Claims Examiner

7 months ago

Toronto, Canada MSH Americas - Diot-Siaci Group Full time

About Us:

We are seeking ambitious individuals who share our values and our passion for making a positive impact on people's lives around the world. If you are looking for a career that challenges and inspires you, then you've come to the right place.


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?

  • Snowbird, expatriate insurance, TPA experience
  • 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:

  • Hybrid work environment
  • Excellent health benefits
  • Employee assistance program
  • Wellness account
  • RRSP matching
  • Minimum 3 weeks’ vacation
  • Generous allowances for sick and flex days
  • Tuition reimbursement program
  • Opportunities to learn new skills, grow, and move into different roles
  • A work environment that embraces diversity and promotes inclusivity.
  • Supportive leadership prioritizes your success and cares about your well-being.
  • A growth trajectory that is designed to expand both vertically and horizontally, providing you with opportunities to pursue your passions and acquire new skills.


Additional Notes

  • Our work week is Monday to Friday, 8 hours per day. The hours are flexible, with start times between 8 am and 10 am. Occasional flexibility in hours is required to meet the needs of the business.
  • A laptop will be provided


MSH is an Equal Opportunity Employer

MSH Americas is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other protected status under applicable law. We encourage and welcome applicants from all backgrounds to apply for our open positions.

Removing obstacles to offer fair access to jobs is our top priority. When a candidate asks for reasonable accommodation throughout the application process, a Human Resources professional will assist them. The information provided during the accommodation request process will be handled, saved, and utilized in accordance with the laws that apply to it as well as the rules of MSH International.

  • Casualty Claims Examiner

    7 months ago

    Toronto, Canada Specialty Claims Canada Full time

    **Specialty Claims Canada** **“Specialty Claims” **is the in-house claims management department of Specialty Programs Group Canada “SPGC”. Specialty Claims prides itself on managing claims on behalf of the Cansure, Beacon and i3 brands. We manage claims for both our Canadian and London based market partners under a delegated authority. It is the...

  • Property Claims Examiners

    6 days ago

    Toronto, Canada Property Claims Examiners - Full-time (Remote, Ontario) Full time

    Company: Property Claims Examiners - Full-time (Remote, Ontario) International Programs Group (IPG) is an independent third-party administration (TPA) team providing claims services for Lloyd's of London syndicates, domestic insurers, self-insured entities, and organizations with high financial retentions.- Responsibilities: - Examine moderate to...

  • Claims Examiner

    6 months ago

    Toronto, Canada Munich Reinsurance Company of Canada Full time

    Claims Examiner **Company** Munich Reinsurance Company of Canada **Location** Toronto, Canada **Claims Examiner - 12 to 18 Month Contract** **We care for humankind - and that starts with our people** Our greatest strength lies not in what we do - but how we do it. It’s the unique individual behind every piece of work who matters the most. Our people...

  • Claims Examiner

    9 months ago

    Toronto, Canada Trident Global Assistance Inc. Full time

    Trident Global Assistance is looking for a Claims Examiner to join the company on a full-time basis. Currently, this position works from home but may be required to work from the office in the future. **Responsibilities** - Manage mid to high-level complexity travel insurance claims; - Verify coverage - Timely and accurately analyze and address coverage...

  • Claims Examiner

    7 months ago

    Toronto, Canada ARAG Legal Solutions Inc Full time

    **Claims **Examiner** The ARAG Group, a global leader in legal expense insurance operating in 19 countries offers an innovative and comprehensive range of legal expense products and services for brokers, underwriting agents and insurers across Canada. Reporting to the Director of Claims, the **Claims **Examiner** will be responsible to support our efforts...

  • Claims Examiner

    7 months ago

    Toronto, Canada QBE Insurance Full time

    **Primary Details** Time Type: Full time Worker Type: Employee At QBE, our purpose is to **enable a more resilient future.** Are you passionate about working for one of the world's largest insurers that offers excellent opportunities to grow your career and with offices in 28 countries? Leveraging our deep expertise and insights, QBE offers commercial,...

  • Claims Examiner

    7 months ago

    Toronto, Canada Western Financial Group Full time

    **Truthfulness | Fairness | Value | Loyalty** As one of Canada's largest insurance providers, Western has more than 220 locations across Canada. With over 2,100 team members, our actions are anchored in our Guiding Principles, Truthfulness, Fairness, Value, and Loyalty. We take care to deliver the right insurance solution every time so our customers can...

  • Bilingual Claims Examiner

    4 months ago

    Toronto, Canada Premier Canada Full time

    **Premier **(Premier Marine/Premier Canada) is one of Canada’s largest Managing Underwriting Agencies. A leader in the Specialty Insurance industry, 100% Canadian owned. Our people are committed to performance, positive outcomes, and career development that lead to mutual success for our organization, our valued employees, our partners and...

