Claims Auditor/Trainer

Why Crawford & Company?At Crawford & Company, we strive to be at the forefront of change, leveraging our unmatched global expertise and industry-leading technology to deliver exceptional results. As a Claims Auditor/Trainer, you will be part of a global network of professionals working together to help people through challenging times.We offer a dynamic work...

Job OverviewWe are seeking a highly experienced Claims Auditor/Trainer to join our team in Waterloo or Mississauga, Canada.

Job Title: Claims Auditor SpecialistCrawford & Company is seeking an experienced Claims Auditor Specialist to join our team in Waterloo or Mississauga, Canada. This role offers flexible working arrangements, including in-office, hybrid, or fully remote options.The successful candidate will play a key role in reviewing and improving our claim handling...

The Pharmacy Claims Auditor will be a key member of the Business Integrity team at Cigna Health and Life Insurance Company, located in Mississauga.We are seeking a highly skilled auditor with recent retail pharmacy experience to conduct various types of audits across Canada. The ideal candidate will have a working knowledge of pharmacy software and be...

Job Title: Pharmacy Claims Auditor - Integrity SpecialistJob Summary:The Pharmacy Claims Auditor - Integrity Specialist position is a key role within our organization, responsible for conducting audits and investigations to ensure compliance with our pharmacy benefit management policies and procedures. This individual will work closely with our pharmacy team...

Pharmacy Claims Auditor Role OverviewAs a member of the Business Integrity team at Cigna Health and Life Insurance Company, the Pharmacy Claims Auditor will play a critical role in enhancing the value proposition for customers by ensuring the integrity of health claims. The successful candidate will be responsible for conducting various types of audits...

About This OpportunityExpress Scripts Canada is seeking a talented Pharmacy Claims Auditor to join our Business Integrity team. As a key member of our team, you will play a crucial role in enhancing our value proposition for customers by ensuring the integrity of health claims and maintaining a network of providers through diligent review and education.Key...

About Crawford & CompanyCrawford & Company is a global leader in claims management and outsourcing, dedicated to helping people through some of the most difficult times in their lives. With over 80 years of experience and a presence in over 70 countries, we are committed to delivering exceptional results and exceeding our clients'...

pTheBusinessIntegrityteamatCignaHealthandLifeInsuranceCompanyisresponsibleforenhancingthevaluepropositionforcustomersbyensuringtheintegrityofhealthclaimswhilemaintaininganetworkofproviders.TheAuditorwillconductvarioustypesofauditsacrossCanadatovalidatethatprovidersarecompliantwithbenefitplandesignandprofessionalpracticeregulations./ppTheAuditorwilluseanalyti...

This role is ideal for a seasoned professional with a strong background in Canadian Indirect Tax, particularly in GST/HST/QST/PST. The Senior Tax Consultant will work closely with the team to perform overpayment reviews, audit reviews, and filing refund claims for clients.Key Responsibilities:Prepare for reviews by researching and developing a review...

Job DescriptionThe Senior Recovery Tax Consultant role at ROSS is an exciting opportunity for a seasoned tax professional to join our team.Job SummaryWe are seeking a highly motivated and experienced Senior Recovery Tax Consultant to work with clients across Canada, providing recovery audit services and overseeing junior staff assigned to projects. The ideal...

We are seeking a skilled Training and Development Specialist to join our team at Northbridge Financial Corporation. This is an exciting opportunity to plan and manage a continuous training roadmap that includes both in-person and virtual sessions, ensuring our agents stay updated with industry trends and adult learning philosophies.About the RoleIn this...

We are seeking a skilled Training and Development Specialist to join our team at Northbridge Financial Corporation. As a key member of our organization, you will play a vital role in planning and managing continuous training roadmaps for agents, ensuring they stay updated with industry trends and adult learning philosophies.Your expertise in technical...

Job DescriptionWe are seeking a Quality and Compliance Professional to join our team at DCM.About the RoleThis is a key position responsible for maintaining business continuity, overseeing incident investigations, establishing quality KPIs, and supporting plant quality audits to ensure ISO and 5S certification.Key ResponsibilitiesMaintain and update business...

About Our ClientMichael Page is a leading recruitment agency that provides Personal and Commercial Specialty Insurance solutions to protect Canadian families and businesses across Canada.Job DescriptionYou will focus on understanding and addressing business needs by translating business needs into efficient system and process solutions, with a focus on the...

About SamsungSamsung is a global leader in technology, innovation, and diversity. We take pride in our talented people who drive our continued success.We want individuals who will add to our culture and make Samsung an even better place to work.Job SummaryThis role is responsible for ensuring the delivery of best-in-class payroll practices, policies, and...

