Senior Claims Examiner Jobs

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

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

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

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

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

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.

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

• 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.

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

Act as the key point of contact for property management and operations departments in response to claims.

Canadian Risk Management (CRM) designation considered an asset.

A competitive salary commensurate with skills and experience

Manage internal claims within a corporate self-insured retention (SIR) model.

Minimum of three (3) years of claims handling experience.

Excellent written and verbal communication skills.

Assist in the management of claims

Manage, organize, and retain insurance claims records (electronic files), submissions and other correspondence

Manage the appropriate level of resources across the assigned territory

Manage the quality and appropriateness of client service agreements

Key Duties/responsibilities Include, Without Limitation, The Following

Document and communicate claim activity to clients timely and effectively

· 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

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

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

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.

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;

Experience with travel or medical claims

MS Office and technical capabilities

Please apply for call within 24 hours.

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

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

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;