Description
Ministry: Health
Scope: Open Competition
Closing Date: June 30, 2025
Classification: Program Services 5
Salary: $3,076.28 to $4,053.05 bi-weekly ($80,291 - $105,785/year)
The Ministry of Health is building a more resilient and sustainable health care system that can support Albertans getting care when and where they need it, while responding to system-wide health challenges, improving health outcomes, and maintaining fiscal responsibility. The ministry supports Albertans’ health and well-being throughout their lives by protecting public health and promoting wellness; coordinating and delivering safe, person-centered, quality health services; health system planning and capital infrastructure planning; supporting innovative information management and technologies; regulating health care; and funding the health system.
The Department of Health establishes the Government of Alberta’s strategic direction for health, including advising government on health policy, legislation and standards, and public health concerns; monitoring and reporting health system performance; setting policies and priorities for the electronic/digital health environment; and providing oversight and ensuring accountability across the health system.
For further information, visit the ministry website at http://www.health.gov.ab.ca.
Are you detail-oriented and driven by making a measurable impact? Join our Third-Party Liability Unit as a Senior Claims Officer, where you’ll play a critical role in recovering health service costs incurred by the Crown due to third-party wrongdoing.
In this position, you'll ensure that recoveries are maximized in accordance with the Crown’s Right of Recovery Act and Regulations, while upholding internal policies and procedures. You will also contribute to the establishment of the annual aggregate assessment payable by Alberta automobile insurers, helping to support the financial sustainability of Alberta’s public health system.
For further information on Third Party Liability, visit the website at https://www.alberta.ca/crowns-right-recovery-health-service-costs.
Role Responsibilities
Are you a legal or insurance professional with a passion for justice, health service recovery, and leadership in complex claim environments? We are seeking a Senior Claims Officer to lead our Class Action Claims Team within the Third-Party Liability Unit. In this pivotal role, you will manage high-value and class action health service claims on behalf of the Crown, develop legal and procedural strategy, lead a specialized team, and collaborate with key stakeholders including legal counsel, insurers, and healthcare providers.
This is a unique opportunity to contribute to the financial stewardship of Alberta’s public health system, shape legislative and policy development, and lead a high-performing team through complex litigation and negotiation scenarios.
The job responsibilities include:
- Lead and Settle High-Value and Class Action Claims:
- Interpret and apply the Crown’s Right of Recovery Act and Regulations.
- Determine claim eligibility, future health care needs, and calculate health service cost recoveries.
- Lead and finalize settlements independently on claims with unlimited value, including national class actions.
- Manage litigation processes, limitation dates, and external legal counsel to protect and advance the Crown’s interests.
- Annual Aggregate Assessment Oversight:
- Assist with developing methodologies and contribute legal insight to assess costs recoverable from Alberta automobile insurers.
- Collaborate with industry stakeholders, conduct legal analysis on liability and contributory negligence, and provide advice regarding assessment calculations.
- Legislative and Policy Development:
- Recommend amendments to governing legislation and TPL unit policies and procedures.
- Lead continuous improvement initiatives to increase recovery efficiency.
- Strategic Communications and Briefings:
- Prepare high-level briefing notes, action request responses, and internal advisories.
- Represent the TPL unit in interdepartmental and system development projects (including implementation and training).
- Team Leadership & Expertise Development:
- Mentor and provide leadership to Class Claims Officers.
- Provide legal education to internal and external stakeholders.
- Review files, support litigation strategy, and oversee compliance with internal policies, procedures and court deadlines.
- Stakeholder Engagement:
- Build and maintain strong relationships with insurance companies and legal professionals.
- Provide legal education to promote awareness of the Crown’s recovery rights and foster industry cooperation.
Please click on this link to view the job description for this position.
Qualifications
Minimum Recruitment Standards
University graduation in a related field, plus 6 years progressively responsible related experience; or equivalent as described below.
Equivalency: Directly related education or experience considered on the basis of:
- 1 year of education for 1 year of experience; or
- 1 year of experience for 1 year of education.
The following experience is required:
- A Law degree (LLB or JD) is required for this position.
- Extensive and current legal knowledge.
- Knowledge and experience with the Crown's claims must usually be equivalent to the knowledge and experience of lawyers representing the Crown.
- Educate lawyers and insurers about the Crown's claims, which requires a very high degree of knowledge and experience.
- Exceptional negotiation skills, as often deal with lawyers and insurers opposed in interest to the Crown.
- Extensive working knowledge of the Crown's Right of Recovery Act and Regulations, personal injury law, and general legal principles (i.e. limitations of actions and the Rules of Court) is critical to provide instructions to legal counsel and to appropriately advise and inform stakeholders.
The following experience is considered as assets:
- Extensive experience in negotiation.
- Strong background in personal injury law, insurance principles, medical malpractice, and civil procedures.
- Background in insurance or dealing with insurers.
The following experience will be given preference:
- Previous experience working with the government.
- Superior relationship building skills and adaptability /flexibility to work with a diversity of stakeholders, including the legal community, health care providers, the insurance industry.
- Ability to simultaneously manage a wide variety of diverse issues, some under significant time pressure, mobilize resources, and find innovative solutions to complex issues.
- Excellent analytical and problem-solving skills.
- Excellent negotiating and facilitation skills.
- Excellent verbal communication skills and the ability to educate others, including public speaking and the provision of presentations to stakeholders.
- Excellent research, analysis, and writing ability, including for the preparation of Briefing Notes.
- Strong project management skills.
- Superior legal skills including legal research skills, interpretation of relevant case law, and ability to identify legal issues.
- Superior human resource management skills are vital to effectively lead the Case Claims team.
Minimum recruitment standards outline the minimum education and experience required for appointment to a job classification.
