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Claims Examiner Jobs

Claims Examiner Jobs
By Canada Life At Winnipeg, Manitoba, Canada
Must have excellent written and verbal communication skills
Review, investigate and adjudicate Canadian Health and Dental claims in accordance with Group policy contracts
Conduct telephone calls to health and dental service providers for incomplete claims information
Make accurate payment decisions according to adjudication guidelines
Living our values of Customer View; Integrity; Partnership; and Communities
Minimum keyboarding speed of 40 wpm, must be able to handle large volumes of work with a high level of accuracy
Claims Examiner - Winnipeg
By Randstad Canada At Winnipeg, Manitoba, Canada
Excellent benefits and compensation package
Must have excellent written and verbal communication skills as well as great analytical skills
Permanent, direct hire with the organization
Work-life balance, 37.5 hours per week
Well-known employer with great company culture
Review, investigate and adjudicate Canadian Health and Dental claims in accordance with Group policy contracts
Claims Examiner - Regina
By Randstad Canada At Regina, Saskatchewan, Canada
Excellent benefits and compensation package
Must have excellent written and verbal communication skills as well as great analytical skills
Permanent, direct hire with the organization
Work-life balance, 37.5 hours per week
Well-known employer with great company culture
Review, investigate and adjudicate Canadian Health and Dental claims in accordance with Group policy contracts
Claims Examiner - London
By Randstad Canada At London, Ontario, Canada
Excellent benefits and compensation package
Must have excellent written and verbal communication skills as well as great analytical skills
Permanent, direct hire with the organization
Work-life balance, 37.5 hours per week
Well-known employer with great company culture
Review, investigate and adjudicate Canadian Health and Dental claims in accordance with Group policy contracts
Claims Examiner Jobs
By Randstad Canada At Montreal, Quebec, Canada
Competitive Benefits, including RRSP contributions, medical and dental
Must have excellent written and verbal communication skills in English and French
Salary: $40,000 - $50 000 annually
Schedule: 37.5 hours per week
Review, investigate and adjudicate Canadian Health and Dental claims in accordance with Group policy contracts
Conduct telephone calls to health and dental service providers for incomplete claims information
Senior Claims Adjudicator (Life Examiner)
By Foresters Financial At Canada
Familiarization with the requirements of the appropriate provincial/state legislation and/or regulations related to the type of claim being reviewed.
Perform all necessary benefit calculations and ensure all related activities are in compliance with provincial/state statutory and internal standards.
5 – 7 years experience adjudicating complex claims, including contestable claims;
Knowledge of the interpretation and application of claims adjudication regulations across the United States, knowledge of Canadian regulations an asset
Advanced verbal and written communication skills to effectively communicate with internal and external customers/partners and vendors.
Strong analytical skills for research, review and assessment of claims.
Claims Examiner Jobs
By MSH Americas - Diot-Siaci Group At Canada
Strong time management and organizational skills
Adjudicate claims according to various benefit policies
Minimum 2-3 years of relevant travel insurance or medical insurance claims processing experience
Strong analytical and problem-solving skills
Superior verbal and written communication skills in English and/or French
Snowbird, expatriate insurance, TPA experience
Claims Examiner: Permanent + $55,000 + Bonus + Benefits + Vacation - Please Apply For Call In 24Hrs
By Aston Carter At Toronto, Ontario, Canada
• Maintain professional and technical knowledge by participating in educational opportunities.
• Confirm policy existence by identifying coverage on low complexity claims.
• Establish timely reserves within authority limit by estimating value of claims.
• Ensure customer service by proactively communicating information, responding to inquiries, and following customer protocols.
• Refer claim to subrogation and fraud teams by identifying potential subrogation and fraud.
• Collect data and document in established system to facilitate the accurate assessment and value of claims.
Data Entry-Claims Examiner Jobs
By Randstad Canada At Toronto, Ontario, Canada
Experience (1-2 years) with data entry or data processing large volumes of information
Excellent benefits and compensation package
Must be with excellent communication skills
High attention to detail, organizized and demonstrates analytical and problem solving skills
Excellent ability to manage multiple priorities and achieve deadlines
Permanent, direct hire with the organization
Engineer-Plan Examiner Jobs
By City of Windsor At Windsor, Ontario, Canada
Should have knowledge of the Occupational Health and Safety Act, its regulations and knowledge of the hazards associated with work;
Only those applicants selected for an interview will be acknowledged
We offer a smoke-free office environment
Analyzes structural drawings/calculations in accordance with Part 4, examines soil reports, consultants’ reports, and will evaluate alternative solutions.
Reviews all agreements and legal documents to ensure that the terms and conditions precedent to the permit issuance have been fulfilled.
Calculates all applicable fees and municipal charges.
Claims Examiner Jobs
By AppleOne Employment Services At Toronto, Ontario, Canada
· Strong time management and organizational skills
· Provide overall portfolio management of assigned claims files
· Adjudicate claims according to various benefit policies
· Experience in the travel insurance industry is required
· Minimum 2-3 years of relevant Canadian claims processing experience
· Experience in processing health, dental, and vision claims
Claims Examiner Jobs
By Canada Life At Regina, Saskatchewan, Canada
Must have excellent written and verbal communication skills
Review, investigate and adjudicate Canadian Health and Dental claims in accordance with Group policy contracts
Conduct telephone calls to health and dental service providers for incomplete claims information
Make accurate payment decisions according to adjudication guidelines
Living our values of Customer View; Integrity; Partnership; and Communities
Minimum keyboarding speed of 40 wpm, must be able to handle large volumes of work with a high level of accuracy
Medical Claims Examiner Jobs
By MSH Americas - Diot-Siaci Group At Canada
Strong time management and organizational skills
Adjudicate claims according to various benefit policies
Minimum 2-3 years of relevant travel insurance or medical insurance claims processing experience
Strong analytical and problem-solving skills
Superior verbal and written communication skills in English and/or French
Snowbird, expatriate insurance, TPA experience
Liability Claims Examiner Jobs
By RioCan Real Estate Investment Trust At Toronto, Ontario, Canada
Highly developed communication skills with ability to interact effectively with all levels of management.
Provide instructions to property managers in preparation for litigation;
Minimum 5 years experiences, specifically in the area of commercial general liability claims.
Highly developed organization skills with able to work well under time pressure.
Working knowledge of Case Laws as it relates to commercial general liability claims.
Excellent analytic skills with strong attention to detail.
Claims Examiner Jobs
By Forward Insurance Managers Ltd. At Vancouver, British Columbia, Canada
Minimum 3 – 5 years insurance claims experience;
CIP (or working towards it); and/or post-secondary education;
Experience managing a file from intake to resolution;
Ability to communicate effectively and professionally in verbal and written communication;
Computer competencies / high proficiency with MS Office.
Ability to multi-task and prioritize tasks in a busy environment;
Claims Examiner: Permanent + Benefits + Opportunity For Growth + Equipment
By Aston Carter At Toronto, Ontario, Canada
Experience with travel or medical claims
MS Office and technical capabilities
Please apply for call within 24 hours.
Claims Adjuster/Examiner (Ech-On)
By Echelon Insurance At Mississauga, Ontario, Canada
Strong diagnostic, analytical, organization, negotiation and time management skills
Prepare reports to management and reinsurers
In depth knowledge of residential construction procedures, methods, techniques and building and property estimating software programs experience would be a bonus
Investigation, evaluation and settlement of claims of moderate complexity and severity, mainly through claims examining with occasional direct handing responsibilities.
A minimum of 1-3 years of experience with property claims
Excellent interpersonal, written and verbal communication skills
Intermediate Claims Examiner Jobs
By Healthcare Insurance Reciprocal of Canada (HIROC) At Toronto, Ontario, Canada
Work with Healthcare Risk Management Department for Education and Developing Coordinated Responses to Situations
Continuous skills and knowledge upgrading (negotiation, insurance knowledge, computer abilities, legal developments, court trends, settlement amounts)
Provide advice regarding general risk management queries and/or referral to Healthcare Risk Management department
Work with Insurance Operations Department for Policy Development and Revision, Education as to new legal developments
Liaise with Finance and Accounting to verify transactions
Knowledge of principles and practices of basic office procedures
Bilingual Claims Examiner Jobs
By Securian Canada At Toronto, Ontario, Canada
Educational assistance of up to $3,500 a year (with approval from your manager);
Many, more benefits, perks, and programs.
Flexible work arrangements with monthly financial allocations to support your work-life balance;
Generous starting paid vacation time, plus additional vacation days for every year of service;
Paid volunteer day so you can dedicate time to a cause you are passionate about;
Paid personal and wellness days to support your total wellbeing;
Zoning Plan Examiner Jobs
By City of Ottawa At Ottawa, Ontario, Canada
Experience and formal training combined with demonstrated performance and ability may substitute for stipulated academic requirements.
Knowledge of the Building Code Act and the Ontario Building Code
Demonstrated knowledge of construction drawings, including architectural, structural, mechanical, electrical and geotechnical drawings and specifications
Demonstrated research and analytical skills
Strong interpersonal skills required to deal effectively with all external and internal work related contacts
Strong interpersonal skills with an ability to influence others and work effectively with people representing a wide range of interests

