Medical Claims jobs in Ontario
Nationally Licensed Insurance Claims Adjudicator - GAP Insurance Mechanical Breakdown Insurance
Easily applyUrgently hiringGuarantee VCNorth York, ON M3B 3J5- $60,000–$65,000 a year
- Full-time +1
- Paid time off
- Dental care
- Life insurance
- Casual dress
- On-site parking
- Evaluate claim documentation, repair estimates, and policy coverage details to determine claim validity.
- Collaborate with internal teams to resolve complex or…
Property & Estate Manager — Bahamas (Luxury Rentals & Private Residences)
Easily applyUrgently hiringConfidentialOttawa, ON- $77,806.91–$177,295.03 a year
- Full-time +1
- Paid time off
- Expatriate medical insurance; phone/data stipend; statutory benefits; three weeks' vacation.
- Hands-on Airbnb/VRBO hosting experience with a track record you can…
OTL Licensed Insurance Agent (Ontario)
Easily applyUrgently hiringSquare One Insurance ServicesCanada- $60,000–$67,000 a year
- Full-time
- Vision care
- Dental care
- Disability insurance
- Profit sharing
- Work from home
- Extended health care
Often responds in 1 dayTop-rated employer- Taking claims reports from clients.
- Flexible medical, dental, vision and extended health care coverage.
- Sales and service support are provided from their…
View similar jobs with this employerDefinity Financial CorporationToronto, ON- $73,500–$123,500 a year
- Full-time
- Tuition reimbursement
- Paid time off
- Company pension
- RRSP match
- Maintain GL and ABI claim files and document claim file activities in accordance with established procedures Utilize evaluation documentation tools in…
- City of Thunder BayThunder Bay, ON
- $92,657.73–$109,009.09 a year
- Full-time
- Tuition reimbursement
- Vision care
- Dental care
- Life insurance
- Employee assistance program
- Designated paid holidays
- Ensure claims are tracked, monitored, and analyzed, identifying trends and recommending or implementing appropriate corrective or preventative actions.
- City of Thunder BayThunder Bay, ON
- $92,657.73–$109,009.09 a year
- Full-time
- Tuition reimbursement
- Vision care
- Dental care
- Life insurance
- Employee assistance program
- Designated paid holidays
- Ensure claims are tracked, monitored, and analyzed, identifying trends and recommending or implementing appropriate corrective or preventative actions.
Accident Benefits Specialist - Full Time
Easily applyNewOatley Vigmond Personal Injury LawyersBarrie, ON- $85,000–$115,000 a year
- Full-time
- Overtime
- Tuition reimbursement
- Paid time off
- Vision care
- Dental care
- Life insurance
- Employee assistance program
- Manage a caseload of complex Accident Benefits matters, ensuring rehabilitation providers, insurers, and other stakeholders remain engaged and accountable…
- TD BankMarkham, ON
- $66,800–$94,300 a year
- Full-time
- Paid time off
- ✅ Opportunity to leverage your medical, legal, or claims experience in a corporate setting.
- Apply judgement and technical expertise across medical, legal, and…
- SCORToronto, ON
- $115,000–$141,000 a year
- Paid time off
- Disability insurance
- Designated paid holidays
- Conducting claim audits, drafting claim audit reports and providing claims insight to various audiences.
- Coordinate Canadian claims data for monthly claims…
Legal Assistant Accident Benefits Department
Easily applyUrgently hiringThe Biking Lawyer LLPToronto, ON M6R 2B7- $50,000–$65,000 a year
- Full-time
- Paid time off
- Dental care
- Work from home
- Casual dress
- Extended health care
- Flexible schedule
- Corresponding with clients, insurance adjusters and medical providers to gather information or clarification needed for claims processing.
View similar jobs with this employerBodily Injury Auto Adjuster (contract remote)
Easily applyOften replies in 3 daysCrawford & Company (Canada) Inc.Toronto, ON- From $55,000 a year
- Full-time +3
- Work from home
- Manage challenging coverage claims with tact and professionalism.
