Medical Claim Assessor jobs
Senior TPA Examiner – Liability – Réviseur Sénior – Responsabilité
Easily applyMultiple openingsCUSTARD INSURANCE ADJUSTERSRemote- $52,652.00–$94,306.77 a year
- Permanent
- Paid time off
- Vision care
- Dental care
- Company pension
- Extended health care
- Work from home
- La mission de SIAdvisers Consulting & Solutions est d'offrir à ses clients le service de gestion des sinistres de la plus haute qualité disponible dans…
- Q MedicalNorth York, ON
- $67,000–$72,000 a year
- Contract
- Understanding of medical terminology and medico-legal report standards.
- How many years of experience do you have working with medical or medico-legal reports?
Senior Consultant, Underwriting, Claims & Risk Management
Easily applyNewIVARIHybrid work in Toronto, ON- $113,500–$156,000 a year
- Full-time
- Dental care
- Investigate and recommend claim payment, denial or policy rescissions based on evidence.
- Conduct underwriting reviews of claim investigations and provide expert…
Senior Claims Analyst
Easily applyMaxwell Claims ServicesRemote- $90,000–$113,000 a year
- Full-time
- Dental care
- RRSP match
- Work from home
- Comprehensive, flexible medical and dental benefits.
- Experience with medical malpractice and E&O is considered an asset.
- A wide variety of claims, Canada-wide.
Commercial Bodily Injury Adjuster
Easily applyImpact RecruitmentRemote in Vancouver, BC- $90,000–$100,000 a year
- Permanent
- Paid time off
- Dental care
- Stock options
- Life insurance
- Maintain accurate and comprehensive claim file documentation, ensuring all activities, decisions, and communications are clearly recorded to support claim…
TPA Examiner – Property / Réviseur – Assurance Biens
Easily applyMultiple openingsCUSTARD INSURANCE ADJUSTERSRemote- $52,652.00–$94,306.77 a year
- Permanent
- Paid time off
- Vision care
- Dental care
- Company pension
- Extended health care
- Work from home
- Établir et maintenir un partenariat avec nos clients pour des relations à long terme..
- Maîtrise des outils Microsoft Office (Outlook, Word, Excel, Teams).…
- Maxwell Claims ServicesRemote in Quebec City, QC
- $90,400–$113,000 a year
- Full-time
- Dental care
- RRSP match
- Work from home
- Comprehensive, flexible medical and dental benefits.
- In this role, you will deliver top quality claim service and anticipate client needs by building strong and…
Quality Assurance Advisor
Easily applyPacific Blue CrossHybrid work in Burnaby, BC V5G 4W6- $90,000–$110,000 a year
- Full-time +1
- Monday to Friday
- Tuition reimbursement
- Paid time off
- Vision care
- Dental care
- Life insurance
- Disability insurance
- We're looking for an experienced Quality Assurance Advisor to bring their Disability Management and claims expertise into a role where they can have a broader…
Senior Bodily Injury Adjuster (Commercial Lines)
Easily applyImpact RecruitmentRemote in Ontario- $90,000–$105,000 a year
- Permanent
- Vision care
- Dental care
- Life insurance
- Strong overall compensation package including base salary between $90,000 - $105,000 plus fixed bonus paid twice annually.
- John Hancock Life Insurance Company (U.S.A.)Remote
- May process all aspects of auditing, formal appeal reviews and contestable claim review.
- Audit medical record summaries to ensure documentation is in accordance…
- LTMMississauga, ON
- $100,000–$110,000 a year
- Guidewire Claims Expertise Utilize Guidewire software to perform claims validations on insurance applications ensuring they meet business and technical…
- View all LTM jobs - Mississauga jobs - Tester jobs in Mississauga, ON
- Salary Search: Guidewire ClaimCenter Tester salaries in Mississauga, ON
- See popular questions & answers about LTM
- AvivaHybrid work in Markham, ON L6G 0G1
- $65,000–$95,000 a year
- Provide excellent customer and partner communication on claim matters.
- Understand and adhere to Aviva’s claim procedures and guidelines.
