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 YouYou 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 robust 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 ExperienceProcess travel insurance claims for medical, trip cancellation/interruption, baggage, dental, and vision claims up to the designated limit.Adjudicate claims according to various benefit policiesHandle both inbound and outbound calls, and complaints, and provide excellent customer service for claims matters both in person and via written correspondenceWork closely with claimants, providers, agents, brokers, other insurance carriers, or their representativesWork closely with other departments within the company on a day-to-day basisMaintain accurate documentation on all claim filesAdjust reserves following the insurer’s guidelinesPresent cases and participate in discussions during file reviews and appealsEnsure all work complies with the PIPEDA and HIPAASupport department initiatives and objectivesProvide guidance and mentorship to peersOther related duties as assignedWhat You BringHigh school diploma or University Degree or equivalentMinimum 2-3 years of relevant travel insurance or medical insurance claims processing experienceBilingual: English/French is requiredStrong analytical and problem-solving skillsHigh level of proficiency in Microsoft Office suitesSuperior verbal and written communication skills in English and/or FrenchStrong time management and organizational skillsMust successfully apply for Alberta Adjuster License within one month of hireWhat do you need to succeed?Experience in handling Canadian and US medical invoices/claimsDispute resolutions experienceGHIP recovery/coordination of benefits/subrogationSolid Team PlayerWhat's In It for YouSalary Range: 48-52k CAD annually + Variable Bonus (Final compensation will reflect the candidate's experience, skills, and qualifications)Flexible hybrid work setupEmployee assistance programWellness spending accountRRSP matchingMinimum 3 weeks vacation (plus generous sick and flex days)Real opportunities for growth and skill developmentInclusive, diverse workplace cultureLeadership that genuinely cares about your success and well-beingClear paths for both vertical and horizontal career growthMSH 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

📌 Bilingual Claims Examiner (Winnipeg)
🏢 Aviva Canada
📍 Winnipeg