Claims Examiner

4 weeks ago


Toronto, Canada CRC Full time

Accessibility
- (accommodation requests only; other inquiries won't receive a response)._

Regular or Temporary:
Regular

Language Fluency: English (required)

Work Shift:
1st Shift (Canada)

Please review the following job description:
Manages the review, approval, payment, and risks associated with life, disability, and job loss claims within approved authority limits for RMA’s Insurance Solutions business.

Position Responsibilities
- Ensure accurate and timely investigation, evaluation, and eligibility of life, disability, and job loss claims based on medical information, job requirements, non-medical factors, and policy terms within established service standards and operating protocols.
- Communicate decisions and recommendations to management and clients.
- Ensure accurate and timely documentation of all communication with customers.
- Collaborate with management to exchange ideas, gather information, and offer solutions on claims.
- Ensure proactive communication with policyholders regarding claim status and developments.
- Provide claims administrative support to other departments when required.

Position Requirements
- At least 3 years’ experience in claims administration in the life insurance industry
- Prior experience working with creditor insurance products would be an asset
- Excellent communication (oral and letter writing), interpersonal, and collaboration skills
- Strong analytical, problem-solving, and decision-making skills
- Ability to interact with clients and other stakeholders at all levels
- Ability to prioritize and multitask
- Strong Microsoft Office Word skills
- LOMA courses - completion of Levels 1 and 2 an asset
- Bilingual (Fr/Eng)
- Experience dealing with medical professionals
- Familiarity with P&C insurance products would be an asset
- Willingness to take industry courses

General Description of Available Benefits for Eligible Employees of TIH Insurance: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of TIH Insurance offering the position. TIH offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. For more details on TIH's generous benefit plans, please visit

our site
- Depending on the position and division, this job may also be eligible for TIH’s defined benefit pension plan, restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work.
- CRC supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC is a Drug Free Workplace._



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