AppleOne Employment Services Provided Pay Range
This range is provided by AppleOne Employment Services. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base Pay Range
$25.00/hr - $27.00/hr

Senior Executive Recruiter | Accounting Advantage/HROne/Pro Fit Executive Search (Appleone Group of Companies)
$25-27ph 6 month temp with potential to go permanent

Our client is seeking an experienced Claims Examiner to join their growing team.

If you have hands‑on experience in claims adjudication , especially within travel or medical insurance, and you’re passionate about delivering exceptional customer service, we’d love to hear from you.

About the Role

As a Claims Examiner, you will be responsible for reviewing, assessing, and adjudicating a variety of travel insurance claims. You will work closely with claimants, providers, industry partners, and internal teams to ensure timely, accurate, and fair claim resolutions all while maintaining compliance with regulatory standards and upholding high service expectations.

Key Responsibilities

Process travel insurance claims (medical, trip cancellation/interruption, baggage, dental, vision) within designated approval limits

Adjudicate claims in alignment with applicable benefit policies and coverage guidelines

Handle inbound/outbound calls and written correspondence, delivering exceptional customer service

Collaborate with claimants,



providers, agents/brokers, and other insurance carriers

Work cross‑functionally with internal departments to support daily operations

Maintain thorough claim file documentation and adjust reserves in accordance with insurer standards

Participate in file reviews, appeal discussions, and case presentations

Ensure compliance with privacy regulations including PIPEDA and HIPAA

Mentor team members and support departmental projects and initiatives

Required Qualifications

High school diploma or post‑secondary education

2–3 years of experience in travel or medical insurance claims processing preferred

Strong analytical and problem‑solving skills

Proficiency in Microsoft Office Suite

Excellent verbal and written communication abilities

Effective time management and strong organizational skills

Preferred Experience

Background in snowbird, expatriate insurance, or third‑party administration (TPA)

Experience handling Canadian and U.S. medical invoices/claims

Knowledge of dispute resolution processes

Familiarity with GHIP recovery, coordination of advantages, or subrogation

Disclaimer

This is currently for an active job opportunity.

By applying, you will be part of our trusted network, ensuring our recruiters match you with suitable roles. Let us help you take the next step in your career journey!

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📌 Claims Examiner (Ontario)
🏢 AppleOne Employment Services
📍 Ontario