Health Insurance Medical Claims jobs
- IVARIToronto, ON
- $113,500–$156,000 a year
- Full-time
- Dental care
- Additionally, 3-5 years experience adjudicating life insurance claims is also required.
- Wellness programs supporting physical and mental health.
View similar jobs with this employerIntact FinancialOttawa, ON- $94,200–$115,200 a year
- Full-time
- Employee stock purchase plan
- Knowledge of provincial legislation governing auto insurance.
- Conduct investigations and identify additional information such as an independent medical…
View similar jobs with this employerDesjardinsMontréal, QC H1B 1N8- Full-time
- You handle high-complexity property insurance claims and medium-complexity accident benefit and bodily injury claims.
- Competitive salary and annual bonus.
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- AvivaToronto, ON
- $55,600–$103,200 a year
- Arranging independent medical examinations, including drafting and preparing the medical briefs.
- Liaise between counsel, external parties, and claims operations…
- View all Aviva jobs - Toronto jobs - Clerk jobs in Toronto, ON
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View similar jobs with this employerAccident Benefits Adjuster (Contract)
Easily applyCrawford & Company (Canada) Inc.Ottawa, ON- $55,000–$75,000 a year
- Examines policies and settles claims while maintaining claims costs and abiding by provincial licensing regulations.
Supervisor, Creditor Life and Disability Claims
Easily applyFirst Canadian Insurance CorporationSherwood Park, AB T8A 3X6- Permanent
- Tuition reimbursement
- Employee assistance program
- On-site gym
- Provides active oversight and technical direction to Examiners on 300-400 active claims on letter writing, claims investigation, policy coverage, and financial…
View similar jobs with this employerAvant RespiratoryFredericton, NB E3B 2T7- $20–$25 an hour
- Full-time +1
- Monday to Friday
- Vision care
- Dental care
- Life insurance
- Disability insurance
- Paid vacation
- RRSP match
- Support patients through insurance pre-authorizations and claims.
- Collect patient medical histories and insurance information, and keep medical charts and…
- PCI Panasonic Canada Inc.Mississauga, ON
- $55,000–$70,000 a year
- Full-time
- Tuition reimbursement
- Paid time off
- Vision care
- Dental care
- We offer a wide variety of benefits and programs to support your physical, emotional, financial, social, and environmental health.
Manager, Life Insurance and Group Benefits
Easily applyOracle RMSConcord, ON- $90,000–$120,000 a year
- Full-time
- Tuition reimbursement
- Vision care
- Dental care
- Employee assistance program
- Disability insurance
- On-site gym
- 5+ years of experience within the life insurance, group benefits, wealth/financial services, or insurance brokerage industry.
- Total Health Pharmacy & Home Health Care CentreNewmarket, ON L3Y 7C1
- $36 an hour
- Full-time +1
- Vision care
- Dental care
- Life insurance
- Store discount
- Casual dress
- Extended health care
- Prepare and submit Assistive Devices Program (ADP) documentation and claims for eligible medical devices.
- Training/Knowledge on 3 party insurance reimbursement…
- Total Health Pharmacy & Home Health Care CentreNewmarket, ON L3Y 7C1
- $36 an hour
- Full-time +1
- Vision care
- Dental care
- Life insurance
- Store discount
- Casual dress
- Extended health care
- Prepare and submit Assistive Devices Program (ADP) documentation and claims for eligible medical devices.
- Training/Knowledge on 3 party insurance reimbursement…
View similar jobs with this employerMedical Billing Specialist (North Vancouver)
Easily applyOften replies in 2 daysPetalNorth Vancouver, BC V7M 1B3- $22 an hour
- Full-time
- Paid vacation
- Flexible schedule
- Has experience in the medical field, medical transcription, or medical administration (an asset).
- Enter and review medical billing claims with accuracy and…
- HUB InternationalOakville, ON L6H 0G5
- $70,000–$85,000 a year
- Full-time
- HUB is the 5th largest global insurance and employee benefits broker, providing a boundaryless array of business insurance, employee benefits, risk services,…
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- AvivaMarkham, ON L6G 0G1
- $80,000–$95,000 a year
- Technical competence in Commercial insurance.
- Expert understanding of the claims experience while understanding the technical strategic direction for the claims…
- AvivaToronto, ON
- $55,600–$103,200 a year
- Arranging independent medical examinations, including drafting and preparing the medical briefs.
- Liaise between counsel, external parties, and claims operations…
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Accident and Health Claims Adjudicator - Level 1
Easily applyCrawford & Company (Canada) Inc.Canada- $49,000–$74,000 a year
- Excellent interpersonal abilities are required to enable effective interaction and communication in both oral and written format with employees, policyholders,…
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Career Resources:
Senior Consultant, Underwriting, Claims & Risk Management
Senior Consultant, Underwriting, Claims & Risk Management
Job details
Full job description
About Us
Let us introduce ourselves. With 300+ employees across Canada, ivari is a company that’s making a difference in the world of life insurance. How? By finding and hiring employees who are passionate about helping people protect their families, and by giving them the best, most supportive workplace possible.
ivari is part of Sagicor Financial Corporation, a leading financial services provider with over 185 years of history operating across the Caribbean, US, and Canada. We offer a wide range of products and services, including life and health insurance, annuities, pension administration and investment services.
