Accident and Health Claims Adjudicator

Accident and Health Claims Adjudicator - Level 1 Canada (Remote) Job Description We are currently recruiting for an Accident and Health Adjudicator to join our team remotely in Canada. The position location is flexible, and we can offer in-office, hybrid or fully remote working arrangements. Responsibilities Assess low-complexity Affinity claims (travel, baggage, simple reimbursements). Determine benefit entitlement according to policy and claims handling processes. Collect and analyze additional data (e.g., medical information). Resolve inquiries promptly and maintain client/referral relations. Make timely first contact on new claims and gather additional information to expedite decisions. Prepare verbal and written reports supporting decisions. Record detailed progress notes and prepare correspondence using approved templates. Ensure accurate eligibility determination and adherence to turnaround timelines. Maintain reserves, obtain necessary authority, and process payments promptly. Submit accurate billing and expense reports on time. Provide timely responses to claimants and stakeholders. Document all communications in the system. Deliver clear, professional updates regarding claim status. Qualifications Experience working in an insurance environment with a good understanding of insurance adjusting. Accident and Health Adjudication experience would be an asset. Working towards full Independent Adjusting License and CIP Designation. Post Secondary education in an insurance related field considered an asset. Experience in adjusting including the investigation and detailed reporting of multi-line or auto claims. Excellent ability to interact with clients, claimants, and field staff for the exchange of information often requiring analysis. Excellent interpersonal abilities are required to enable effective interaction and communication in both oral and written format with employees, policyholders, employers and other insurance/medical/legal professionals. The ability and willingness to learn multiple computer systems. Strong analytical and decision making skills. Ability to multitask. Ability to effectively manage change. Must be a team player with outstanding customer service skills. Willingness to work in a dynamic environment with opportunity for career growth. #LI-CD1#LI-RT1 About Us Why Crawford? Because a claim is more than a number — it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community – one claim at a time. At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us. We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com Our total compensation plans provide each of our employees with far more than just a great salary Pay and incentive plans that recognize performance excellence Benefit programs that empower financial, physical, and mental wellness Training programs that promote continuous learning and career progression while enhancing job performance Sustainability programs that give back to the communities in which we live and work A culture of respect, collaboration, entrepreneurial spirit and inclusion Job Info Job Identification 3451 Job Category Professional Posting Date 12/16/2025, 05:45 PM Job Schedule Full time Locations 200-2300 University Avenue East, Waterloo, ON, N2K 0A2, CA 200-4299 Canada Way, Burnaby, BC, V5G 1H1, CA 3165-144 Avenue SE , Suite 200, Calgary, AB, T2Z 3X2, CA 2 Harbourside Access Rd. Ste. 4, Charlottetown, PE, C1A 8R4, CA 120-237 Brownlow Ave., Dartmouth, NS, B3B 2C6, CA 341- 1133 St. George Blvd, Moncton, NB, E1E 4E1, CA 5100 rue Sherbrooke Est , Bureau 702, Montreal, QC, H1V 3R9, CA 96 Clyde Ave , Suite 100, Mount Pearl, NL, A1N 4S2, CA 120-2150 Scarth St, Regina, SK, S4P 2H6, CA 2300 University Ave. E., Suite 200, Waterloo, ON, N2K 0A2, CA 5 Scurfield Blvd , Unit 5, Winnipeg, MB, R3Y 1G3, CA (Remote) #J-18808-Ljbffr