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Medical Claims $70,000 jobs

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    • Claims adjuster: 5 years (required).
    • Manage claims through to effective and satisfactory resolution.
    • Investigate and report on a caseload of casualty and…
    • Maintains computerized claim files and hard copy claims filing system by compiling the relevant documents, opinions, and recommendations of all parties.
    • At least 5 (five) years’ experience in the insurance industry involving the adjusting and processing of claims; significant exposure related to physical damage…
    • Monitor insurance claims and respond to clients' enquiries.
    • Ensure appropriate forms, medical examinations and other policy requirements are completed.
    • Monitor insurance claims and respond to clients' enquiries.
    • Ensure appropriate forms, medical examinations and other policy requirements are completed.
    • Experience handling complex claims, contested applications and/or appeals.
    • Play an advisory role to Definity’s Claims department in relation to litigation…
    • Reviewing and analyzing complex files to provide expert support for our claims and legal teams.
    • Flexible medical, dental, vision, and extended health care…
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    • Integrate loss control, claims insights, and risk management practices into underwriting decisions to support…
    • Experience reviewing medical records is highly preferred.
    • Ensure accuracy, consistency, and attention to detail throughout the claims review process.
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    • Managing WCB claims: 5 years (required).
    • Minimum five (5) years experience in WSIB/WCB claims management.
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    • Review alignment between medical best practices and claims handling processes.
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    • Oversees the legal claims portfolio.
    • Sets processes and procedures for handling claims management process at Osler.
    • Knowledge of insurance market and products.
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Job Post Details

Senior Casualty Claims Adjuster -100% Remote - job post

Recrute Action Inc.
5.0 out of 5 stars
Ontario•Remote
$120,000–$130,000 a year - Permanent, Full-time

Job details

Pay

  • $120,000–$130,000 a year

Job type

  • Permanent
  • Full-time

Shift and schedule

  • Monday to Friday

Benefits

Pulled from the full job description

  • Vision care
  • Dental care
  • Life insurance
  • Disability insurance
  • Designated paid holidays
  • RRSP match
  • Work from home

Full job description

Senior Casualty Claims Adjuster – 100% Remote (Ontario)

Work within a global legal and business services environment delivering integrated solutions across multiple sectors. Based in Toronto, this field-based role involves managing casualty and liability claims across the Greater Toronto Area, combining autonomy, client interaction, and consistent delivery of high-quality outcomes.

What is in it for you:

  • Annual salary: 120K-130K depending on experience.
  • Work model: Field-based role with remote flexibility.
  • Working hours: Full-time, 37.5 hours per week.
  • Schedule: Monday to Friday, from 8:30 am to 5:00 pm.
  • Health benefits: Coverage including life insurance, dental, vision, and other benefits after 3 months. Employer pays 100% of premiums except long-term disability.
  • Retirement plan: Employer contribution with matching up to 4%.
  • Vacation and time off: 20 vacation days, 12 public holidays, and 5 sick days.

Responsibilities:

  • Investigate and report on a caseload of casualty and liability claims.
  • Manage claims through to effective and satisfactory resolution.
  • Maintain high levels of service delivery for internal and external stakeholders.
  • Handle claims across Commercial General Liability, construction including Builders Risk and Wrap-Up Liability, Professional Liability, Environmental Liability, Equine Liability, Medical Malpractice, and Automobile Liability.

What you will need to succeed:

  • University degree or college diploma required.
  • Completion of, or progress toward, CIP or FCIP designation is considered an asset.
  • 5 years of adjusting experience or 7 to 8 years of casualty claims examining experience.
  • Valid Independent Adjuster’s Licence in Ontario or eligibility to obtain a Probationary Licence.
  • Valid driver’s license and access to a personal vehicle.
  • Ability to travel within the Greater Toronto Area approximately 20 to 30 percent of the time.
  • Strong organizational and time management skills with the ability to manage multiple priorities effectively.
  • Innovative, adaptable approach to problem-solving in a fast-paced environment.
  • Clear and professional communication skills with the ability to engage stakeholders confidently.
  • Demonstrated commitment to teamwork and client-focused service delivery.
  • High level of energy, attention to detail, and professionalism in all interactions.

Why Recruit Action?

Recruit Action (agency permit: AP-2504511) provides recruitment services through quality support and a personalized approach. As part of the screening process, some applications may be reviewed using artificial intelligence tools. Only candidates who meet the hiring criteria will be contacted.

#RA1

Pay: $120,000.00-$130,000.00 per year

Benefits:

  • Dental care
  • Flexible schedule
  • RRSP match
  • Work from home

Application question(s):

  • Do you have a driver’s license?
  • This role requires you to be on the road 20–30% of the time. Are you comfortable with that?
  • This role requires you to live in Ontario. Are you currently living in the area?
  • This role requires you to have a Claims Adjuster license (NOT CIP) or to have passed the exam and you are on track to obtain it – can you confirm either one of these situations apply to you?

Experience:

  • claims adjuster: 5 years (required)

Work Location: Remote

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