Medical Adjudication jobs
- Q MedicalNorth York, ON
- Full-time
- Monday to Friday
- On-site parking
- 3–5 years of experience reviewing medical and medico-legal reports.
- The primary responsibility of this role is to review and finalize complex medico-legal…
Disability Claims Management Specialist 2
Easily applyMultiple openingsPacific Blue CrossBurnaby, BC V5G 4W6- $5,912–$8,562 a month
- Full-time +1
- Monday to Friday
- Paid time off
- Vision care
- Dental care
- Life insurance
- Employee assistance program
- Disability insurance
- C. identifying and following up on variances in policy and structure set up in the claims adjudication system or other deficiencies such as variances between…
Disability Claims Specialist
Easily applyPacific Blue CrossBurnaby, BC V5G 4W6- $5,177–$6,042 a month
- Full-time +1
- Monday to Friday
- Paid time off
- Vision care
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- Life insurance
- Employee assistance program
- Disability insurance
- B. interpreting and applying contract wording, medical documentation, claims policies and procedures, statutory requirements and other guidelines affecting…
- HUB InternationalOakville, ON L6H 0G5
- $70,000–$85,000 a year
- Full-time
- The Leave & Benefits Consultant is the primary point of contact for HRBPs, leaders, and employees on all matters related to leave of absence, disability…
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- CommissionairesOttawa, ON
- $100,000 a year
- Full-time
- Monday to Friday +1
- Manage all WSIB, CNESST, and non-occupational claims, including timely reporting, documentation, return-to-work planning, medical coordination, and representing…
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Creditor Life and Disability Claims Supervisor
Easily applyFirst Canadian Insurance CorporationSherwood Park, AB T8A 3X6- Permanent
- Tuition reimbursement
- Employee assistance program
- On-site gym
- Adjudication process until file resolution and ensuring compliance of corporate best practices on all files.
- Monitors staff compliance with all procedures and…
Creditor Life and Disability Claims Supervisor
Easily applyFirst Canadian Insurance CorporationSherwood Park, AB T8A 3X6- Permanent
- Tuition reimbursement
- Employee assistance program
- On-site gym
- Adjudication process until file resolution and ensuring compliance of corporate best practices on all files.
- Monitors staff compliance with all procedures and…
Bilingual Customer Service Representative
Easily applyFirst Canadian HealthToronto, ON M4N 3N1- From $39,000 a year
- Full-time +1
- Monday to Friday +4
- Paid time off
- Vision care
- Dental care
- Extended health care
- The Provider Call Centre is the main venue for communication between providers, clients and members and First Canadian Health regarding day-to-day claims…
Accident and Health Claims Adjudicator - Level 1
Easily applyCrawford & Company (Canada) Inc.Canada- $49,000–$74,000 a year
- Full-time
- Excellent interpersonal abilities are required to enable effective interaction and communication in both oral and written format with employees, policyholders,…
- TP CanadaToronto, ON M4P 3A4
- Utilize advanced support technologies and processes engineered to achieve outstanding results.
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Intern - Credit Risk, Winter 2027
Easily applyEQ Bank | Canada's Challenger BankToronto, ON- Full-time +2
- The Intern - Credit Risk Acquisitions supports the development, monitoring, and optimization of adjudication strategies across credit risk and fraud prevention.
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- The Cigna GroupMississauga, ON
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Assistant Registrar
Easily applyUniversity of Niagara Falls CanadaNiagara Falls, ON L2E 7J7- $90,000–$120,000 a year
- Full-time +1
- Reporting to the University Registrar, the Assistant Registrar leads four core functions within the Office of the Registrar: Admissions, Pathways and Transfer…
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Team Leader, Customer Experience
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Report Reviewer – Catastrophic Impairment & Med-Legal Assessments
Job details
Job type
Shift and schedule
Benefits
Full job description
About Q Medical
Q Medical is dedicated to delivering the highest quality independent medical assessments to the legal community. As we continue to grow, we are seeking a motivated and detail-oriented Report Reviewer specializing in Catastrophic Impairment Determinations and Med-Legal reports to join our team.
Job Objective
The primary responsibility of this role is to review and finalize complex medico-legal reports, and Catastrophic Impairment (CAT) assessments under the Statutory Accident Benefits Schedule (SABS). The reviewer ensures accuracy, consistency, and compliance with the AMA Guides to the Evaluation of Permanent Impairment (4th and 6th editions), while maintaining Q Medical’s quality and formatting standards.
Key Responsibilities
- Review and edit medico-legal and CAT reports for clarity, spelling, grammar, punctuation, and formatting.
- Identify and highlight content inconsistencies, omissions, or areas requiring clarification across multi-disciplinary reports.
- Verify accuracy of impairment ratings and ensure alignment with AMA Guides (4th and 6th editions).
- Cross-check factual details against file documentation.
- Provide clear recommendations to expedite additional investigations or assessments where required.
- Prepare final Word and PDF versions of reports, including document lists.
- Collaborate with internal team members and communicate with referral sources as necessary.
- Maintain strict confidentiality and compliance with Q Medical standards.
Qualifications & Skills
- 3–5 years of experience reviewing medical and medico-legal reports.
- University degree in a related field (clinical or legal background an asset).
- Strong knowledge of SABS and demonstrated training in AMA Guides (4th & 6th editions).
- Prior experience in the MVA and Med-Legal industry required.
- Excellent analytical, critical thinking, and problem-solving skills.
- Proficiency in Microsoft Word and strong attention to detail.
- Ability to work independently and collaboratively in a fast-paced environment.
- Exceptional organizational, time management, and communication skills.
Reporting To: Director of Operations
Hours: Monday to Friday, 8-hour shifts during core business hours
Location: Q Medical Head Office, North York, Ontario
Benefits: On-site parking
Job Type: Full-time
Application question(s):
- Do you have experience with Catastrophic Assessment reports?
- Have you had any training in the AMA Guides to the Evaluation of Permanent Impairment?
- Are you familiar with the methodology of calculating a WPI?
Work Location: In person