Medical Claims Consultant

3 weeks ago


Greater Vancouver Regional District BC, Canada Forward Insurance Managers Ltd. Full time

Forward Insurance Managers Ltd. is looking for a full-time Claims Examiner to join our team in-office in Vancouver, BC. Forward Insurance Managers Ltd. is a growing InsurTech Managing General Agency (MGA) licensed across Canada and distributes property & casualty insurance products through brokerage partners. Our vision is to blend traditional insurance delivery with technology for a modern approach. Review all aspects of an insurance claim investigation; · Provide investigation instructions to independent adjusters; · Review/examine independent adjusters' reports and supporting documentation to determine policy coverage, and damages; · Ensure accuracy of reserves and provide reserve recommendations consistent with corporate policies; · Ensure that claims are valid and that settlements are made according to company practices and procedures; · Pay and process claims within authority level; · Maintain and manage claim files with all documentation, correspondence, diaries, and file notes; · Conduct detailed bill reviews to implement sound file management and expense control; · Confer with lawyers on files in litigation; role may require attendance and possible travel to mediations. · Achieve performance targets. · Minimum 3 – 5 years insurance claims experience; · Computer competencies / high proficiency with MS Office. · Salary Range: CAD $85,000-$95,000 *


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