Use medical claims expertise and policy analysis at MSH while delivering bilingual English/French service in a flexible hybrid work setup.

This experienced Claims Examiner role focuses on processing and adjudicating travel insurance claims, including medical invoices and benefit inquiries. You will communicate decisions to providers, members, and clients while managing documentation, deadlines, calls, and written correspondence. The work requires careful policy interpretation and analytical problem-solving.

Key Responsibilities:

- Assess medical, dental, vision, and travel claims
- Communicate claim decisions to providers, members, and clients
- Handle calls, emails, complaints, and written correspondence
- Present cases during file reviews and appeals
- Ensure compliance with PIPEDA and HIPAA

Requirements:

- Two to three years of relevant insurance claims experience
- Experience handling Canadian and US medical claims
- Solid analytical and problem-solving abilities
- Proficiency in Microsoft Office suites
- Superior English and/or French verbal and written communication

Apply medical claims processing, benefit policy interpretation, and bilingual communication skills to accurate adjudication work at MSH.

📌 Bilingual Medical Claims Adjudicator (Toronto)
🏢 MSH Americas - DIOT-SIACI Group
📍 Toronto