  • Claims Examiner

    3 months ago

    Toronto, Canada Everest Re Group, Ltd. Full time

    Title: Claims Examiner Company: Everest Insurance Company Of Canada Job Category: Claims Job Description: About Everest: Everest Group, Ltd. (Everest), is a leading global reinsurance and insurance provider, operating for nearly 50 years through subsidiaries in North America, Latin America, the UK & Ireland, Continental Europe and Asia Pacific regions....

  • Claims Examiner

    7 months ago

    Toronto, Canada Markel Corporation Full time

    The Claims function is focused on providing excellent customer service to our insureds. Working closely with the Underwriters and TPAs, the Claims team is an integral part of the product and customer experience delivered to our clients. Your role will be to manage claims across various product lines in a manner consistent with the Markel style and...

  • Claims Examiner

    6 months ago

    Toronto, Canada Arch Capital Group Ltd. Full time

    With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Job Summary The Claims Division is seeking a team member...

  • Claims Examiner

    4 months ago

    Toronto, Canada Arch Capital Group Ltd. Full time

    With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. The Claims Division is seeking a team member to join the...

  • Claims Examiner

    7 months ago

    Toronto, Canada MSH International (Canada) Ltd. Full time

    _**It's fun to work in a company where passion meets profession, and every team member is not just an employee but a dedicated enthusiast, making the work journey truly enjoyable and fulfilling!**_ **About Us**: We are seeking ambitious individuals who share our values and our passion for making a positive impact on people's lives around the world. If you...

  • Claims Examiner

    2 days ago

    Toronto, Canada Matrix Labour Leasing Ltd. Full time

    Matrix is hiring Claims Examiners for our client, a Financial Industry leader in Canada. As a part of the Claims Examiner team, you will have the opportunity to support the client's business by reviewing, investigating, and assessing group health and dental benefit claims submitted by our plan members. You will make payment decisions, and work to ensure your...

  • Insurance Claims Administrative Assistant

    7 months ago

    Greater Toronto Area, Canada DSB Claims Solutions Inc. Full time

    Named Best's Recommended Insurance Adjusters 2019 and awarded The Winmar Award for Excellence in Claims Service in 2018 and 2020, DSB Claims Solutions’ ongoing commitment to providing best-in-class service is evidenced by the team’s unrivalled depth of experience and availability 24/7 - 365 days a year. DSB knows that success depends on building a world...

  • Insurance Claims Advisor

    7 months ago

    Greater Toronto Area, Canada DSB Claims Solutions Inc. Full time

    Named Best's Recommended Insurance Adjusters 2019 and awarded The Winmar Award for Excellence in Claims Service in 2018 and 2020, DSB Claims Solutions’ ongoing commitment to providing best-in-class service is evidenced by the team’s unrivalled depth of experience and availability 24/7 - 365 days a year. DSB knows that success depends on building a world...

  • Claims Examiner

    6 months ago

    Toronto, Canada MSH Americas - Diot-Siaci Group Full time

    About Us:We are seeking ambitious individuals who share our values and our passion for making a positive impact on people's lives around the world. If you are looking for a career that challenges and inspires you, then you've come to the right place.About You: You are an experienced Claims Examiner who can handle a large case load, multi-task, and meet tight...

  • Claims Examiner

    7 months ago

    Toronto, Canada MSH Americas - Diot-Siaci Group Full time

    About Us: We are seeking ambitious individuals who share our values and our passion for making a positive impact on people's lives around the world. If you are looking for a career that challenges and inspires you, then you've come to the right place. About You: You are an experienced Claims Examiner who can handle a large case load, multi-task, and meet...

  • Property Claims Examiner

    5 months ago

    Toronto, Canada Cansure Full time

    **INTRODUCTION** Specialty Program Group Canada (SPGC) is a fast-paced insurance Managing General Agency (MGA) that provides innovative underwriting solutions for our network of brokers across Canada through our trade brands: Cansure, Beacon, i3 Underwriting, and Specialty Claims Canada. Our success as Canada’s largest MGA is based on our innovation,...

  • Claims Examiner

    7 months ago

    Toronto, Ontario, Ontario, Canada MSH Americas - Diot-Siaci Group Full time

    About Us:We are seeking ambitious individuals who share our values and our passion for making a positive impact on people's lives around the world. If you are looking for a career that challenges and inspires you, then you've come to the right place.About You: You are an experienced Claims Examiner who can handle a large case load, multi-task, and...