Current jobs related to Claims Adjuster - Canada, CA - Kelly Services , Ltd.

  • Claims Adjuster Property

    1 month ago

    Canada, CA Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...

  • Bilingual Claims Examiner

    2 months ago

    Canada, CA Robertson & Company Ltd. Full time

    The Client: The Client is a Canadian owned industry leader in Specialty Insurance looking for someone to join their Claims team. They are known for providing unique and niche insurance solutions across Canada with a wide range of products from Professional Lines, Environmental/Pollution, Construction, Specialty Commercial Programs, Specialty Personal Lines &...

  • Claims Representative

    2 months ago

    Canada, CA Hays Full time

    Title: Operations System Damages RepresentativeLocation: Penticton, Vernon, or SurreyYour new companyProvince’s largest energy provider with more than 100 years of knowledge and experience, we proudly deliver renewable energy, natural gas, electricity and propane to 1.2 million customers. Your new roleEnsure that all data and information that supports the...

  • Bilingual Senior Claims Counsel

    13 hours ago

    Canada, CA BJRC Recruiting Full time

    Our clientIs a rapidly growing North American Insurance Company Responsibilities Manage claims within Specialty Insurance, Casualty, and Risk Solutions, overseeing coverage evaluation, claim reserves, and settlement negotiationsHandle litigation management, negotiate settlements, and authorize payments as necessaryReview, interpret, and draft agreements,...

  • Plaintiff Personal Injury Law Clerk or Paralegal

    1 month ago

    Canada, CA Virk Personal Injury Law Full time

    Personal Injury Law Clerk – Hamilton, OntarioOur reputable personal injury firm in Hamilton is searching for a highly skilled and enthusiastic law clerk or paralegal to join our passionate and dedicated close-knit team.What You'll Be Doing:Client Advocacy: Be the bridge between clients and their path to recovery. Attend potential new client meetings...

  • Bilingual Customer Service Associate

    3 months ago

    Canada, CA Tech Mahindra Full time

    ResponsibilitiesCommunication with customers by voice and email to provide information about products and service offeringsMaintaining records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.Resolution of customer disputes or billing complaints.Check to ensure that appropriate...

  • Senior Construction Project Manager

    3 months ago

    Canada, CA MP Lundy Construction Inc. Full time

    ABOUT USEstablished in 1967, M.P. Lundy Construction (Lundy) strives every day to provide the best possible construction experience to our clients. We understand that every client has unique needs and the undertaking of a major construction project can be a challenging and stressful time. We are here to simplify the construction process while safeguarding...

  • Claims Field Adjuster

    4 weeks ago

    Canada Sedgwick Full time

    About the RoleWe are seeking a skilled Claims Field Adjuster to join our team at Sedgwick. As a Claims Field Adjuster, you will play a critical role in handling losses and claims for property and casualty insurers.Key ResponsibilitiesExamine insurance policies and other records to determine insurance coverage.Interviews, telephones, and/or corresponds with...

  • Claims Field Adjuster

    4 weeks ago

    Canada Sedgwick Full time

    About the RoleWe are seeking a skilled Claims Field Adjuster to join our team at Sedgwick. As a Claims Field Adjuster, you will play a critical role in handling losses and claims for property and casualty insurers.Key ResponsibilitiesExamine insurance policies and other records to determine insurance coverage.Interviews, telephones, and/or corresponds with...

  • Claims Adjuster Property Specialist

    1 month ago

    Canada Sedgwick Full time

    About the RoleSedgwick is seeking a skilled Claims Adjuster Property to join our team. As a Claims Adjuster Property, you will play a critical role in handling losses and claims for property and casualty insurers.Key ResponsibilitiesExamine insurance policies and other records to determine insurance coverage.Interview claimants and witnesses, and correspond...

  • Claims Adjuster Property Specialist

    1 month ago

    Canada Sedgwick Full time

    About the RoleSedgwick is seeking a skilled Claims Adjuster Property to join our team. As a Claims Adjuster Property, you will play a critical role in handling losses and claims for property and casualty insurers.Key ResponsibilitiesExamine insurance policies and other records to determine insurance coverage.Interview claimants and witnesses, and correspond...

