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Clinical Advisor Injury Claims

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Job Description - Clinical Advisor Injury Claims

Experience Aviva

Individually we are people, but together we are Aviva. Individually these are just words, but together they are our Values – Care, Commitment, Community, and Confidence.

At Aviva Canada, we put people first, our employees, our customers, and our communities. We’re proud of a culture built on care, inclusion, and collaboration, where your voice matters and your growth is supported. We’re not just about insurance; we’re about making a real difference by protecting what matters most.
 

The opportunity

The Clinical Advisor is a consultative (non-clinical) role that provides expert clinical consultations and supports claims teams administering primarily auto accident benefits.
 

As a subject matter expert in injury, treatment, and rehabilitation, the Clinical Advisor helps align care decisions with legislation, approved Programs of Care, and best practice standards, supporting effective recovery and return-to-work outcomes. Th focus is on enhancing customer outcomes and clinical consistency by supporting front line claims teams with medical interpretations, recovery planning, and evidence‑based recommendations—without assuming claim ownership or adjudication authority.
 

Does this sound like an exciting challenge? Come join our team!


What you’ll do

  • Assist front line claims staff in interpreting complex medical and functional information

  • Provide consultations on barriers to recovery, treatment appropriateness, and functional restoration strategies

  • Assist with aligning functional impairments to recovery trajectories to achieve sustainable return to work and activities of daily living outcomes

  • Provide insight and training on catastrophic injury management and permanent impairment considerations

  • Knowledge transfer and delivery of training to support building medical acumen of Claims Adjusters

  • Lead special projects and initiatives to improve processes and/or quality of claims management

  • Identify when additional clinical expertise or medical opinions are warranted

  • Support litigation and dispute resolution strategy by providing expertise in injury, recovery, and disability issues

  • Collaborate with vendor managers and preferred treatment networks (PPN) to ensure customers are receiving evidence-based treatment consistently and in compliance with legislative requirements


What you’ll bring

  • Degree in Health Sciences, rehabilitation, disability management or related field, with strong preference for Occupational Therapy, Physiotherapy, Registered Nurse, or Kinesiologist

  • Regulated Healthcare Professional, registered and in good standing with their respective College (e.g., Alberta College of Occupational Therapists or equivalent)

  • 5+ years of clinical practice in injury management, rehabilitation, case management, return to work or disability settings

  • Experience with complex or catastrophic injuries preferred, including chronic conditions and permanent disabilities Preference for candidates with insurance, disability management, or injury claims experience

  • Certified Disability Management Professional designation, Knowledge of auto accident benefits, WCB, or disability systems and prior experience supporting non‑clinical stakeholders are considered a strong asset

  • Strong clinical reasoning and ability to translate medical information into practical guidance

  • Advanced understanding of functional recovery, rehabilitation, and disability management principles

  • Ability to balance empathy for injured customers with evidence‑based recommendations

  • Strong communication skills - able to influence without direct authority

  • Passion for improving customer outcomes and commitment to ongoing professional development

  • Comfort navigating ambiguity, complexity, and regulatory frameworks

  • Collaborative mindset with coaching and advisory orientation

  • Strong documentation, organization, and digital proficiency in MS Office (Word, PowerPoint, Excel, etc.) and data management/analysis skills


What you’ll get

  • Please note that individual salary is determined by factors such as job-related knowledge, skills and experience, as well as internal equity.

  • Compelling rewards package including base compensation, eligibility for annual bonus, retirement savings, share plan, health benefits, personal wellness, and volunteer opportunities.

  • Hybrid flexible work model.

  • Outstanding career development opportunities.

  • We’ll support your professional development education.

  • Competitive vacation package with the option to purchase 5 extra days off per year.

  • Employee-driven programs focused on gender, LGBTQ+, origins, diversity, and inclusion.

  • Corporate wellness programs to support our employees’ physical and mental health.


This job advertisement is for an existing vacancy which has been posted both internally & externally.
 

Aviva Canada may use AI (Artificial Intelligence) tools to assist us throughout the recruitment process to screen, assess or select applicants for a position.

Aviva Canada welcomes applications from all qualified individuals and has a process in place to provide accommodations for persons with disabilities at all stages of the hiring process and during employment. If you require accommodation during the interview or hiring process, please contact your Aviva Talent Acquisition Partner so that an appropriate accommodation can be arranged.
 

#LI-MP1 #LI-Hybrid

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