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    • We offer competitive salaries and a multitude of benefits starting day one including generous medical and dental coverage, telemedicine, employee and family…
    • View all BFL CANADA jobs - Toronto jobs - Claims Advisor jobs in Toronto, ON
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    • 5+ years of experience in invoicing, billing or collections.
    • Maintain clean and accurate billing records within the brokerage management system, ensuring proper…
    • The successful candidate will be appointed to the division where their position will consist of approximately 50% to 60% protected time for academic work…
    • Oversee centralized invoicing and billing processes across all providers.
    • Strong financial and operational acumen, including experience with reporting, billing,…
    • Escalation of patient billing / insurance issues.
    • The Patient Revenue Analyst would be the consultant for the improvement and growth of existing revenue…
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    • Experience managing engagement economics, including budgeting, staffing, and client billing.
    • Identify opportunities to provide other specialty tax services to…
    • Working knowledge of ambulatory ECG monitoring and OHIP billing, including how physician billing rules influence the services and business models available to…
    • Medication and medical emergencies stay with the primary care team.
    • Flag risk and coordinate with the nurse practitioner when a patient needs medical follow-up.
    • Demonstrated ability to build trusted relationships, articulate the value of products and services, and educate clients on their personal financial needs and…
    • Training and billing support while the physician builds their practice.
    • MD Direct, in the Greater Toronto Area, is looking for a 2/3 to full-time Family…
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    • Exposure to medical, healthcare, and office environments.
    • Ensure legal and other billing accurately reflects events as they occur and are submitted per policy.
    • Establish and communicate professional examination and assessment fees and ensure accurate billing for services provided.
    • Candidates must have an MD degree from an accredited medical school.
    • The successful candidate must be eligible to hold an academic appointment at the rank of…
    • The successful candidate will play a leadership role in advancing regional and remote cardiovascular care, with a particular focus on strengthening partnerships…
    • In addition, as directed by the Head, Division of Infectious Diseases, they will be expected to provide inpatient and outpatient clinical infectious diseases…
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Senior Claims Advisor
Toronto, ON M5H 3M7
•
Hybrid work
$90,000–$128,000 a year
Permanent

Job details

$90,000–$128,000 a year
Dental care, Employee assistance program
Permanent
Hybrid work in Toronto, ON M5H 3M7

Full job description

We offer more than a job, we offer a career!

  • We support our employees to shape their career by encouraging continuing education and investing in training and development.
  • We put our employees at the center of what we do to allow them to grow personally and professionally, with projects and challenges that are motivating and rewarding.
  • We inspire people to do what they are passionate about by believing in integrity, respect and recognition of diversity and community support.
  • We are a dynamic team where entrepreneurship, innovation and collaboration are at the core of our values.
  • We offer competitive salaries and a multitude of benefits starting day one including generous medical and dental coverage, telemedicine, employee and family assistance program, and retirement and savings programs.
  • We recognize the importance of work-life balance with our hybrid work program, wellness allowance, and year-round social activities and events.

We are looking for a Senior Claims Advisor to join our team in our Toronto, Hamilton, London or Waterloo office!

As a Senior Claims Advisor, you will directly report to the Vice-President – Claims, Central Region and work closely with lawyers, underwriters and adjusters to conduct analysis of claims and coverage and recommend solutions to coverage issues.

If you are looking for a dynamic work environment, keep reading!


Your day as a Senior Claims Advisor

  • Conduct analysis of claims and coverage and recommend solutions to coverage issues.
  • Provide technical expertise to internal and external clients regarding claims coverage.
  • Negotiate payments and reimbursements with the insurers on the client’s behalf.
  • Update the client on the status of the claim as required.
  • Ensure that the Client Executive is up to date on the current claims status of the account.
  • Enter and maintain current and accurate information in EPIC.
  • Maintain current and accurate files and documentation for each claim.
  • Build and maintain excellent working relationships with adjusters, insurers and related trades and suppliers.
  • Identify any client or system issues that may arise to the appropriate individuals.
  • Comply with all corporate policies and procedures.
  • Develop claims management reports and distribute reports to management and/or clients as required.
  • Develop and distribute claim notification reports identifying major losses, trends or frequency for management and/or clients.
  • Mentor and support the Claims team with problem files and difficult situations.
  • Participate in presentations to clients and prospective clients and/or Associations.

Our Ideal Candidate

  • 7 to 10 years of relevant experience in claims handling.
  • Strong insurance background and excellent knowledge of coverages.
  • RIBO Licensed preferred; must be willing to get licensed if not already.
  • CIP, CRM certification is an asset.
  • Customer focused and service oriented.
  • Attention to detail and precise.
  • Strong analytical, problem solving and communication skills.
  • Effective time management and organizational skills.
  • Ability to work well independently and as part of a team.
  • Good command of the Microsoft Office Suite (Word, Excel, …)
  • EPIC systems knowledge is an asset.

This posting is for an existing vacancy position.

The expected salary for this role ranges from $90,000 to $128,000. Annual salary will be determined by factors including prior experience, location, business segment, and relevance of the candidate’s skills to the role.


Who we are

Founded in 1987 by Barry F. Lorenzetti, BFL CANADA is one of the largest employee-owned and operated Risk Management, Insurance Brokerage, and Employee Benefits consulting services firms in North America. The firm has a team of over 1,500 professionals located in 27 offices across the country. Thanks to its Local International Office Network of independent brokers (LION), BFL CANADA provides clients with privileged access to insurance partners in over 140 countries, helping to support their operations both in Canada and globally.

Let us stay in touch: follow us on LinkedIn (https://www.linkedin.com/company/bfl-canada/mycompany/?viewAsMember=true) to get privileged access to our activities and see our other job opportunities.

Visit our website to learn more about us: bflcanada.ca/ (http://www.bflcanada.ca/)

BFL CANADA is an equal opportunity employer. We welcome and encourage applications from people with disabilities. Accommodations are available on request for candidates taking part in all aspects of the selection process.

BFL CANADA does not use any Artificial Intelligence tool or technology to screen, evaluate, or select applicants.

Offers of employment at BFL CANADA are conditional upon satisfactory results of background verifications.

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