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Claim specialist Jobs in Toronto, ON

Last updated: 21 hours ago
Claims Specialist (Bilingual)

Claims Specialist (Bilingual)

Munich ReCanada (Life), Toronto
CA$19.50–CA$23.00 hourly
Show moreLast updated: 30+ days ago
Claims Technical Specialist, Bodily Injury & Liability

Claims Technical Specialist, Bodily Injury & Liability

Northbridge Financial CorporationToronto, ON
CA$40.00–CA$55.00 hourly
Full-time
Show moreLast updated: 30+ days ago
  • Promoted
Claims Assessor - RQ01146

Claims Assessor - RQ01146

Randstad CanadaToronto, Ontario, CA
CA$23.00 hourly
Temporary
Quick Apply
Show moreLast updated: 30+ days ago
Life Cycle Manager (LCM) - Diesel Power Generation Systems

Life Cycle Manager (LCM) - Diesel Power Generation Systems

Nasittuq CorporationNorth Bay, Ontario, Canada, P0H 1P0
Full-time
Show moreLast updated: 2 days ago
  • Promoted
Environmental Specialist

Environmental Specialist

MT TalentToronto, Ontario
CA$75,000.00–CA$85,000.00 yearly
Permanent
Quick Apply
Show moreLast updated: 30+ days ago
  • New!
Absence Management Coordinator

Absence Management Coordinator

Porter AirlinesToronto, Canada
Full-time
Show moreLast updated: 21 hours ago
  • Promoted
Customer Specialist

Customer Specialist

Brazilian Canadian Coffee Co. Ltd.Etobicoke, ON, Canada
Full-time
Show moreLast updated: 11 days ago
  • Promoted
Marketing Sales Specialist

Marketing Sales Specialist

Best Version MediaEtobicoke, Ontario
Quick Apply
Show moreLast updated: 24 days ago
  • Promoted
Marketing Specialist

Marketing Specialist

Correlation OneToronto, CA
CA$50,000.00–CA$65,000.00 yearly
Permanent
Show moreLast updated: 2 days ago
Claim Specialist / Senior Claim Specialist, Property Digital Adjusting

Claim Specialist / Senior Claim Specialist, Property Digital Adjusting

CHUBBToronto, ON, Canada
CA$75,000.00–CA$90,000.00 yearly
Show moreLast updated: 30+ days ago
Disability Case Specialist - Health, Safety, and Wellness

Disability Case Specialist - Health, Safety, and Wellness

Centre for Addiction and Mental HealthToronto, ON
CA$34.98 hourly
Show moreLast updated: 30+ days ago
Jr. Claims Administrator to assist with Claims processing and administrative duties for a Professional Services Client - RQ01146

Jr. Claims Administrator to assist with Claims processing and administrative duties for a Professional Services Client - RQ01146

S.i. SystemsToronto
Show moreLast updated: 30+ days ago
Outside Property Claim Representative

Outside Property Claim Representative

TravelersUniversity,Toronto
CA$48.00–CA$80.00 hourly
Full-time
Show moreLast updated: 30+ days ago
Claims Examiner - Workers Compensation

Claims Examiner - Workers Compensation

MindlanceOntario, CA
CA$40.00–CA$45.00 hourly
Show moreLast updated: 30+ days ago
Senior Claims Specialist - Professional Lines, Canada Claims

Senior Claims Specialist - Professional Lines, Canada Claims

AXIS CapitalToronto
CA$250,000.00 yearly
Full-time
Show moreLast updated: 30+ days ago
Content Claims Specialist - Field

Content Claims Specialist - Field

Crawford & CompanyToronto, ON, CA
Show moreLast updated: 30+ days ago
Claims Assessor

Claims Assessor

hays-gcj-v4-pd-onlineOntario
CA$22.00 hourly
Show moreLast updated: 30+ days ago
Senior Claim Advocate

Senior Claim Advocate

AonToronto, Ontario, Canada
CA$32.96–CA$66.44 hourly
Show moreLast updated: 30+ days ago
Outside Property Claim Representative

Outside Property Claim Representative

570 The Dominion of Canada GeneralUniversity,Toronto
CA$48.00–CA$80.00 hourly
Full-time
Show moreLast updated: 30+ days ago
P&C Guidewire Developer (Policy Center, Billing Center, and Claim Center) - Operate

P&C Guidewire Developer (Policy Center, Billing Center, and Claim Center) - Operate

DeloitteToronto, ON
CA$98,000.00–CA$164,000.00 yearly
Show moreLast updated: 30+ days ago
Claims Specialist (Bilingual)

Claims Specialist (Bilingual)

Munich ReCanada (Life), Toronto
30+ days ago
Salary
CA$19.50–CA$23.00 hourly
Job description

The Bilingual Claims Specialist will manage assigned claims and clients effectively and efficiently by evaluating and proactively assisting clients in enhancing their claim practices. The Claims Specialist will perform client reviews and support industry presentations / internal projects as required.

