Medical Claims Administrator jobs
TPA Examiner – Liability
Easily applyNewCUSTARD INSURANCE ADJUSTERSRemote- $50,000–$75,000 a year
- Full-time
- Tuition reimbursement
- Paid time off
- Vision care
- Dental care
- Company pension
- Casual dress
- Valid AMF license (claims adjuster).
- Claims Review: Analyze and review liability claims.
- 10 years of experience in liability claims adjusting.
Claims Administrator
Easily applyArmour Group IncLondon, ON- $21.50–$24.00 an hour
- Full-time +1
- Vision care
- Dental care
- Extended health care
- Administrative experience with Life and disability claims advantageous.
- Claims administration including maintenance of claim files, insuring both accepted and…
Claims Administrator
Easily applyArmour Group IncLondon, ON- $21.50–$24.00 an hour
- Full-time +1
- Vision care
- Dental care
- Extended health care
- Administrative experience with Life and disability claims advantageous.
- Claims administration including maintenance of claim files, insuring both accepted and…
Client Success Manager- Canada
Often replies in 9 daysXpertDox, LLCRemote- $45,000–$65,000 a year
- Full-time
- Paid time off
- Life insurance
- Understanding of medical billing, coding, and or RCM workflows.
- Understanding of medical billing, coding, and or RCM workflows (preferred).
Disability Claims Management Specialist 2
Easily applyPacific Blue CrossBurnaby, BC V5G 4W6- $5,912–$8,562 a month
- Full-time +1
- Monday to Friday
- Paid time off
- Vision care
- Dental care
- Life insurance
- Employee assistance program
- Disability insurance
- B. interpreting and applying contract wording, medical documentation, claims policies and procedures, statutory requirements and other guidelines affecting…
Occupational Return to Work Specialist
Easily applyRussel Metals IncMississauga, ON L5N 7J6- $68,000 a year
- Permanent
- Tuition reimbursement
- Profit sharing
- Provide guidance to managers, supervisors, workers, and other stakeholders regarding occupational claims, functional restrictions, return-to-work considerations…
Life Insurance Administrator
Easily applyPark Georgia Insurance AgenciesVancouver, BC V5Z 3N8- $3,500–$3,800 a month
- Full-time +2
- 35 hours per week
- Paid time off
- Vision care
- Dental care
- Life insurance
- Company events
- Extended health care
- Park Georgia Insurance Agencies is an independent insurance brokerage dedicated to providing comprehensive insurance solutions to individuals, families, and…
Warranty Administrator
Easily applyNewMIDWAY MAZDASurrey, BC V4P 3R5- Full-time +2
- On-site parking
- This is a temporary, medical leave relief position.
- Submit and manage warranty claims accurately and within required deadlines.
Senior Claims Specialist – Legacy Reinsurance & Casualty
Easily applyNewRecrute Action Inc.Markham, ON- $75.00–$85.67 an hour
- Full-time +1
- 37.5 hours per week
- Day shift
- Direct experience with reinsurance claims, ceded claims, or legacy reinsurance recoveries.
- O Complex or litigated claims;
- Salaried rate: $75 per hour.
View similar jobs with this employerMedical Billing Specialist (North Vancouver)
Easily applyOften replies in 2 daysPetalNorth Vancouver, BC V7M 1B3- $22 an hour
- Full-time
- Paid vacation
- Flexible schedule
- Has experience in the medical field, medical transcription, or medical administration (an asset).
- Enter and review medical billing claims with accuracy and…
View similar jobs with this employerMedavieNew Brunswick- $88,158–$99,177 a year
- Full-time +1
- Dental care
- Support adjudicators with complex, sensitive, or precedent‑setting claims.
- Maintain strong relationships with internal partners to ensure alignment on claims…
Warranty Administrator
Easily applyNewCapital Ford Lincoln (Winnipeg)Winnipeg, MB R3G 3H1- Full-time
- Flextime
- Flextime
- Dental care
- Disability insurance
- RRSP
- Hunt Down Discrepancies: Track pending claims, troubleshoot rejections, and recover maximum warranty dollars.
