Make a difference in healthcare with HIROC as a Claims Examiner. This role focuses on ensuring effective resolution of claims through investigation and collaboration, crucial for maintaining healthcare safety.

As a Claims Examiner, you will operate at the intersection of healthcare and insurance by managing claims from start to finish. Your expertise will guide various internal and external stakeholders while you ensure that all claims are resolved in a transparent and productive manner. Engage in negotiations and policy interpretation while broadening your knowledge of insurance practices.

Key Responsibilities:
• Analyze and review claims documentation thoroughly
• Provide instructions to adjusters on claims decisions




• Ensure preservation and collection of required evidence
• Manage negotiations regarding claims with all involved
• Educate subscribers on claims and insurance matters

Requirements:
• Minimum 5 years of experience and post-secondary education
• Completion of CIP or FCIP courses
• Strong analytical capabilities and problem-solving skills
• Excellent communication for diverse stakeholders
• Valid G driver's license and access to a vehicle

Support the mission to create a safer healthcare system with your expertise at HIROC.
#J-18808-Ljbffr

📌 Claims Examiner at HIROC (Ontario)
🏢 Healthcare Insurance Reciprocal of Canada (HIROC)
📍 Ontario