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Medical Claims jobs in Montréal, QC

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    • A minimum of 3-10 years claims experience with an emphasis on multi-line claims.
    • Previous experience in handling commercial property and equipment breakdown…
    • View all The Sovereign General Insurance Company jobs - Montréal jobs
    • Salary Search: Claims Examiner salaries in Montréal, QC
    • See popular questions & answers about The Sovereign General Insurance Company
    • This role effectively manages assigned Financial Lines claims of moderate severity or complexity while interacting and collaborating with claim and underwriting…
    • Actively participate in the continuous improvement of claims management practices and processes.
    • Take ownership of high-exposure files, including litigated…
    • Preference will be given to candidates with Financial Lines claims experience.
    • Minimum of 8-10 years of general claims handling experience.
    • Definity est la société mère de marques et compagnies d’assurance de dommages parmi les plus établies et innovatrices au Canada, soit Assurance Economical,…
    • Access, review and adjudicate short-term disability claims in regards to the functional health and wellness of employees by gathering relevant information and…
    • Guide international student policyholders through medical assistance and claims processes, escalating cases where necessary.
    • A&S or LLQP license is required.
    • Strong understanding of medical terminology and electronic medical records management.
    • Manage appointment scheduling using electronic medical records systems.
    • Comprehensive medical, dental, and vision coverage beginning on the first day of employment.
    • Participate in investigations related to warranty claims, quality…
    • You handle medium-complexity property insurance claims and low-complexity accident benefit and bodily injury claims.
    • Competitive salary and annual bonus.
    • You handle high-complexity property insurance claims and medium-complexity accident benefit and bodily injury claims.
    • Competitive salary and annual bonus.
    • Ensure compliance with FDA and/or PAAB requirements, annotating claims with appropriate research and maintaining impeccable grammar and spelling throughout.
    • Benefit from a fair and dynamic reward package that recognises your performance and potential, plus comprehensive and competitive social coverage (life, medical…
    • Manage a diverse portfolio of complex clients and claims, balancing commercial priorities, quality and delivery commitments.
    • Ideally, you’ll also have.
    • Un soutien opportun et spécialisé lié aux lésions professionnelles;
    • Des conseils en matière de prévention des risques pour éviter les incidents et les accidents…
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Job Post Details

Claims Examiner
Montréal, QC
•
Hybrid work
$60,574–$100,956 a year
Permanent

Job details

$60,574–$100,956 a year
Paid time off
Permanent
Hybrid work in Montréal, QC

Full job description

Company: Sovereign Insurance
Department: SOV - Claims
Employment Type: Regular Full-Time
Work Model: Hybrid (2 days in office)
Language: Bilingualism in English and French is required.


The Opportunity:

At Sovereign Insurance, a wholly owned subsidiary of The Co-operators General Insurance Company, we believe leadership is shaped by purpose, collaboration, and meaningful contribution. When you grow, we grow — your success crowns ours.

We value diverse perspectives, bold ideas, and people who lift others up. Here, your initiative matters, and your efforts help build the resilience of the Canadian businesses and communities we serve.

That shared commitment strengthens our culture and moves us forward — together. That’s the Crown Effect.

Our Claims Management Team is looking for a dynamic self-starter with a broad claims handling background. Utilizing previous experience and established corporate philosophies, policies, procedures and standards, the successful candidate will oversee a diverse portfolio of commercial property and liability claims.

How you will create impact:

  • Setting up and investigating claims as assigned within authority level on a full handle and examining basis, providing control and direction to adjusters, appraisers, and solicitors to ensure claims advance in a timely manner.
  • Reviewing and interpreting the insurance policy wordings, loss information and drafting coverage letters as required.
  • Maintaining extensive knowledge of insurance coverage, settlement methods, procedure, investigation methods, and creative negotiation skills and file management.
  • Reporting on loss and expense reserves within established guidelines.
  • Liaising, collaborating and maintaining good relationships with the underwriting team, submitting risk information where appropriate.
  • Attend training, meetings and industry events as an individual and team contributor as needed.

To join our team:

  • A minimum of 3-10 years claims experience with an emphasis on multi-line claims.
  • You hold a valid AMF (Autorité des marchés financiers) license as a claims adjuster (property and commercial mandatory) and active at the time of application and maintain it in good standing as a condition of employment.
  • Previous experience in handling commercial property and equipment breakdown claims is an asset.
  • Previous experience with Guidewire (ClaimCenter) required.
  • Proficiency in both English and French is essential to the main duties in this role, including servicing and communicating primarily with majority anglophone and francophone clients, groups, and teams. The essential non-French duties are not assignable to adjacent or other team members.

How you will succeed:

  • You thrive on delivering our exceptional client experience through positive and engaging relationships; embracing accountability to achieve effective results.
  • You ensure your day to day actions are in harmony with the company’s purpose, vision, and values even when challenged.
  • You are open and adaptable to changing conditions with a natural curiosity to explore and try new approaches.
  • You value cooperative and collaborative dialogue because diverse perspectives offer more creative and productive solutions.

What you need to know:

  • Detail oriented work that requires a high degree of mental concentration for extended periods of time.
  • You will provide support to clients who are experiencing a personal or financial loss. A high degree of confidentiality and discretion is required.
  • You will be attending mediations, settlement conferences and court proceedings as required.

What’s in it for you?

  • Room to grow with confidence — build your career, contribute your ideas, and see the impact of your work.
  • A culture that values you — inclusive, collaborative, and respectful, where different perspectives are encouraged and heard.
  • Rewards that recognize you and the work you do - competitive salary and variable compensation, benefits and pension, paid time off, development and recognition programs.
  • Support for your well-being — a holistic approach to physical, mental, social, and financial wellness.
  • Pride in purpose — being part of a Canadian organization dedicated to protecting Canadian businesses and the communities they serve while giving back through volunteering, donations, and national initiatives that help build a more sustainable future.

Salary information

Expected salary range $60,574 to $100,956

Salary placement

The salary amount for the successful candidate is determined by Sovereign in its discretion and will vary depending on several criteria including but not limited to: local market conditions, geography and relevant job-related factors such as knowledge, skills, qualification, experience and education.

Incentive pay

Employees may also have the opportunity to participate in incentive programs and earn additional compensation tied to individual and/or business performance, or other business metrics.

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