Position Summary We are currently recruiting for a Claims Auditor/Trainer to join our team in Waterloo or Mississauga, Canada . The position location is flexible, and we can offer in-office, hybrid or fully remote working arrangements. The successful candidate will review the current claim handling processes to identify gaps and make...

Job Posting Title: Claims Quality Auditor Status: Regular **Job Description**: Under the immediate authority of the Director, the incumbent is responsible for evaluating the performance of activities related to claims processing. It carries out by sampling the hearing of claim files in order to meet the objectives of quality of service, productivity and...

The role of the Business Integrity team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while maintaining a network of providers through diligent review and education. The Auditor is responsible to conduct various types of audits across Canada to validate that providers are compliant...

The role of the Business Integrity team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while maintaining a network of providers through diligent review and education. The Auditor is responsible to conduct various types of audits across Canada to validate that providers are compliant...

The role of the Business Integrity team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while maintaining a network of providers through diligent review and education. The Auditor is responsible to conduct various types of audits across Canada to validate that providers are compliant...

The role of the Business Integrity team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while maintaining a network of providers through diligent review and education. The Auditor is responsible to conduct various types of audits across Canada to validate that providers are compliant...

The role of the Business Integrity team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while maintaining a network of providers through diligent review and education. The Auditor is responsible to conduct various types of audits across Canada to validate that providers are compliant...

The role of the Business Integrity team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while maintaining a network of providers through diligent review and education. The Auditor is responsible to conduct various types of audits across Canada to validate that providers are compliant...

**Summary**: The role of the Fraud, Waste & Abuse team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while maintaining a network of providers through diligent review and education. The Auditor is responsible to conduct various types of audits across Canada to validate that providers...

The role of the Fraud, Waste & Abuse team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while maintaining a network of providers through diligent review and education. The Auditor is responsible to conduct various types of audits across Canada to validate that providers are compliant...

**Description**: The role of the Fraud, Waste & Abuse team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while maintaining a network of providers through diligent review and education. The Auditor is responsible to conduct various types of audits across Canada to validate that...

The role of the Fraud, Waste and Abuse team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while maintaining a network of providers through diligent review and education. The Dental Benefit Auditor is responsible to conduct various types of audits across Canada to validate that...

The role of the Fraud, Waste and Abuse team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while maintaining a network of providers through diligent review and education. The Dental Benefit Auditor is responsible to conduct various types of audits across Canada to validate that...

Monday - Friday Day shift $80,000 per year, Benefits, RRSP LTL Cross-dock facility Counter-balance Forklift **ROLES AND RESPONSIBILITIES**: - develop a training plan and schedule for all dock employees; - provide training to all dock workers; - identify training and qualification requirements and provide training resources to ensure that employees are...

h3>Pharmacy Claims Auditor (12 Month Contract) - Express Scripts CanadaApplyRemote Type: HybridLocation: Mississauga, ONTime Type: Full timePosted on: Posted YesterdayJob Requisition ID: 24013360The role of the Business Integrity team is to enhance the Express Scripts Canada (ESC) value proposition for customers to ensure the integrity of health claims while...

**Job Description for a Quality Assurance Manager** This position is an ideal opportunity for a Quality professional who is looking for a job with a great deal of variety, enjoys coaching people, making decisions and being a team leader. **The Company** We are a Canadian contract electronic design and manufacturing company. Our quality system is certified...

Business Consultant (Underwriting, Claims, Finance, IT)Echelon Insurance provides Personal and Commercial Specialty Insurance solutions to protect Canadian families and businesses across Canada, through our trusted network of Broker partners. Echelon is a member of the CAA Club Group of Companies, and is an equal opportunity employer who offers a...

**The Opportunity**: The FSQA Compliance Auditor at the Courtneypark facility is responsible for ensuring the effective functioning of the food safety programs through task review, verification, and monitoring activities, as well as program review and auditing functions. The incumbent will lead & engage cross functional teams during audit completion and...

Build your Career at Cooper Equipment Rentals We are looking for a  customer-oriented, motivated  individual to join our professional team as an  Environment, Health and Safety Coordinator  for our  Southern Ontario Region.  The home office is in  Bolton, ON,  and the region covered includes branches across the  Greater Toronto and Hamilton...

**AutoCanada**, the largest publicly-traded automotive group in Canada, is **NOW HIRING** an experienced **Service Receptionist/Warranty Administrator **to join our growing team at **401 Dixie Hyundai! **This is your opportunity to get your foot in the door with an automotive group that believes in growing our talent, connecting with the communities that we...