Pcvrs Claims Manager

1 week ago

Toronto, Canada Lifemark Health Group Full time

**PCVRS Claims Manager**

**Status**: Permanent Full-Time

**Mandatory Requirement**: This position supports a contract with the Government of Canada and requires Reliability Status Clearance for Protected B level data.

Lifemark Health Group (“Lifemark”) is a diversified healthcare company in business since 1998 and has grown by acquisition over the past 20 years to include over 300 facilities across Canada. Lifemark has facilities in nine provinces providing integrated health, employer services, medical assessments, and rehabilitation services across Canada. Lifemark employs over 5,000 clinical practitioners and client service support staff.

The Claims Manager is responsible for the Invoicing and Collections team for the PCVRS partnership with WCG as part of the revenue management cycle. Invoicing will be based on postings completed at the clinic level and will include generating, reviewing and sending invoices to funders based on a specific time frame established internally or externally by the funder.

The role requires an eye for detail, time management and self-discipline to ensure regular, and timely invoices and follow up on outstanding invoices. Accuracy is key as well as the ability to work independently. Excellent communication and negotiation skills are required as efforts are focused on resolving customer billing problems to reduce accounts receivable delinquency. The role requires a balance between maintaining trustful relationships and ensuring timely payments.

This role will provide strategic direction, expertise, and guidance to drive excellence in claims management process. Success in this role hinges on dedication and fostering positive experiences for all stake holders.

**Responsibilities include**:

- Oversee the end-to-end Invoicing Process for PCVRS, including verifying accuracy of billing/invoicing data and ensuring that claims submission guidelines have been met.
- Oversee the end-to-end accounts receivable process for PCVRS, including credit management, collections, and reconciliation
- Developing, managing and nurturing the claims team
- Administration and organization of all claims team related activities
- Develop and generate Claims team efficiency reports on a weekly basis.
- Identify issues attributing to account delinquency and discuss them with management.
- Maintain accurate account records and update status and collection efforts.
- Report on collection activity and accounts receivable status.
- Report on Invoicing activity and pending invoices status

**Qualifications**:

- At least 5+ years’ experience working in similar role
- Minimum Grade 12 diploma, bachelor's degree an asset but not required.
- Clinical/rehabilitation or insurance industry background
- Excellent relationship building, communication, problem solving and analytical skills, ability to resolve complex issues or problems surfaced by partners and/or the internal team

**Additional attributes**:

- Function at a high level of autonomy in setting objectives, expectations, and tracking performance
- Demonstrate methodical problem-solving skills and techniques
- Working knowledge of MS Office such as Word, Excel, Outlook and SharePoint.

Lifemark promotes equal employment opportunities for all job applicants, including those self-identifying as a member of the following groups: Indigenous peoples, Newcomers to Canada, and Visible minorities.

  • Casualty Claims Examiner

    2 weeks ago

    Toronto, Canada Specialty Claims Canada Full time

    **Specialty Claims Canada** **“Specialty Claims” **is the in-house claims management department of Specialty Programs Group Canada “SPGC”. Specialty Claims prides itself on managing claims on behalf of the Cansure, Beacon and i3 brands. We manage claims for both our Canadian and London based market partners under a delegated authority. It is the...

  • Multi-line Claims Adjuster

    7 days ago

    Toronto, Canada Coast Claims Insurance Full time

    **Company Overview** Coast Claims Insurance Services has been a premier firm in the insurance adjusting industry since 1970. Over the years, we've attracted top-notch talent and extend our reach across British Columbia, Alberta, Ontario, and the Northwest Territories. Currently positioned as Canada's fourth-largest firm. Today we are still employee-owned,...

  • Senior National Marine Claims Adjuster

    7 days ago

    Toronto, Canada Sedgwick Claims Management Services Ltd Full time

    A leading claims management service provider is looking for a National Marine Adjuster in Toronto. You will analyze and resolve recreational marine claims internationally, requiring extensive knowledge of maritime law and excellent communication skills. The ideal candidate has at least 8 years of related experience and a Bachelor's degree. This role offers a...

  • Senior National Marine Claims Adjuster

    1 week ago

    Toronto, Canada Sedgwick Claims Management Services Ltd Full time

    A leading claims management service provider is looking for a National Marine Adjuster in Toronto. You will analyze and resolve recreational marine claims internationally, requiring extensive knowledge of maritime law and excellent communication skills. The ideal candidate has at least 8 years of related experience and a Bachelor's degree. This role offers a...

  • Senior National Marine Claims Adjuster

    5 hours ago

    Toronto, Canada Sedgwick Claims Management Services Ltd Full time

    A leading claims management service provider is looking for a National Marine Adjuster in Toronto. You will analyze and resolve recreational marine claims internationally, requiring extensive knowledge of maritime law and excellent communication skills. The ideal candidate has at least 8 years of related experience and a Bachelor's degree. This role offers a...

  • Bilingual Claims Support Agent

    2 weeks ago

    Toronto, Canada Sedgwick Claims Management Services Ltd Full time

    A leading claims management company in Toronto seeks a Care Team Representative to provide exceptional service to callers regarding claims. The successful candidate will need to be bilingual in French and English, possess strong communication skills, and have a minimum of one year in customer service. This role emphasizes empathy and problem-solving in a...

  • Manager, Claims

    4 days ago

    Toronto, Ontario, Canada Sovereign Insurance Full time

    Company: Sovereign InsuranceDepartment: ClaimsEmployment Type: Regular Full-TimeWork Model: HybridLanguage: English is required, French is an asset.Additional Information: This/these role(s) is/are currently vacantThe Opportunity:As a wholly owned subsidiary of the Cooperators General Insurance company, Sovereign Insurance believes your experience matters....

  • Manager, Claims

    7 days ago

    Toronto, Canada Everest Re Group, Ltd. Full time

    Title: Manager, Claims Company: Everest Insurance Company Of Canada Job Category: Claims Job Description: About Everest Everest Group, Ltd. (Everest), is a leading global reinsurance and insurance provider, operating for nearly 50 years through subsidiaries in North America, Latin America, the UK & Ireland, Continental Europe and Asia Pacific regions....

  • Manager, Claims

    4 days ago

    Toronto, Ontario, Canada Sovereign Insurance Full time

    Company: Sovereign InsuranceDepartment: ClaimsEmployment Type: Regular Full-TimeWork Model: HybridLanguage: English is required, French is an asset.Additional Information: This/these role(s) is/are currently vacantThe Opportunity:As a wholly owned subsidiary of the Cooperators General Insurance company, Sovereign Insurance believes your experience matters....

  • Claims Manager

    10 hours ago

    Toronto, Canada Impact Recruitment Full time

    Get AI-powered advice on this job and more exclusive features. Our client is an established MGA that focuses on specialty businesses. They are listed as one of the Fortune 500 companies operating in over 20 countries. We’re looking for an experienced Claims Manager to lead a high-performing team in their Toronto office. This is a leadership opportunity...