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 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 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

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