  • Property Field Claims Adjuster

    4 weeks ago

    Canada Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. And it means working in an environment that celebrates diversity and is fair and inclusive. Claims Adjuster - Property To handle losses and claims for property and casualty insurers. Examines insurance policies and other records to...

  • Bilingual (Eng./fre.) Cat Claims Field Adjuster

    5 months ago

    Canada TD Bank Full time

    **Bilingual (Eng./Fre.) CAT Claims Field Adjuster**: - 416394BR **Job Category - Primary** - Insurance **Work Location** - 50 Boulevard Cremazie West **Employment Type** - Regular **City** - Montreal **Time Type** - Full Time **Province/State** - Quebec **Hours** - 35 **Workplace Model** - Remote **Pay Details** **Department Overview** - TD...

  • Bilingual Claims Examiner

    1 month ago

    Canada Robertson & Company Ltd. Full time

    Claims Examiner - Specialty InsuranceThe Robertson & Company Ltd. is seeking a highly skilled Claims Examiner to join their team in the Specialty Insurance department. As a Claims Examiner, you will be responsible for handling first- and third-party claims with exposures across Canada, including files in litigation.Key Responsibilities:Manage, investigate,...

  • Bilingual Claims Examiner

    1 month ago

    Canada Robertson & Company Ltd. Full time

    Claims Examiner - Specialty InsuranceThe Robertson & Company Ltd. is seeking a highly skilled Claims Examiner to join their team in the Specialty Insurance department. As a Claims Examiner, you will be responsible for handling first- and third-party claims with exposures across Canada, including files in litigation.Key Responsibilities:Manage, investigate,...

  • Claims Advisor

    5 months ago

    Canada BFL CANADA Full time

    **We offer more than a job, we offer a career!** - We support our employees to shape their careers by encouraging continuing education and investing in training and development. - We put our employees at the center of what we do to allow them to grow personally and professionally, with projects and challenges that are motivating and rewarding. - We inspire...

  • Senior Claims Oversight Specialist

    2 weeks ago

    Canada Allstate Full time

    About the RoleWe are seeking a highly skilled Senior Consultant to join our Vendor Management Team. As a key member of our team, you will be responsible for providing oversight and direction on claims handled by contingent worker adjusters from initial report to final disposition.Key ResponsibilitiesOversee and provide guidance to adjusters in conducting...

  • Property Adjuster

    1 month ago

    Saskatchewan, Canada, Canada Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...

  • Accident Benefits Adjuster

    1 month ago

    Ontario, Canada, Canada DGA Careers Full time

    We are working with a Canadian Insurance company that is looking to add to their AB team. This role is fully remote with the odd trip to the office from meetings or training etc. As an Accident Benefits Adjuster, you'll work from the comfort of your home in Ontario, taking on the following responsibilities: • Conduct thorough investigations,...

  • Specialist, Quebec Property Claims

    5 months ago

    Canada Definity Financial Corporation Full time

    Job ID : 7012 Category : Claims Brand : Definity Regular/Temporary : Regular Fulltime/Parttime : Full Time Location : Montreal, Canada Definity includes some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. With strong roots that date back...

  • Lead Consultant

    2 months ago

    Canada Allstate Full time

    About the RoleThe Senior Consultant I is a key member of the Vendor Management Team at Allstate, responsible for overseeing and directing claims handled by contingent worker adjusters from initial report to final disposition.Key ResponsibilitiesProvide oversight and guidance to adjusters in conducting investigations and assessing coverage, liability, and...

  • Lead Consultant

    2 months ago

    Canada Allstate Full time

    About the RoleThe Senior Consultant I is a key member of the Vendor Management Team at Allstate, responsible for overseeing and directing claims handled by contingent worker adjusters from initial report to final disposition.Key ResponsibilitiesProvide oversight and guidance to adjusters in conducting investigations and assessing coverage, liability, and...

  • Lead Consultant

    3 weeks ago

    Canada Allstate Full time

    Senior Consultant I Job DescriptionAt Allstate, we're committed to protecting families and their belongings from life's uncertainties. Our innovative drive has kept us ahead of our customers' evolving needs for over 90 years.Job SummaryThe Senior Consultant I is a key member of the Vendor Management Team, responsible for overseeing and directing claims...