- Keep Score: Maintain orderly records and generate…
- CAA QuébecQuebec City, QC
- Full-time +1
- Monday to Friday
- Employee assistance program
- Company pension
- Régime de retraite (entre 2% et 6% on égale tes cotisations!).
- Détenir un DEC en assurance, en administration ou dans un domaine connexe.
- DesjardinsBurlington, ON
- $75,009–$110,014 a year
- Full-time
- Maintain clear and timely communication with clients, providing updates on the status of their claims, addressing inquiries and guiding them through the claims…
- View all Desjardins jobs - Burlington jobs - Claims Advisor jobs in Burlington, ON
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- DesjardinsMississauga, ON L5W 1L9
- $66,971–$98,225 a year
- Full-time
- Maintain clear and timely communication with clients, providing updates on the status of their claims, addressing inquiries and guiding them through the claims…
- View all Desjardins jobs - Mississauga jobs - Claims Advisor jobs in Mississauga, ON
- Salary Search: Claims Advisor, Accident Benefits salaries in Mississauga, ON
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- Sun LifeMontréal, QC
- $48,500–$66,400 a year
- Full-time
- Overtime
- As a Disability Payment Administrator, you will support plan members by maintaining disability benefit records, assisting with government benefit coordination…
- View all Sun Life jobs - Montréal jobs - Administrator jobs in Montréal, QC
- Salary Search: Disability Payment Administrator salaries in Montréal, QC
- See popular questions & answers about Sun Life
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TPA Examiner – Liability
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Full job description
TPA Examiner – Liability
The mission of SIAdvisers Consulting & Solutions is to provide its clients with the highest-quality claims management services available in the industry. Recognized as a premier firm, we continue to strengthen our position as a national leader in the field of claims management services. Our commitment to this mission is demonstrated by our ongoing efforts to:
- Provide superior and consistent products and services through SIA’s network of employees across Canada.
- Diligently address the needs of our clients.
- Offer customized services, as required, to meet the individual demands of our clients.
- Provide fair and competitive pricing for the products and services offered.
- Establish and maintain partnerships with our clients to foster long-term relationships.
- Continue to prioritize excellence at all levels of our organization and reinforce our role as a national leader in claims management services.
Responsibilities
- Claims Analysis: Examine complex insurance claims (residential, commercial, equipment, cargo).
- Evaluation: Calculate losses and verify compliance with insurance policies.
- Settlement: Direct independent adjusters in the negotiation of settlements and manage payments.
- Collaboration: Work with stakeholders to ensure client satisfaction.
- Reporting: Prepare clear reports and provide recommendations.
Supervision:
- Mentor and train junior examiners.
- Analysis and Compliance: Review entries and ensure adherence to standards.
- File Management: Manage client files from initial intake to final presentation.
- Consulting: Provide recommendations for process improvements.
- Claims Review: Analyze and review liability claims.
Investigations:
Direct independent adjusters in their investigations and settlement negotiations; for litigious files, collaborate with legal counsel and participate in settlement conferences.
Relationships and Compliance:
- Maintain professional relationships and ensure legal compliance.
- 10 years of experience in liability claims adjusting.
- Valid AMF license (claims adjuster).
- Solid experience in claims handling and third-party administration.
- Proficiency with insurance policies (commercial and personal lines).
- Ability to formulate recommendations for the Lloyd’s market.
- Excellent organizational and communication skills.
- Team-oriented with a strong focus on customer service.
- Proficiency in Microsoft Office tools.
Compensation:
- Competitive compensation package
- Benefits plan (health insurance)
- Retirement plan
- Flexible work environment
- Reimbursement for training expenses
Benefits:
- Dental insurance
- Supplementary health insurance
- Vision insurance
- Paid time off
- Retirement plan
- Work-from-home option
- Job location: Remote (telework)
Pay: $50,000.00-$75,000.00 per year
Benefits:
- Casual dress
- Company pension
- Dental care
- Extended health care
- Paid time off
- Tuition reimbursement
- Vision care
- Work from home
Work Location: Remote