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Claim examiner Jobs in Oshawa, ON

Last updated: 1 day ago
Disability Case Manager (Auto, MVA, WSIB and SABS)

Disability Case Manager (Auto, MVA, WSIB and SABS)

Campbell Morden IncSouth Western Ontario, Canada
CA$18.80 hourly
Permanent
Looking for case managers across southwestern and the greater Toronto area.The Disability Case Managers will be responsible for assisting employees on behalf of the employer when the employee is of...Show moreLast updated: 30+ days ago
Financial Clerk

Financial Clerk

CB CanadaWhitby, Ontario, Canada
CA$55,000.00–CA$60,000.00 yearly
Full-time
Reporting to the Manager, Finance, the Finance Clerk will be primarily responsible for processing patient and non-patient billing (including OHIP claims), reconciling receipt batches, collections, ...Show moreLast updated: 30+ days ago
Insurance Marketing and Sales

Insurance Marketing and Sales

Karen Low - Desjardins Insurance AgentOshawa, Ontario, Canada
Full-time
Insurance Account Representative - Desjardins Agent Team Member.A successful Desjardins Agent is seeking a qualified professional to join a winning team for the role of Insurance Acc...Show moreLast updated: 30+ days ago
Workers Compensation Case Manager - Hybrid

Workers Compensation Case Manager - Hybrid

AlightOntario, CA
CA$120,000.00–CA$150,000.00 yearly
Full-time
Job Description - Worker’s Compensation Case Manager.Reporting to the Team Manager, you are responsible for managing WSIB claims and facilitating return to work while working on-site for a client w...Show moreLast updated: 30+ days ago
Quality Assurance Manager (Remote - Quebec / Ontario)

Quality Assurance Manager (Remote - Quebec / Ontario)

Gilead SciencesOntario East, Ontario, Canada
CA$95,000.00 yearly
Remote
Full-time
At Gilead, we’re creating a healthier world for all people.For more than 35 years, we’ve tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer – working relentlessly to develop therapi...Show moreLast updated: 30+ days ago
Bilingual (English / French) Customer Service Claims Specialist

Bilingual (English / French) Customer Service Claims Specialist

Phoenix AMD International Inc.Bowmanville, Ontario, Canada
CA$40,000.00–CA$42,000.00 yearly
Full-time +1
Quick Apply
IMMEDIATE OPPORTUNITY AVAILABLE.Bilingual (English-French) Customer Service Claims Specialist : .Monday to Friday, 9am to 5pm EST (40 hrs). Main day to day responsibilities : .Check in / communicate with...Show moreLast updated: 30+ days ago
medical administrative assistant

medical administrative assistant

Auxilium HealthOshawa, ON, CA
CA$23.08 hourly
Permanent
Education : Secondary (high) school graduation certificate.Experience : 1 year to less than 2 years.Interview patients to obtain case histories. Schedule and confirm appointments.Complete insurance an...Show moreLast updated: 30+ days ago
Licensed Insurance Advisor

Licensed Insurance Advisor

Dan Piedimonte - Desjardins Insurance AgentOshawa, Ontario, Canada
Full-time
Full Time - Licensed Insurance Advisor.As a Property & Casualty Insurance Advisor, you will provide our clients with Home, Auto & Auto financing products and advice to t...Show moreLast updated: 30+ days ago
WSIB Claim Specialist

WSIB Claim Specialist

General MotorsOshawa, Ontario, Canada
CA$100,000.00–CA$110,000.00 yearly
Full-time
Strong interpersonal skills in facilitation, negotiation, and conflict resolution.Proven ability to work independently, take initiative, and work to plan. Demonstrated analytical, organizational, an...Show moreLast updated: 30+ days ago
Claims Examiner - Workers Compensation

Claims Examiner - Workers Compensation

MindlanceOntario, CA
CA$40.00–CA$45.00 hourly
Full-time
PRIMARY PURPOSE : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to en...Show moreLast updated: 30+ days ago
  • Promoted
Aquatic Programs Coordinator (term)

Aquatic Programs Coordinator (term)

InsideHigherEdAll Cities, Ontario
CA$85,319.00 yearly
Temporary
Aquatic Programs Coordinator (term).UTM : Dept of Recreation, Athl & Wellness.University of Toronto Mississauga (UTM).U of T Mississauga—the second largest campus of Canada’s top-ranked university a...Show moreLast updated: 1 day ago
Coordonnateur(-trice) des Ressources humaines, Opérations d’urgence

Coordonnateur(-trice) des Ressources humaines, Opérations d’urgence

Canadian Red CrossCAN-ON-Ontario
CA$28.33 hourly
Full-time
Coordonnateur(-trice) des Ressources humaines, Opérations d’urgence .Lieu de travail de l'employé : .Partiellement virtuel / hybride (Ontario) . La Croix-Rouge canadienne (CRC) - une organisation ins...Show moreLast updated: 30+ days ago
  • Promoted
Bilingual Associate Customer Support

Bilingual Associate Customer Support

Tech MahindraOntario, Canada
Full-time
Position - Bilingual - Associate Customer Support & Retention.On this project you will be providing frontline customer service and support for internet, home phone and TV customers.You will be answ...Show moreLast updated: 30+ days ago
Sales Representative