  • Lead Consultant

    3 weeks ago

    Canada Allstate Full time

    Senior Consultant I Job DescriptionAt Allstate, we're committed to protecting families and their belongings from life's uncertainties. Our innovative drive has kept us ahead of our customers' evolving needs for over 90 years.Job SummaryThe Senior Consultant I is a key member of the Vendor Management Team, responsible for overseeing and directing claims...

  • Lead Consultant

    1 month ago

    Canada Allstate Full time

    At Allstate, we're committed to protecting families and their belongings from life's uncertainties. Our innovative drive has kept us ahead of our customers' evolving needs for over 90 years.Job OverviewThe Senior Consultant I plays a critical role in the Vendor Management Team, overseeing claims handled by contingent worker adjusters from initial report to...

  • Lead Consultant

    1 month ago

    Canada Allstate Full time

    At Allstate, we're committed to protecting families and their belongings from life's uncertainties. Our innovative drive has kept us ahead of our customers' evolving needs for over 90 years.Job OverviewThe Senior Consultant I plays a critical role in the Vendor Management Team, overseeing claims handled by contingent worker adjusters from initial report to...

  • Lead Consultant

    4 weeks ago

    Canada Allstate Full time

    Senior Consultant I Job DescriptionAt Allstate, we're committed to protecting families and their belongings from life's uncertainties. Our innovative drive has kept us ahead of our customers' evolving needs for over 90 years.Job SummaryThe Senior Consultant I is a key member of the Vendor Management Team, responsible for providing oversight and direction on...

Claims Adjuster

2 months ago

Canada, CA Kelly Services , Ltd. Full time

Kelly has partnered with our client in the Insurance Industry to recruit for a Claims Adjudicator contractor.


Job ID Number 13535

Job Title: Claims Adjudicator I

Dates: Sept. 17/24 to Mar. 29/25

Hours: Mon – Fri 9am-5pm EST 37.5 hours/week

Pay Rate: $20.00/hour

Location: Remote – Open to candidates across Canada but must work EST hours


Typical Day in the Role:

The Claims Adjudicator is accountable for handling claims in accordance with high standards to meet or surpass client expectations. The Adjudicator is required to make a number of determinations that affect the member's entitlement to benefits and/or the amount of benefits that are payable. The Adjudicator reviews claims for completeness, enters, and assesses claims, and producs the final statement and/or payment responsibility, after the member's insurance benefits are applied to a claim.


  • Assesses highly complex health/dental claims in keeping with contract provisions, taking initiative and ensuring that empowered decision making is a key component of the process
  • Assume ownership of the claims assigned with an understanding of the urgency of specific cases and effectively prioritize work accordingly
  • Establish and maintain quality customer service within our turnaround times using influence with internal and external clients to meet all pre-established service standards in order to delight our customers
  • Commitment to Financial Efficiency and Continuous Improvement targets, as required
  • Commitment to improving NPS (customer) scored based on overall goals


Supporting the business:

  • Sound knowledge and ability to apply appropriate risk management tools and techniques
  • Actively participate in various projects that improve effectiveness and efficiency in claims practices in keeping with our culture of continuous improvement
  • Manage all issues and requirements related to the claim to achieve customer/claim resolution handing off only as appropriate (claims adjustments, warranty investigation, technical decisions)


MUST HAVE:

  • Exceptional communication skills: proficient in both verbal and written communication for diverse internal and external audiences
  • Proficiency in Microsoft Officer 365: Strong working knowledge of the Office 365 suite of programs
  • Detail-Oriented with Quick Assessment Skills: This role requires a keen eye for detail, as it involves reviewing receipts, extracting data, and accurately inputting information into the system. An analytical mindset is essential to understand and make decisions based on the information presented
  • Team and Individual Effectiveness: Proven ability to work effectively both independently and as part of a team in a fast-paced environment


Soft skills

  • Strong customer service focus
  • Ability to take initiative
  • Excellent interpersonal skills and the ability to interact and work with others at all levels to achieve customer resolution


Nice-to-Have Skills:

  • Bilingual English/French is an asset
  • Previous claims adjudication and/or relevant insurance or health care industry experience
  • Previous call centre and/or data processing experience