Professional Claims Adjudicator

5 days ago


Markham, Ontario, Canada Kelly Services (Canada), Ltd. Full time

Our client in Markham, ON, is seeking a skilled Bilingual Claims Adjuster to join their team. As a fast learner with a strong knowledge of the Insurance industry, you will adapt quickly to their processes and policies.

Key Responsibilities:

  • Adjudicate complex claims, approving, denying or inquiring for further information from claimants, doctors or hospitals.
  • Interpret and administer policy provisions, including eligibility, definition of total disability and pre-existing investigations.
  • Review and make decisions on policy rescission after discussion with underwriting.
  • Refer files for special investigation if required.

Requirements:

  • High school education or college diploma
  • Minimum 3 years of claims adjudication experience
  • Good communication skills, both verbal and written (French and English)
  • Mathematical skills - aptitude for figures
  • Ability to make good decisions and use sound judgment
  • Strong knowledge of medical terminology an asset
  • Knowledge of disability experience an asset

Perks:

  • 37.5-hour work week, Monday to Friday
  • Hybrid model: 3 days in the Markham Office and 2 days remote
  • $25-$26.30 per hour, plus 4% vacation pay paid weekly
  • Paid vacation pay and statutory holidays

Why Kelly?

Kelly Services (Canada), Ltd. connects great people with great companies, providing flexible work opportunities that enable a better way to work and live.



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