Skip to main content
Post your resume and find your next job on Indeed!

Medical Adjudication jobs in Ontario

Sort by: -
    • 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…
  • View similar jobs with this employer
    • Ability to apply policy terms and adjudication guidelines.
    • Knowledge of medical terminology and Disability Management best practices/protocols.
    • View all THE EMPIRE LIFE INS. CO jobs - North York jobs - Claims Manager jobs in North York, ON
    • Salary Search: Bilingual Claim Manager salaries in North York, ON
    • See popular questions & answers about THE EMPIRE LIFE INS. CO
    • Provide support and guidance on adjudication of alerts generated as a result of name-screening of PC Bank’s portfolio against PEPs, Sanctions and Negative News.
    • Analyze medical, functional, employment and contractual information in order to make timely and accurate decisions on Long Term Disability (LTD) claims.
    • Make multimodal health AI a core focus: design training and evaluation datasets across clinical text, medical images, waveforms, structured EHR data, claims,…
    • Strong understanding of third-party billing and adjudication processes.
    • Reports to:* Pharmacy Manager / Pharmacist-in-Charge.
    • Job Types: Full-time, Permanent.
    • Processing and billing of prescriptions including troubleshooting adjudication and insurance claim issues.
    • Position Summary:* The Pharmacy Assistant supports…
    • Investigate and coordinate the approval of new accounts with the Credit adjudication team.
    • Comprehensive benefits such as: medical insurance, dental, vision,…
    • The Leave & Benefits Consultant is the primary point of contact for HRBPs, leaders, and employees on all matters related to leave of absence, disability…
    • Third-Party adjudication where required and necessary.
    • The ideal candidate will possess a strong understanding of medical terminology and have experience as a…
    • Evaluate medical and workplace information to determine if key elements are present.
    • Understanding of medical terminology, and common physical and mental health…
    • Maintain accurate, confidential claims files and trackers, exercising discretion in the handling of sensitive medical information.
    • Coordinate timely medical assessments and treatment plans.
    • Claims adjudication or healthcare-related roles.
    • Strong understanding of medical and mental health…
    • Familiarity with claims systems, insurer assessments, and medical provider protocols.
    • Ensure timely adjudication of benefits, reserving accuracy, and compliance…
    • We have a mission to serve the public interest in Ontario’s health system, ensuring patients receive quality care from fully trained, highly competent, deeply…
Get email updates for the latest Medical Adjudication jobs in Ontario

By creating a job alert, you agree to our Terms . You can change your consent settings at any time by unsubscribing or as detailed in our terms.

Career Resources:

Job Post Details

Report Reviewer – Catastrophic Impairment & Med-Legal Assessments - job post

Q Medical
North York, ON
Full-time

Job details

Job type

  • Full-time

Shift and schedule

  • Monday to Friday

Location

North York, ON

Benefits

Pulled from the full job description

  • On-site parking

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

Let Employers Find YouUpload Your Resume