Are you looking for a challenging and rewarding career as a Claims Examiner I? We are looking for an experienced professional to join our team and help us process and review insurance claims. You will be responsible for ensuring accuracy and timeliness of claims processing, as well as providing excellent customer service. If you have a passion for helping people and a commitment to accuracy, then this is the job for you!

Overview Claims Examiner I is responsible for reviewing and processing insurance claims. They must ensure that all claims are handled in accordance with company policies and procedures. They must also ensure that all claims are paid in a timely manner. Detailed Job Description Claims Examiner I is responsible for reviewing and processing insurance claims. They must review all claims for accuracy and completeness and ensure that all claims are handled in accordance with company policies and procedures. They must also ensure that all claims are paid in a timely manner. They must also investigate and resolve any discrepancies or disputes that may arise. They must also maintain accurate records of all claims and provide customer service to claimants. Job Skills Required
• Knowledge of insurance policies and procedures
• Excellent customer service skills
• Excellent communication and interpersonal skills
• Ability to work independently and as part of a team
• Ability to handle multiple tasks simultaneously
• Attention to detail
• Ability to work in a fast-paced environment
• Computer proficiency
Job Qualifications
• Bachelor’s degree in business, finance, or a related field
• At least two years of experience in claims processing
• Knowledge of insurance policies and procedures
• Ability to work independently and as part of a team
• Computer proficiency
Job Knowledge
• Knowledge of insurance policies and procedures
• Knowledge of claims processing procedures
• Knowledge of customer service principles
• Knowledge of legal and regulatory requirements
Job Experience
• At least two years of experience in claims processing
• Experience in customer service
• Experience in problem-solving
Job Responsibilities
• Review and process insurance claims
• Ensure that all claims are handled in accordance with company policies and procedures
• Investigate and resolve any discrepancies or disputes that may arise
• Maintain accurate records of all claims
• Provide customer service to claimants
• Monitor claims to ensure timely payment
• Communicate with claimants and other parties involved in the claims process