- AllstateRemote in Ontario
- $70,000–$90,000 a year
- Prior insurance experience and knowledge in injury claims, medical rehabilitation concepts, and medical terminology is preferred.
- View all Allstate jobs - Ontario jobs - Claims Advisor jobs in Ontario
- Salary Search: Senior Claims Advisor, AB salaries in Ontario
- See popular questions & answers about Allstate
- AllstateRemote in Ontario
- $70,000–$90,000 a year
- Prior insurance experience and knowledge in injury claims, medical rehabilitation concepts, and medical terminology is preferred.
- View all Allstate jobs - Ontario jobs - Claims Advisor jobs in Ontario
- Salary Search: Senior Claims Advisor, AB salaries in Ontario
- See popular questions & answers about Allstate
- AllstateRemote in Ontario
- $62,496–$95,000 a year
- Maintain an understanding of legislative changes and industry trends and contribute to claim strategies as required.
- View all Allstate jobs - Ontario jobs - Gestionnaire Sinistres (H/F) jobs in Ontario
- Salary Search: Senior Claims Advisor, BI salaries in Ontario
- See popular questions & answers about Allstate
View similar jobs with this employerMedavie Inc.Remote in Montréal, QC- $69,934.53–$81,954.53 a year
- Full-time +1
- Provide assessment of key dates within the lifecycle of the claim and ensure case management plans are updated regularly.
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Senior TPA Examiner – Liability – Réviseur Sénior – Responsabilité
Senior TPA Examiner – Liability – Réviseur Sénior – Responsabilité
Job details
Full job description
Senior TPA Examiner – Liability – Réviseur Sénior – Responsabilité
La mission de SIAdvisers Consulting & Solutions est d'offrir à ses clients le service de gestion des sinistres de la plus haute qualité disponible dans l'industrie. Reconnue comme une entreprise de premier plan, nous continuons de renforcer notre position de chef de file national dans le domaine des services de gestion des sinistres. Notre engagement envers cette mission se manifeste par nos efforts constants pour:
- Fournir des produits et services de qualité supérieure et constants à travers le réseau d'employés de SIA partout au Canada.
- Répondre avec diligence aux besoins de nos clients.
- Offrir des services personnalisés, au besoin, afin de satisfaire les exigences individuelles de nos clients.
- Proposer des prix justes et concurrentiels pour les produits et services offerts.
- Établir et maintenir un partenariat avec nos clients pour des relations à long terme.
- Continuer de privilégier l'excellence à tous les niveaux de notre organisation et renforcer notre rôle de chef de file national dans le domaine des services de gestion des sinistres.
Responsabilités :
Supervision : Encadrer et former les réviseurs juniors.
Analyse et conformité : Examiner les écritures et assurer le respect des normes.
Gestion de dossiers : Gérer les dossiers clients de la collecte à la présentation.
Conseil : Proposer des recommandations pour améliorer les processus.
Révision des réclamations : Analyser et réviser les réclamations en responsabilité civile.
Enquêtes : Diriger les experts en sinistres indépendants dans leur enquête et la négociation des règlements et dans le cadre de dossiers litigieux, collaborer avec les avocats et participer aux Conférences de règlement.
Relations et conformité : Maintenir des relations professionnelles et assurer la conformité légale.
Profil :
10 ans d’expérience en révision de sinistres responsabilité.
Permis AMF valide (expert en sinistre).
Solide expérience en traitement des réclamations et administration de tiers.
Maîtrise des polices d’assurance (entreprises et particuliers).
Capacité à formuler des recommandations pour le marché des Lloyd’s.
Excellentes compétences organisationnelles et communicationnelles.
Esprit d’équipe et sens du service client.
Maîtrise des outils Microsoft Office.
Bilinguisme (français et anglais).
Rémunération :
Plan de rémunération compétitif
Régime d'avantages sociaux (assurance maladie)
Régime de retraite
Environnement de travail flexible
Remboursement des frais de formation
Rémunération : 52 652,00$ à 94 306,77$ par an
Avantages :
- Assurance Dentaire
- Assurance Maladie Complémentaire
- Assurance Vision
- Congés payés
- Régime de retraite
- Travail à domicile
Lieu du poste : Télétravail