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Medical Claims jobs in Ontario

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    • Conducting claim audits, drafting claim audit reports and providing claims insight to various audiences.
    • Coordinate Canadian claims data for monthly claims…
    • ✅ Opportunity to leverage your medical, legal, or claims experience in a corporate setting.
    • Apply judgement and technical expertise across medical, legal, and…
    • Investigate and resolve invoicing discrepancies, including pricing errors, rebates, special pricing claims, shortages, and freight issues.
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    • Prior experience with Real-World Data (claims, EHR, registries) is desirable but not required.
    • Perform data analysis on RWD sources (claims, EHR, registry data)…
    • Collect insurance information for direct billing and submit claims daily.
    • A minimum of 2+ years of previous experience in a medical office.
    • Compensation: $70,000 - $90,000 + Annual Bonus*.
    • Expensed Licencing and Insurance Fees.
    • Group Benefits (Medical, Dental, Vision).
    • First aid and/or referral to appropriate medical intervention for injured workers.
    • 5 years’ WSIB claims management experience, demonstrated experience managing…
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    • Manage challenging coverage claims with tact and professionalism.
    • Litigations claims : 3 years (required).
    • Minimum 3 years of experience handling bodily injury…
    • Prepare medical chronologies and briefs to assist lawyers in understanding the medical issues.
    • 5+ years supporting medical malpractice.
    • Comprehensive benefits program comprising life, long-term disability, and extended medical, dental, and vision coverage.
    • 3 weeks of annual vacation.
    • Supports programming, oversight of medical care, skill development, behavioural interventions and overall care and services for people receiving supports and…
    • Strong understanding of commercial property claims, large-loss restoration, catastrophe response, and complex insurance claims.
    • Job Types: Full-time, Permanent.
    • Incident/claims data analysis for trend identification.
    • WSIB/CNESST claims processes, documentation, and appeals.
    • Supporting Joint Health and Safety Committees.
    • Comprehensive medical and dental benefits package;
    • Support WSIB claims management, return-to-work programs, and workplace accommodation processes as required.
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    • Design develop and maintain data pipelines using PySpark for largescale data processing.
    • Perform data transformations aggregations and validations using Spark…
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Job Post Details

Claims Expert, Treaty Casualty Claims - job post

SCOR
3.4 out of 5 stars
Toronto, ON•Hybrid work
$115,000–$141,000 a year
You must create an Indeed account before continuing to the company website to apply

Job details

Pay

  • $115,000–$141,000 a year

Location

Toronto, ON•Hybrid work

Benefits

Pulled from the full job description

  • Paid time off
  • Disability insurance
  • Designated paid holidays

Full job description

This claims professional must have extensive background in the insurance industry, which includes both primary insurance and reinsurance claim handling experience in various lines of property/casualty business. The ideal candidate will have a high level of technical claim handling ability in liability lines of business, particularly as it relates to casualty liability losses, as well as an in-depth knowledge of reinsurance terms and concepts. The ideal must be an effective communicator. Experience managing cyber, financial lines and complex latent claims exposure is highly desired.

The position is an integral part of SCOR’s client focused initiative and requires not only claim expertise but the ability to deliver excellent customer service to stakeholders and clients both internal and external to SCOR. Claim Experts are hands-on managers of individual higher exposure/complicated claims; expected to regularly and independently conduct outside claim audits and client visits; initiate regular contact with underwriters, actuaries and accounting staff; have the ability to review and analyze overall loss portfolios; and be able to summarize and effectively draft reports with claim insights. A comfort level with technology is required as the digitalization of our departmental operations is a key part of our corporate strategy. The position reports to the Senior Vice President, Head of Americas Claims housed in Chicago. Regular travel required.


Oversee and manage a portfolio of insurance P&C accounts which entails:

  • Evaluating, developing, reporting on and resolving complex and/or higher value individual claims and/or loss bordereaux
  • Approving financial transactions on claims within his/her authority
  • Collaborating and assisting in the account management of assigned accounts, often with other internal department representatives
  • Serve as the local “face” of SCOR to Canadian clients for claims-related purposes
  • Conducting claim audits, drafting claim audit reports and providing claims insight to various audiences
  • Coordinate Canadian claims data for monthly claims meeting
  • Providing marketing support relating to cedents and brokers
  • Analyzing loss and expense trends on loss portfolios, emerging risks and large losses, providing insight into plans to improve results
  • Anticipating client needs and expectations and delivering superior customer service
  • Working collaboratively with others within the claim department, as well as with claim experts and technical accountants, to ensure prompt turnaround and response to clients
  • Contributing to the company’s international community of claims expertise by sharing knowledge and experience on a global basis
  • Keeping abreast of claim and industry developments/trends in order to maintain a high level of expertise
  • Along with the Assistant Vice President of Claims in Toronto, coach, mentor and assist in the training of more junior claim staff
  • Participating in projects as required

  • 5–10+ years of combined insurance/reinsurance experience in casualty lines claims handling

  • College degree or equivalent work experience. Post-graduate degree and/or industry certification/designation a plus

  • Proven experience handling cyber, financial lines, and complex latent claims
  • Demonstrated ability to manage a portfolio of complex claims independently
  • Strong capability to organize, analyze, and interpret data
  • Prior management experience is an asset (people, project, or account management
  • Deep claims expertise and strong technical knowledge
  • Strong customer service orientation
  • Collaborative team player with the ability to work independently
  • Excellent verbal and written communication skills
  • Strong analytical and problem-solving abilities
  • Comfortable presenting findings, insights, and recommendations to stakeholders
  • Ability to coordinate and leverage resources to achieve desired outcomes
    • Proficiency and comfort with technology and digital tools
SCOR welcomes and encourages applications from people with disabilities. Accommodations are available on request for candidates taking part in all aspects of the selection process.
Hybrid Work Policy: SCOR is committed to an "in-office" culture where people can collaborate, exchange ideas, and establish stronger working relationships while still providing flexibility. To support employee work-life balance and increase opportunities for employees to excel every day, SCOR operates with a hybrid working arrangement. SCOR employees work 3 days per week in an office with the flexibility to work 2 days per week remotely.
Pay Range for roles performed in Toronto: $115,000-$141,000 CAD base salary per year. Actual salaries may vary based on various factors including but not limited to location, experience, role and performance. The range listed is just one component of SCOR's total compensation package for employees. Other rewards may include annual bonuses, short- and long-term incentives. In addition, we provide a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement saving plan, paid holidays and paid time off.

As a leading global reinsurer, SCOR offers its clients a diversified and innovative range of reinsurance and insurance solutions and services to control and manage risk. Applying “The Art & Science of Risk,” SCOR uses its industry-recognized expertise and cutting-edge financial solutions to serve its clients and contribute to the welfare and resilience of society in around 160 countries worldwide.

Working at SCOR means engaging with some of the best minds in the industry – actuaries, data scientists, underwriters, risk modelers, engineers, and many others – as we work together to find solutions to pressing challenges facing societies.

As an international company, our common culture is defined by “The SCOR Way.” Serving both to build momentum that drives the Group forward and as a compass to guide our actions and choices, The SCOR Way is anchored by five core values, reflecting the input of employees at all levels of the Group. We care about clients, people, and societies. We perform with integrity. We act with courage. We encourage open minds. And we thrive through collaboration.

SCOR supports inclusion and the diversity of talents, and all positions are open to people with disabilities.

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