Medical Claim Assessor 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…
- THE EMPIRE LIFE INS. COCanada
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- Full-time
- Prendre des décisions éclairées quant au risque et offrir son soutien aux équipes des ventes et du marketing du secteur des Marchés individuels.
- HUB InternationalWindsor, ON N8W 5A4
- $78,000–$97,000 a year
- Full-time
- Providing support to HUB clients on all claims related matters throughout the entire claims process and to advocate on behalf towards a satisfactory claims…
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- CognizantHalifax, NS
- $80,000–$110,000 a year
- Full-time
- Solid domain knowledge of Healthcare – Clinical and/or Claims functional areas (e.g., claims adjudication, EDI transactions, clinical workflows, member/provider…
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Accident and Health Claims Adjudicator - Level 1
Easily applyCrawford & Company (Canada) Inc.Canada- $49,000–$74,000 a year
- Full-time
- Experience in adjusting including the investigation and detailed reporting of multi-line claims.
- Excellent interpersonal abilities are required to enable…
Senior Complex Claims Examiner
Easily applyCrawford & Company (Canada) Inc.Canada- Full-time
- Extensive claims handling experience, including exposure to litigation management and complex casualty claims.
- This is a remote position.
View similar jobs with this employerCrawford & Company (Canada) Inc.Montréal, QC- Full-time
- Review all file material on low level claims.
- Must provide first contact on new claims in a timely manner.
- Determine entitlement to benefits as per insurance…
- AllstateToronto, ON M2H 3S8
- $58,000–$89,350 a year
- Serve as a subject matter expert on personal lines claims handling practices, complaint management principles, consumer protection expectations, and regulatory…
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- AllstateToronto, ON M2H 3S8
- $58,000–$89,350 a year
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- AllstateAlberta
- $59,900–$93,725 a year
- Prior insurance experience and knowledge in injury claims, medical rehabilitation concepts, and medical terminology is preferred.
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Senior Claims Specialist, PL Claims
Easily applyMarkel Bermuda LimitedHamilton, ON- Full-time
- Ability to influence claims stakeholders and to effectively direct claims strategy.
- Confirms coverage of claims by reviewing policies and documents submitted in…
- ClaimsPro LPMarkham, ON
- $67,200–$93,300 a year
- Full-time
- Your claims load is driven by senior executives and business development staff from coast to coast.
- You will be entitled to a multitude of benefits such as…
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Claims analyst II, Accident & Health
Easily applyAIG Insurance Company of CanadaToronto, ON- $61,000–$67,900 a year
- Full-time
- Insurance claims experience of at least 1+ year(s) with exposure to Accident and Health claims, which include sickness and bodily type injury claims or any…
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- Ontario MutualsRemote
- $92,000–$120,000 a year
- Leads key initiatives within the claims team and drives continuous improvement, standardization, and process efficiencies.
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- Able Insurance Brokers Ltd.Remote
- Manage a portfolio of complex and moderate-to-severe bodily injury claims while ensuring timely and accurate claim handling.
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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