productive relationships while potentially delivering adverse decisions.
  • Use various communication methods (phone, conference calls, and written correspondence) when delivering regular claim updates or decisions.
  • Build partnerships to work collaboratively to meet shared objectives.
  • Deliver high level customer service and act as an educator and negotiator when managing client expectations.
  • Maintain timely communication and documentation.
  • Uphold the values, principles and regulations of the Alberta Workers’ Compensation Act.


Your experience and skills:

  • A degree or diploma in Social Sciences, Rehabilitation or Business is preferred. An equivalent combination of related education and relevant experience may be considered.
  • Experience in caseload management, including making entitlement decisions, medical management of claims, health care experience, vocational rehabilitation experience or employment counseling experience are assets.
  • Ability to create business relationships with partners and reach agreement on courses of action.
  • Work independently and prioritize workload.
  • Quick learner with a strong record of personal achievements.
  • Goal oriented with solid decision-making and planning skills.
  • Reliability and excellent time management skills are critical to this position.
  • Proficient computer knowledge and keyboard skills are essential.
  • Familiarity with medical or rehabilitative terminology is an asset.
  • Ability to understand and apply policy while understanding the need for creative problem solving, critical thinking and flexibility in making fair and accurate decisions in a timely manner.
  • Effective communication skills – active listening, collaboration and effective verbal and written communication skills will lead to your success.


What we offer:

As one of Alberta’s Top Employers we offer competitive salaries, a comprehensive benefits package, flexible work schedules and hybrid work opportunities (combination of work from physical Edmonton or Calgary office and primary home residence) that foster a healthy work-life balance. Take the next great step in your career and help us change lives. For more information, please see our Employee Handbook on our website: Employee_handbook


Salary:
$70,190 to $79,288 per annum (Pay Grade 9)


Join our upcoming Adjudicator class, anticipated to start January 2027. Please note,
successful candidates must be available to attend twelve (12) weeks of training at the time of hire. Training is delivered in a hybrid model (a combination of in-person and at your primary home residence), and candidates must work in-office as scheduled. Skills assessments will be administered as part of the selection process. Final successful candidates for this position will be asked to undergo a security clearance.


We are committed to providing equal opportunity to all qualified persons, without regard to race, colour, religion or national origin, gender (or gender identity expression), age, sexual orientation, physical or mental disability. Equal opportunity is provided in employment, promotions, and wages.


Please apply online by submitting a cover letter and resume to Careers - WCB Alberta.


Posting Date:
October 9, 2026


Closing Date:
October 25, 2026 (this competition may be used to fill future vacancies)


We thank all applicants for their interest; however, only candidates selected for a skills assessment and/or subsequent stages will be contacted.

Let Employers Find YouUpload Your Resume