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Claims processor Jobs in Toronto, ON

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Claims processor • toronto on

Last updated: 2 days ago
Claims Processor (3 Month Contract) - Express Scripts Canada

Claims Processor (3 Month Contract) - Express Scripts Canada

The Cigna GroupToronto, ON
CA$50.00 hourly
Full-time
Express Scripts Canada administers on behalf of Health Canada Dental Claim Adjudication.This role entails adjudicating Non-Insured Health Benefit Dental Claims for indigenous people in Canada.The r...Show moreLast updated: 30+ days ago
  • Promoted
Claims Manager

Claims Manager

Trident Global Assistance Inc.Toronto, ON, Canada
Full-time
Trident Global Assistance is looking for the motivated, energetic, customer-oriented Claims Manager who will be responsible for overseeing the travel insurance claims process, ensuring that claims ...Show moreLast updated: 30+ days ago
Summer Student, Claims

Summer Student, Claims

Liberty Mutual CanadaToronto, ON, CA
Permanent
Quick Apply
Liberty Mutual Canada is the Canadian operation of Liberty Mutual Insurance Company.We offer a broad suite of commercial insurance products and solutions to mid-size and large Canadian companies wi...Show moreLast updated: 4 days ago
  • Promoted
Claims Administrator

Claims Administrator

Randstad CanadaToronto, Ontario, CA
CA$20.00 hourly
Temporary
Quick Apply
Are you detail-oriented with exceptional data entry or data processing skills? Do you thrive in fast-paced environments and aspire to elevate your career? If you have 1+ years of experience in data...Show moreLast updated: 30+ days ago
  • Promoted
Senior Processor, Adjustments

Senior Processor, Adjustments

RBCToronto, ON, Canada
Full-time
In this role, you will ensure that all Adjustment Processing cases assigned are completed accurately, on target and within regulatory standards, First Time Right Processing and Quality Control in o...Show moreLast updated: 2 days ago
  • Promoted
CLAIMS COUNSEL

CLAIMS COUNSEL

PMJ Employment ServicesOld Toronto, ON, Canada
Full-time
Our client is looking for a Claims Counsel.Be licensed & in good standing as a lawyer in Canada.Must have at least 5 years’ experience in many areas of law. Must have experience in civil litigation,...Show moreLast updated: 2 days ago
  • Promoted
Director, Claims

Director, Claims

CNA InsuranceToronto, ON, Canada
Full-time
You have a clear vision of where your career can go.And we have the leadership to help you get there.At CNA, we strive to create a culture in which people know they matter and are part of something...Show moreLast updated: 2 days ago
Claims Counsel

Claims Counsel

Zurich Insurance CompanyToronto, ON, CA
CA$105,000.00–CA$145,000.00 yearly
Are you looking for a caring, collaborative, values-driven workplace with inspiring teammates and leaders? Do you have the ambition and desire to be the best and thrive at the most impactful global...Show moreLast updated: 30+ days ago
Claims Counsel

Claims Counsel

Zurich CanadaToronto, ON
CA$105,000.00–CA$145,000.00 yearly
Are you looking for a caring, collaborative, values-driven workplace with inspiring teammates and leaders? Do you have the ambition and desire to be the best and thrive at the most impactful global...Show moreLast updated: 30+ days ago
  • Promoted
Director, Claims

Director, Claims

DGA CareersToronto, ON, Canada
CA$500,000.00 yearly
Full-time
Our client, Healthcare Insurance Reciprocal of Canada (HIROC) is a trusted healthcare safety advisor, committed to offering a full spectrum of insurance, risk and claims management products and sup...Show moreLast updated: 2 days ago
  • Promoted
Claims Examiner

Claims Examiner

Burns & WilcoxToronto, ON, Canada
Full-time
The Claims Examiner is responsible for proactively managing a portfolio of claim files and working collaboratively with the Claims Team to maintain adequate production levels and customer relations...Show moreLast updated: 13 days ago
Claims Examiner

Claims Examiner

ARAG Legal Solutions IncToronto, Ontario, Canada
Full-time
The ARAG Group, a global leader in legal expense insurance operating in 19 countries offers an innovative and comprehensive range of legal expense products and services for brokers, underwriting ag...Show moreLast updated: 10 days ago
Claims Specialist - Professional Lines - Canada Claims

Claims Specialist - Professional Lines - Canada Claims

AXIS CapitalToronto
CA$250,000.00 yearly
Full-time
This is your opportunity to join AXIS Capital – a trusted global provider of specialty lines insurance and reinsurance.We stand apart for our outstanding client service, intelligent risk taking and...Show moreLast updated: 30+ days ago
Claims Adjuster

Claims Adjuster

GallagherToronto, Canada
Poised for aggressive growth, there has never been a better time to be part of the Gallagher Bassett Canada team.We have full-time job opening for a claims adjuster in our Toronto Branch.Responsibl...Show moreLast updated: 30+ days ago
  • Promoted
LTD Claims Consultant

LTD Claims Consultant

Ontario Teachers Insurance PlanWaterloo, Region of Waterloo, Canada
Full-time
With every job, there’s always the question of “why”.Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us.At the...Show moreLast updated: 2 days ago
Claims Adjuster

