Claims Examiner (Ontario)

Claims Examiner (Ontario)

16 Sep
|
MSH Americas - DIOT-SIACI Group
|
Ontario

16 Sep

MSH Americas - DIOT-SIACI Group

Ontario

At MSH, passion meets profession. We’re a team of dedicated enthusiasts who find genuine fulfillment in what we do — and we’re looking for someone who feels the same way.

About You
You are an experienced Claims Examiner who can handle a large case load, multi-task, and meet tight deadlines. You thrive in a fast-paced environment providing excellent customer service in both the claim turnaround and handling emails and incoming calls. You will have the desire to develop an in-depth understanding of this position and be able to easily maneuver through numerous policies to assess claims and inquiries accurately. You are a strong team player.

You will be responsible for processing a variety of different claims and communicating these decisions to providers, members, and clients. You have strong time management skills, claims experience, and policy interpretation.

In This Role, You’ll Get To Experience

Process travel insurance claims for medical, trip cancellation/interruption, baggage, dental, and vision claims up to the designated limit.

Adjudicate claims according to various benefit policies

Handle both inbound and outbound calls, and complaints, and provide excellent customer service for claims matters both in person and via written correspondence

Work closely with claimants, providers, agents, brokers, other insurance carriers, or their representatives

Work closely with other departments within the company on a day-to-day basis

Maintain accurate documentation on all claim files

Adjust reserves following the insurer’s guidelines

Present cases and participate in discussions during file reviews and appeals

Ensure all work complies with the PIPEDA and HIPAA

Support department initiatives and objectives

Provide guidance and mentorship to peers

Other related duties as assigned

What You Bring

High school diploma or University Degree or equivalent





Minimum 2-3 years of relevant travel insurance or medical insurance claims processing experience

Bilingual: English/French is required

Strong analytical and problem-solving skills

High level of proficiency in Microsoft Office suites

Superior verbal and written communication skills in English and/or French

Strong time management and organizational skills

Must successfully apply for Alberta Adjuster License within one month of hire

What do you need to succeed?

Experience in handling Canadian and US medical invoices/claims

Dispute resolutions experience

GHIP recovery/coordination of benefits/subrogation

Solid Team Player

What's In It for You

Salary Range: 48-52k CAD annually + Variable Bonus (Final compensation will reflect the candidate's experience, skills, and qualifications)

Flexible hybrid work setup

Employee assistance program

Wellness spending account

RRSP matching

Minimum 3 weeks vacation (plus generous sick and flex days)

Real opportunities for growth and skill development

Inclusive, diverse workplace culture

Leadership that genuinely cares about your success and well-being

Clear paths for both vertical and horizontal growth opportunities

MSH is an equal opportunity employer committed to fostering an inclusive, barrier-free recruitment process. We welcome applications from all qualified individuals regardless of race, ancestry, colour, ethnic origin, citizenship, creed, sex, sexual orientation, gender identity or expression, age, record of offences, marital status, family status, or disability.

If you require accommodation at any stage of the recruitment process, please reach out. We will work with you in accordance with the Ontario Human Rights Code and the Accessibility for Ontarians with Disabilities Act (AODA).

We thank all applicants for their interest. Only those selected for an interview will be contacted.

In accordance with Ontario's Working for Workers Four Act, 2024, MSH confirms that artificial intelligence tools may be used in the recruitment and selection process for this position

#J-18808-Ljbffr

📌 Claims Examiner (Ontario)
🏢 MSH Americas - DIOT-SIACI Group
📍 Ontario

Reply to this offer

Impress this employer describing Your skills and abilities, fill out the form below and leave Your personal touch in the presentation letter.

Subscribe to this job alert:

Get the latest job offers by email for: claims examiner (ontario) / ontario

Subscribe to this job alert:

Get the latest job offers by email for: claims examiner (ontario) / ontario