Sales Representative

Tammy Segriff - Desjardins Insurance AgentOshawa, Ontario, Canada
Full-time +1
Insurance Account Representative - Desjardins Agent Team Member.Type : Full Time & Part Time Positions Available.A successful Desjardins Agent is seeking a qualified professional to jo...Show moreLast updated: 30+ days ago
Plans Examiner

Plans Examiner

The Corporation of the Town of AjaxAjax, Ontario, CA
CA$47.70–CA$50.47 hourly
Full-time
The Town of Ajax, situated on the northern shore of Lake Ontario, is an innovative municipal sector leader that provides a variety of services to one of the fastest growing communities in Ontario.W...Show moreLast updated: 30+ days ago
Quality Assurance Manager (Remote - Quebec / Ontario)

Quality Assurance Manager (Remote - Quebec / Ontario)

Gilead Sciences Canada, Inc.Ontario, Canada
CA$77,000.00–CA$125,000.00 yearly
Remote
Full-time
At Kite, we are at the forefront of immunotherapy and engineered T cell therapy.We are helping change the paradigm of cancer treatment and we are revolutionizing individually tailored treatments.Th...Show moreLast updated: 30+ days ago
Claims Assessor

Claims Assessor

hays-gcj-v4-pd-onlineOntario
CA$22.00 hourly
Temporary
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
(Hybrid & Onsite) Workers Compensation Claims Handling Positions - California Jurisdiction

(Hybrid & Onsite) Workers Compensation Claims Handling Positions - California Jurisdiction

SedgwickOntario, CA
CA$19.50–CA$23.00 hourly
Full-time
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague.A career at Sedgwick means experiencing our culture of caring.It means having fle...Show moreLast updated: 30+ days ago
general construction labourer

general construction labourer

Tribro Group Ltd.Ajax, ON, CA
CA$29.00 hourly
Permanent
Education : Secondary (high) school graduation certificate.Experience : 1 year to less than 2 years.Load, unload and transport construction materials. Erect and dismantle concrete forms, scaffolding, ...Show moreLast updated: 30+ days ago
Insurance Account Representative

Insurance Account Representative

Trina Owens - Desjardins Insurance AgentAjax, Ontario, Canada
Full-time +1
Insurance Account Representative.Desjardins Agent Team Member.Location : Pickering, Ontario .Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered ye...Show moreLast updated: 30+ days ago
Disability Case Manager (Auto, MVA, WSIB and SABS)

Disability Case Manager (Auto, MVA, WSIB and SABS)

Campbell Morden IncSouth Western Ontario, Canada
30+ days ago
Salary
CA$18.80 hourly
Job type
  • Permanent
Job description

Description

Looking for case managers across southwestern and the greater Toronto area.

SABS experience.

SUMMARY :

  • The Disability Case Managers will be responsible for assisting employees on behalf of the employer when the employee is off work or at risk of being off work for health reasons.
  • The case managers will assess any barriers to a successful and timely return-to-work plan.
  • The case manager will oversee a client’s medical status and work as part of an allied healthcare team.
  • The case manager will liaise with various medical disciplines, insurance adjusters, layers, employers , etc.
  • Engage with stakeholder to implement strategies to address those identified barriers and support return to work or an appropriate alternative plan.

RESPONSIBILITIES :

  • Conduct initial case assessment, contacting the employee and their direct manager by phone to explain the disability management process and gather information for assessment.
  • As part of the team, provide medical expertise and opinions on newly received and ongoing disability claims to support the claims management process with claims and vocational specialists.
  • Provides medical expertise to help determine eligibility of disability benefits, impact of medical condition, project expected duration and required duration management interventions of the claim based on medical condition.
  • Work with treatment providers to obtain medical information needed to manage the disability claim. They will manage transition to LTD and provide medical and summary case management information to the LTD insurer to ensure seamless transition.
  • Provide timely and high quality medical review of disability claims management. Contact with medical providers, obtain necessary records, obtain responses to medical narratives and conduct telephone interviews / consultations for the purpose of obtaining medical information necessary to effectively manage the claim.
  • Provide claims specialists with medical opinions through a variety of means including walk-ins and formal written file reviews. Appropriately document medical research and opinion in objective and professional manner in the claim file.
  • Clearly define restrictions and limitations to aid in initial and ongoing liability decisions. Recognize when other resources need to be involved and discuss values
  • Have an understanding of disability contracts and products and apply that knowledge in day to day work. Understand the key financial and business indicators of the disability claims business.
  • Requirements

    QUALIFICATIONS :

  • Health Science degree
  • Minimum 3 of Disability Case Management experience in Auto, MVA,WSIB and SABS.
  • Additional course work in occupational health, rehabilitation, legislation related to disability management, mediation, human resource management, disability insurance, psychological and workplace factors in disability an asset;
  • Adjudication, industrial disability management, cardiac and orthopedics an asset.
  • Excellent written and oral communication skills.
  • Additional Comments

    If you are interested in this opportunity, please forward your resume by separate attachment in word format to :  tanya. Upon receipt of your resume I will call you to discuss the opportunity in detail. For further information, please contact : Tanya Bassil, Sr. Partner Campbell Morden Inc.