Claims Adjuster

DGAToronto, CA
CA$40.00–CA$55.00 hourly
Claims Adjuster - Auto Bodily Injury & CGL.If you are looking for an organization with strong leadership, challenging work that will stretch your potential, look no further.Essential Duties & Respo...Show moreLast updated: 30+ days ago
Claims Assessor

Claims Assessor

hays-gcj-v4-pd-onlineOntario
CA$22.00 hourly
Hays has partnered with a leading Financial Servicespany to hire a Claims Assessor for an 11-month contract.Document administrative duties include filing and storage. Entering, reviewing, and verify...Show moreLast updated: 30+ days ago
Claims Associate

Claims Associate

Impact RecruitmentToronto, Ontario, Canada
CA$55,000.00–CA$60,000.00 yearly
Permanent
We are looking for a Claims Associate for our prestigious client located in Downtown Toronto.The Claims Associate is responsible for assisting all members of the claims team with claims handling an...Show moreLast updated: 30+ days ago
  • Promoted
Processor 2 (Night Shift)

Processor 2 (Night Shift)

Ventura FoodsToronto, ON, Canada
Full-time
Reporting to the Production Supervisor, the Processor 2 is responsible for ensuring the products scheduled for production are produced as per the proper recipes and formulas and in accordance with ...Show moreLast updated: 3 days ago
Associate, Claims

Associate, Claims

CHUBBToronto, ON, Canada
CA$50,000.00–CA$60,000.00 yearly
ABOUT THE CHUBB ASSOCIATE PROGRAM (CAP) : .As part of the CAP program you will be part of an experience that supports the well-rounded development of critical business skills which in turn contribute...Show moreLast updated: 30+ days ago
Claims Processor (3 Month Contract) - Express Scripts Canada

Claims Processor (3 Month Contract) - Express Scripts Canada

The Cigna GroupToronto, ON
30+ days ago
Salary
CA$50.00 hourly
Job type
  • Full-time
Job description

Express Scripts Canada administers on behalf of Health Canada Dental Claim Adjudication.  This role entails adjudicating Non-Insured Health Benefit Dental Claims for indigenous people in Canada.

The role of a Claims Processor is to register, review, validate, and adjudicate claims on a daily basis.  Claims Processors are responsible for processing Pay Provider, Pay Client and Client Reimbursement claims for all regions and are responsible for ensuring all pended claims are processed within the standard turn-around time.

This role contributes to Express-Scripts Canada by meeting our Claims Processing Service Levels which contributes to customer satisfaction and minimizes risk of financial penalties.

This is a 3 month contract position

ESSENTIAL FUNCTIONS :

  • Registers, reviews, validates, and adjudicates claims on a daily basis as per processes to meet minimum accuracy Service Level Standards.
  • Monitors and handles pended claims to ensure they are settled according to the Service Level Standards.
  • Return Claims that are missing mandatory client / benefit information as per using either claim entry or the doc reg screen and entering reason for the return.  Address envelopes and attach provider return letter to claim and have clerical department send out all returns same day.
  • Claim Adjustments that are given to processors by call centre / Supervisor / Senior Processors / QA Analyst due to errors are scanned and reviewed to ensure an error has been made, once a claim is adjusted, the information is fed back to call centre to be logged as complete.

QUALIFICATIONS :

  • Experience with data entry, excellent accuracy
  • Experience working in an operational setting an asset
  • Experience in the group health insurance industry an asset Strong focus on customer service is required
  • Ability to work effectively in a fast paced, rapidly changing environment
  • Excellent organizational and interpersonal skills
  • Ability to work within a team
  • Working knowledge of Microsoft Office Suite of Tools (Word, Excel, Outlook)
  • Ability to work or interpret data independently
  • Express Scripts Canada is a Cigna company

    Express Scripts Canada is a subsidiary of Express Scripts, a Cigna company. Cigna Corporation (NYSE : CI) is a global health service company dedicated to improving the health, wellbeing and peace of mind of those we serve. Cigna offers an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioural health, pharmacy, vision, supplemental benefits, and other related products.

    About Express Scripts Canada

    Express Scripts Canada is a leading health benefits manager and has been recognized as one of the most innovative. Our clients include Canada's leading insurers, third party administrators and governments. We work with these clients to develop industry-leading solutions to deliver superior healthcare in a cost-controlled environment. We provide Active Pharmacy™ services to more than 7 million Canadian patients and adjudicate more than 100 million pharmacy, dental, and extended health claims annually. Through our proprietary consumer intelligence, clinical expertise, and patients-first approach, we promote better health decisions for plan members, while managing and reducing drug benefit costs for plan sponsors.

    It will be a condition of employment that the successful candidate obtains an Enhanced Reliability Clearance from the Federal Government. The candidate will be required to provide supporting documentation to receive clearance if required.

    We offer a competitive salary and benefits package, along with a positive work environment built on solid corporate values, integrity, mutual respect, collaboration, passion, service and alignment.

    We are an equal opportunity employer that promotes a diverse, inclusive and accessible workplace. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.

    We are committed to creating a working environment that is barrier-free and we are prepared to provide accommodation for people with disabilities.