At ivari, everyone is welcome! It is our mission to attract, develop, and retain a workforce that is as diverse as the customers we serve and the communities in which we do business. We offer an inclusive and accessible work environment where all employees and customers feel valued, respected, and supported.
Here’s the job opportunity…
This position is a new vacancy
As our Senior Consultant, Underwriting, Claims & Risk Management, you will play a key role in ensuring the fair, timely, consistent and compliant underwriting and adjudication of complex life, disability and critical illness applications and claims. As a trusted technical advisor, you will partner with distribution teams, internal stakeholders and external parties to provide expert guidance on complex applications and claims, contestability investigations, escalated advisor concerns and regulatory matters. Your expertise will help protect the organization from financial, legal, regulatory and reputational risk.
In this senior-level role, you will bring specialized technical review and adjudication expertise to complex life, disability and critical illness matters. You will also serve as a key resource for advisors, MGAs and business partners, helping resolve escalated concerns, respond to technical inquiries and strengthen regulatory, compliance and governance oversight.
What you will do…
- Assess complex and escalated life, critical illness and disability applications and claims to ensure consistency.
- Provide technical guidance on underwriting decisions, claims investigations, reinsurance referrals and advisor inquiries on a timely basis with a consistent approach to decisions.
- Review contestable and complex claims involving alleged non-disclosure, misrepresentation, or fraud.
- Conduct underwriting reviews of claim investigations and provide expert technical opinion identifying and escalating potentially fraudulent claims.
- Investigate and recommend claim payment, denial or policy rescissions based on evidence.
- Support audit, compliance and regulatory reviews while strengthening governance standards and controls.
- Analyze underwriting and claims trends to identify emerging risks and improve business and customer outcomes.
- Build strong relationships with advisors, MGAs and business partners by clearly communicating decisions and providing education and support.
- Participate in audit, compliance and regulatory reviews, and support the development of governance standards and controls.
- Contribute to enterprise risk management initiatives by identifying quality issues, trends and opportunities for improvement.
- Analyze underwriting and claims data to identify emerging mortality, morbidity and operational risks.
- Support predictive analytics to produce meaningful insights that support business decision making.
- Participate in innovation projects and pilot initiatives that improve risk selection, operational performance and customer outcomes.
What we are looking for…
- Minimum 5 years’ experience underwriting life insurance policies at a senior level is required
- Additionally, 3-5 years experience adjudicating life insurance claims is also required
- A thorough understanding of the life insurance industry, underwriting practices, claims adjudication, regulatory requirements, market conduct expectations, consumer protection considerations, and industry trends in required
- One or more of the following designations are required FALU, FLMI, LOMA, ALHC, FLHC
- Strong communication skills and interpersonal skills
- Ability to proactively identify opportunities for improvement and contribute to continuous improvement initiatives
- Deep technical expertise in underwriting, claims adjudication and contestable investigations
- Leadership skills to mentor, coach and provide consultation to underwriters
What we pay…
Pay Range: $113,500 - $156,000
What's in it for you
At ivari, it's important for us to keep our people motivated, recognized and rewarded. We offer competitive base salaries plus a bonus, one of the many reasons ivari is a great place to work.
We also offer health and dental benefits for the entire family from Day 1! But that’s just the beginning. When you join the ivari team you also get…
- Competitive compensation and annual bonus opportunity
- Comprehensive health and dental benefits [for you and your family]
- Pension and employee savings plans with company matching contributions
- Hybrid work arrangement with dedicated in-office collaboration days
- Competitive vacation and paid time-off programs
- Professional development and continuous learning opportunities
- Collaborative culture where individual contributions have visible impact
- Wellness programs supporting physical and mental health
Who you are…
Someone who enjoys a culture where everyone is genuinely respectful and you can be your authentic self every day. Your contributions and opinions are not only sought but valued. You know the importance of, and live by, our core values of…
- Bringing clarity and focus to your work
- Taking ownership and doing what you say you will
- Remaining flexible
- Collaborating with others
Does this sound like you? We’re looking for great people to join our team!
Our commitment to inclusivity is reflected in the safeguards, policies and commitments we have in place to remove barriers and provide equal opportunities to prospective and current employees, without discrimination.
To apply, please email your resume to: human.resources@ivari.ca
A Human Resources representative is available to consult with applicants who require accommodation in the application or recruitment process. Any information shared by the applicant about an accommodation will be treated as confidential. If you do require an accommodation, please email human.resources@ivari.ca.
** ivari does not utilize AI in our recruitment process to screen, select, or assess applicants