Insurance Claims Auditor

Why Crawford & Company?At Crawford & Company, we're dedicated to helping people through difficult times. Our team of passionate and compassionate professionals works together to deliver on our purpose of restoring lives, businesses, and communities. With over 80 years of unmatched global expertise and industry-leading technology, we're at the forefront of...

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...

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...

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...

About UsEchelon Insurance is a leading provider of Personal and Commercial Specialty Insurance solutions in Canada. Our team of experts works closely with Broker partners to deliver tailored insurance solutions to Canadian families and businesses.Job SummaryThe Claims Coordinator is a key member of our team, responsible for assisting customers and broker...

Position SummaryWe are seeking a Claims Auditor/Trainer to review current claim handling processes, identify gaps, and make recommendations for process improvement. The successful candidate will create documentation and facilitate training sessions for optimal performance and improved audit results.RequirementsMinimum of 10 years of insurance P&C senior...

Job Title: Pharmacy Claims AuditorThe Pharmacy Claims Auditor plays a crucial role in ensuring the integrity of health claims and maintaining a network of providers through diligent review and education. This position requires strong analytical and investigative skills, as well as in-depth knowledge of pharmacy benefits, reimbursement, and pharmacy...

Position SummaryThis is an exciting opportunity for a motivated and detail-oriented individual to join our PD Claims Team as a Claims Agent at CIE_106 Unica Insurance Inc.Key ResponsibilitiesSupport adjusters with administrative duties, including data entry and claim setup.Monitor claims queue and assist with team leader duties as needed.RequirementsComputer...

The role of the Business Integrity team at The Cigna Group is to enhance the value proposition for customers by ensuring the integrity of health claims while maintaining a network of providers through diligent review and education. The Auditor is responsible for conducting various types of audits across Canada to validate that providers are compliant with...

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...

About the Role:The Pharmacy Claims Auditor will play a critical role in ensuring the integrity of health claims and maintaining a network of providers through diligent review and education. This position requires strong analytical and investigative skills, as well as in-depth knowledge of pharmacy benefits, reimbursement, and regulations.Key...

The Pharmacy Claims Auditor role at The Cigna Group is a critical position that requires a strong analytical mindset and attention to detail. As a key member of our Business Integrity team, you will be responsible for conducting audits across Canada to ensure the integrity of health claims and maintain a network of providers.Key Responsibilities:Perform...

The Pharmacy Claims Auditor role is a critical component of the Business Integrity team at The Cigna Group. As a key member of this team, you will be responsible for conducting audits across Canada to ensure that healthcare providers are compliant with benefit plan design and professional practice regulations. Your analytical and investigative skills will be...

OverviewGallagher, a renowned insurance solutions provider, offers a unique opportunity for a skilled Claims Adjuster to join their Cintran Claims Team. As part of this dynamic team, you will provide exceptional claims service and advocacy to clients, upholding the high standards of the Gallagher Claims division.Job Summary:This role involves managing client...

Crawford & Company is a global leader in the claims management industry, with over 80 years of expertise. We are seeking a skilled Insurance Claims Examiner to join our team in Ontario, Canada.Job SummaryThis role involves evaluating insurance claims through loss investigation and negotiation, ensuring that all claims costs and provincial licensing...

Job Summary:This role is responsible for investigating, evaluating, negotiating, and settling property claims. The ideal candidate will have excellent communication and negotiation skills, as well as the ability to work independently and as part of a team.Key Responsibilities:Investigate and evaluate property claims to determine the extent of damage and...

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...

Job Summary:CIE_106 Unica Insurance Inc. is seeking a skilled Claims Agent to support the PD Claims Team with administrative duties.Key Responsibilities:Data entry of financial transactions related to claims handlingSet up of new claimsAssistance with monitoring claims queueAssist with duties in Team leader's absenceRequirements:Computer experience including...

Job Summary:This role is responsible for supporting the adjusters with administrative duties related to claims handling. The ideal candidate will have excellent communication and customer service skills, as well as experience with Microsoft Office products.Key Responsibilities:Data entry of financial transactions related to claims handlingSet up of new...

About the RoleGallagher is seeking a skilled Claims Adjuster to join our team. As a Claims Adjuster, you will provide exceptional claims service and advocacy to our clients, maintaining and exceeding the service standards of the Gallagher Claims division.Key ResponsibilitiesIntake of clients' new claims and reporting to the insurance companyProvide claims...