Medical Claims Processor

2 weeks ago


Toronto ON, Canada AppleOne Employment Services Full time

Claims Examiner Toronto (Remote)
$25-27ph 6 month temp with potential to go permanent

Our client is seeking an experienced Claims Examiner to join their growing team.
If you have hands-on experience in claims adjudication , especially within travel or medical insurance, and you’re passionate about delivering exceptional customer service, we’d love to hear from you.

As a Claims Examiner, you will be responsible for reviewing, assessing, and adjudicating a variety of travel insurance claims. You will work closely with claimants, providers, industry partners, and internal teams to ensure timely, accurate, and fair claim resolutions all while maintaining compliance with regulatory standards and upholding high service expectations.

Process travel insurance claims (medical, trip cancellation/interruption, baggage, dental, vision) within designated approval limits
Adjudicate claims in alignment with applicable benefit policies and coverage guidelines
Handle inbound/outbound calls and written correspondence, delivering exceptional customer service
Maintain thorough claim file documentation and adjust reserves in accordance with insurer standards
Mentor team members and support departmental projects and initiatives

High school diploma or post-secondary education
~2–3 years of experience in travel or medical insurance claims processing preferred
~ Bilingual in English/French Asset
~ Proficiency in Microsoft Office Suite
~ S. medical invoices/claims
By applying, you will be part of our trusted network, ensuring our recruiters match you with suitable roles. Let us help you take the next step in your career journey



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