Medical Claim Adjudication jobs in Ontario

We offer more than a job, we offer a career!

• We support our employees to shape their career by encouraging continuing education and investing in training and development.
• We put our employees at the center of what we do to allow them to grow personally and professionally, with projects and challenges that are motivating and rewarding.
• We inspire people to do what they are passionate about by believing in integrity, respect and recognition of diversity and community support.
• We are a dynamic team where entrepreneurship, innovation and collaboration are at the core of our values.
• We offer competitive salaries and a multitude of benefits starting day one including generous medical and dental coverage, telemedicine, employee and family assistance program, and retirement and savings programs.
• We recognize the importance of work-life balance with our hybrid work program, wellness allowance, and year-round social activities and events.

We are looking for a Claims Associate to join our team in our Toronto office!

We are looking for a meticulous and organized Claims Associate to support our claims processing operations. The ideal candidate will handle documentation, verify claim details, and collaborate with internal teams to ensure timely and accurate resolution of insurance claims.

If you are career-minded and looking for a dynamic work environment with a growth mindset, you will love working among our team!

Your Day as a Claims Associate

• Effectively manage, organize and prioritize new claims reports received in the central reporting mailbox
• Review new claims reports received and determine the appropriate policy/policies to respond. Prepare the appropriate notice of loss and report the claim to carriers quickly and efficiently.
• Create corresponding claims within our internal system and assign the appropriate Advisor to the claim.
• Generate a report of claim history for producers and the marketing team as needed.
• Receive and respond to basic inquiries from clients, producers or claims advisors.
• Correspond/communicate with the insured regarding the status of their claim.
• Correspond/communicate with adjusters and examiners regarding the status of claims and reserves.
• Transmit all required claims information to appropriate individuals.
• Prepare monthly bordereaux and reconciliation reports as needed.

Our Ideal Candidate

• 5-7 years of strong insurance industry experience, ideally in an administrative role.
• Strong verbal and written communication skills.
• Advanced knowledge of the MS Office Suite (Excel, Outlook, PowerPoint, and Word).
• RIBO Licensed preferred; must be willing to get licensed if not already.
• CIP, CRM certification is an asset.
• Ability to work well individually, in a group setting and in collaboration with other members of the organization.
• Attention to detail and meticulousness.
• Strong analytical and problem-solving skills.
• Effective time management and organizational skills.

This posting is for an existing vacancy position.

The expected salary for this role ranges from 50,000$ to 65,000$. Annual salary will be determined by factors including prior experience, location, business segment, and relevance of the candidate’s skills to the role.

Who we are

Founded in 1987 by Barry F. Lorenzetti, BFL CANADA is one of the largest employee-owned and operated Risk Management, Insurance Brokerage, and Employee Benefits consulting services firms in North America. The firm has a team of over 1,500 professionals located in 27 offices across the country. Thanks to its Local International Office Network of independent brokers (LION), BFL CANADA provides clients with privileged access to insurance partners in over 140 countries, helping to support their operations both in Canada and globally.

Our BFL Toronto office is located in beautiful downtown, in the core of the Financial District. Easily accessible by public transit, our office is close to a plethora of top-notch restaurants, ideal for enjoyable lunches or drinks after work.

Let’s stay in touch: follow us on LinkedIn (https://www.linkedin.com/company/bfl-canada/mycompany/?viewAsMember=true) to get privileged access to our activities and see our other job opportunities.

Visit our website to learn more about us: www.bflcanada.ca (http://www.bflcanada.ca)

We welcome and encourage applications from people with diverse abilities. BFL Canada is committed to fostering an environment that is diverse, equitable, inclusive, and accessible to all. The diversity of our talents enables innovation and creativity through diverse backgrounds, different thinking, and unique knowledge. Accommodations are available on request for candidates taking part in all aspects of the selection process.

Offers of employment at BFL CANADA are conditional upon satisfactory results of background verifications.

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