- Litigations claims : 3 years (required).
- Minimum 3 years of experience handling bodily injury…
Law Clerk - Accidents Benefits
Easily applyOften replies in 3 daysConfidentialNorth York, ON- Up to $65,000 a year
- Full-time +1
- Dental care
- Extended health care
- On-site parking
- Work from home
- Review and organize medical records, assessments, and other file documentation to support ongoing claims.
- Draft and prepare correspondence to defence counsel,…
- TD BankMarkham, ON
- $59,500–$84,000 a year
- Full-time
- Paid time off
- Provide support to the claims department and handling claim referrals.
- Review, assess, analyze, and evaluate detailed medical and non-medical risks, determine…
Medical Malpractice Law Clerk
Easily applyCartel Inc.Toronto, ON- Up to $90,000 a year
- Full-time
- Prepare medical chronologies and briefs to assist lawyers in understanding the medical issues.
- 5+ years supporting medical malpractice.
Director of Care
Easily applyBraemar Retirement Centre-WinghamListowel, ON- $118,000–$120,000 a year
- Full-time +1
- Vision care
- Dental care
- Extended health care
- Have knowledge of High Intensity Needs and to ensure submission of claims to the Ministry within appropriate time frames.
- RN license with the CNO (required).
Chief Financial Officer (CFO)
Easily applyUrgently hiringBolder DevelopmentsToronto, ON- $132,144–$180,000 a year
- Full-time
- Oversee insurance coverage and claims management.
- Experience in a manufacturing, healthcare, dental, medical technology, laboratory services, or a related…
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Job Post Details
Nationally Licensed Insurance Claims Adjudicator - GAP Insurance Mechanical Breakdown Insurance - job post
Job details
Pay
- $60,000–$65,000 a year
Job type
- Permanent
- Full-time
Location
Benefits
Pulled from the full job description
- Paid time off
- Dental care
- Life insurance
- Casual dress
- On-site parking
Full job description
Job Summary
We are seeking a highly skilled and licensed Insurance Claims Adjudicator specializing in GAP Insurance and Mechanical Breakdown Insurance. In this role, you will evaluate, process, and resolve insurance claims related to mechanical breakdowns and GAP coverage, ensuring accurate adjudication while providing exceptional customer service. The ideal candidate will possess strong analysis skills, negotiation abilities, and organizational expertise to manage complex claims efficiently and effectively. This position offers an opportunity to contribute to a dynamic team dedicated to delivering reliable insurance solutions.
Responsibilities
- Review and analyze insurance claims related to GAP and Mechanical Breakdown Insurance policies.
- Evaluate claim documentation, repair estimates, and policy coverage details to determine claim validity.
- Negotiate settlements with policyholders, repair shops, and other stakeholders to reach fair resolutions.
- Ensure compliance with company policies, industry regulations, and licensing requirements throughout the adjudication process.
- Maintain detailed records of claim activities, decisions, and correspondence for audit purposes.
- Collaborate with internal teams to resolve complex or disputed claims promptly.
- Provide exceptional customer service by communicating clearly and professionally with claimants and stakeholders.
- Stay updated on industry regulations, policy changes, and best practices relevant to insurance claim adjudication.
Requirements
- Valid and current insurance licensing as a Claims Adjudicator or similar credential recognized nationally.
- Proven experience in insurance claims processing, particularly in GAP Insurance or Mechanical Breakdown Insurance.
- Strong negotiation skills to facilitate fair settlements while managing stakeholder expectations.
- Excellent customer service skills with the ability to handle sensitive situations professionally.
- Analytical skills necessary for detailed review of claims documentation and policy coverage.
- Organizational skills to manage multiple claims efficiently while maintaining accuracy.
- Ability to work independently and collaboratively within a team environment.
- Attention to detail and high level of integrity in handling confidential information.
Pay: $60,000.00-$65,000.00 per year
Benefits:
- Casual dress
- Dental care
- Life insurance
- On-site parking
- Paid time off
Work Location: In person