Responsibilities : Claim Adjudication

  • Conduct expert claim adjudication within internal standards, delegated authority limits and client response timelines.
  • Monitor coverage assessment including promptly identifying, addressing, and resolving coverage matters.
  • Proactively investigate and assess claim inconsistencies.
  • Promptly approve payments in accordance with payment authorization protocols and client service level agreements.
  • Archive all claim documentation in an appropriate and orderly manner; proactively manage claim file follow up process.

Client Management

  • Establish strongly positive, mutually beneficial, long-term client relationships through professional and knowledgeable communication.
  • Monitor clients claim results and provide business partners with accurate client information on a timely basis through claim analytics, data mining and trend analysis.
  • Assist with identifying / implementing initiatives to enhance claim handling efficiencies and effectiveness.
  • Develop and implement strategies to track and improve deteriorating client claim results.
  • Risk Monitoring and Claim Reviews

  • Interpret contract language as applicable with a strong understanding of the group insurance market and claim handling best practices.
  • Identify and communicate exceptions to reinsurance treaty terms (as needed) and claims where non-compliance exists to internal business partners and provide recommendations for resolution.
  • Perform client reviews (audits) according to reinsurance treaty contracts; produce written analytical review reports with sound recommendations.
  • Participate in client review result presentations; follow up on recommended client actions to improve client review results.
  • Present claims to Senior Management for evaluation / authority including completion of pertinent claim summary reports and notice of high exposure claims.
  • Knowledge Transfer

  • Create and deliver presentations and training programs for clients and internal business partners, via industry seminars or internal publications.
  • Deliver leading-edge knowledge of insurance claim investigations and practices to clients and internally. Apply emerging risk management knowledge to client claim situations and share expertise throughout the Munich Reinsurance Group e.g., product development, contract wording.
  • Engage with pricing, underwriting, and legal to ensure treaty and contractual liabilities, product language and client decisions meet Munich Re’s risk standards and intent.
  • Project Management

  • Complete claims contributions for product development, treaty / contract wording, industry surveys and publications and special projects as required.
  • Qualifications :

  • University degree in health sciences, psychology, criminology, or business or related field.
  • LOMA or other insurance designation (NIDMAR, CEBS), or progression towards is highly desired.
  • Minimum 2 years insurance claims experience (short- and long-term disability required, health or dental an asset)
  • Exhibits thoroughness, accuracy, and attention to detail in claim reviews and data capture.
  • Strong analytical and inquisitive skills; excellent attention to meeting time service and achieving deliverables.
  • High degree of self-motivation, continuing development, and proven ability to work independently.
  • Demonstrated desire and aptitude to learn other lines of business and claim types.
  • Excellent presentation and report creation and delivery skills.
  • Strong oral and written communication skills.
  • Demonstrated ability to build solid client relationships.
  • Related experience in group insurance, reinsurance, underwriting, medical concepts, or financial analysis will be an asset.
  • Bilingual (French) is required.
  • Willingness to travel across Canada, minimal travel expected.
  • What Can We Offer You?

    We are pleased to offer our employees great benefits and resources to support their mental, physical and financial wellbeing. These include :

  • An engaging and collaborative environment that promotes continuous learning and development
  • A hybrid work environment that combines weekly in-office and remote days with Meeting-Free lunch hours and Focus Friday afternoons
  • A great compensation package including annual company bonus
  • Market leading company-paid flexible health and dental benefits, starting on your first day
  • Flexible dollars provided by the company to put towards Health Spending Account and / or Wellness Spending Account
  • Immediate participation in DC Pension Plan with an automatic 5% employer contribution, plus optional company match
  • Generous time off including vacation, personal days, unplanned time, Statutory Holidays and company-wide early closure half-days
  • Learning and development programs and resources, including unlimited access to LinkedIn Learning, Education Assistance Program and reimbursement for professional fees
  • Maternity, Parental & Adoption Leave top-up program
  • Employee Referral Program, Recognition & Rewards Platform
  • About Munich Re

    Together, we engage with everything we have and are, to help humankind act braver and better.

    As the world’s leading reinsurance company with more than 40,000 employees in over 50 locations around the globe, Munich Re introduces a paradigm shift in the way you think about insurance. By turning uncertainty into manageable risk, we enable fundamental change. We recognize Diversity, Inclusion, and Belonging as a key priority with a culture that welcomes different thoughts and opinions. We dare to think big and are continuously innovating on behalf of our clients.

    Our data, our technology, and our teams place us in a unique position to drive transformative change in the life insurance industry. We invest strategically in our world class talent, offering our employees a work experience that promotes professional development, innovation, and rewards high performance.

    Please note that only candidates who are selected for interview will be contacted directly. We thank all candidates for their interest.

    Munich Re is committed to providing a work environment that is inclusive and free of employment barriers and discrimination. Accommodations will be made for qualified applicants with a disability throughout the recruitment process. If you receive a request for an interview and you have a disability which will require an accommodation to support your participation, please contact as soon as practical so that suitable accommodations can be arranged.