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Claims processor Jobs in Toronto, ON

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Claims processor • toronto on

Last updated: 2 days ago

Complex Claims Director - Insurance

MercorToronto, Ontario, Canada
Remote
Part-time
Quick Apply

Headquartered in San Francisco, our investors include.Complex Claims & Coverage Director.Design realistic scenarios involving disputed coverage, reservations of rights, excess exposure, multipl... Show more

Debt Collection / Litigation Paralegal

Forge RecruitmentToronto, ON
Full-time

Forge Recruitment is currently recruiting for a Paralegal to join a diverse law firm based in Downtown Toronto.This is an excellent opportunity to join a firm that has a Collegial and supportive te... Show more

Medical Editor

Klick HealthToronto, Ontario, Canada
CA$70,000.00–CA$80,000.00 yearly
Full-time

The Medical Editor supports scientific accuracy, clarity, and regulatory compliance across diverse healthcare communications.This role reviews healthcare professional and patient-facing materials, ... Show more

Senior Aviation Surveyor

AllMontreal/Toronto, QC, CA
Full-time

McLarens Aviation is seeking an experienced Senior Aviation Surveyor to join our Montreal office.This is an exciting opportunity for a senior aviation professional with a background in aircraft mai... Show more

Claims Adjuster

GallagherToronto, Canada
Full-time

Poised for aggressive growth, there has never been a better time to be part of the Gallagher Bassett Canada team.We have a full-time job opening as a bodily injury claims adjuster working out of ou... Show more

Project Contract Manager

AlstomToronto, ON, CA
CA$105,000.00 yearly
Full-time

At Alstom, we understand transport networks and what moves people.From high-speed trains, metros, monorails, and trams, to turnkey systems, services, infrastructure, signalling and digital mobility... Show more

Senior Dental Administrator

MHMIToronto, Ontario, Canada
Full-time

Are you an experienced dental administrator ready to take the lead at the front desk? Toothworks Pine Ridge Dental Centre is looking for a Senior Administrator to oversee daily front-office operati... Show more

AI Engineering Specialist

Definity Financial CorporationToronto, Canada, United States
CA$92,000.00–CA$142,000.00 yearly
Full-time

Salary: $92,000 - 142,000 per year.We are looking for a bachelors or masters degree in computer science, data science, artificial intelligence, or a related discipline.We want 5+ years of experienc... Show more

Service Centre Outbound Specialist (Bilingual)

WCG International Consultants Ltd.Toronto, Ontario, Canada
CA$54,632.00 yearly
Full-time +1

Service Centre Outbound Specialist.Claims Team, responsible for obtaining and processing Checkpoint Claims to support program outcomes and ensure individuals are connected to the right supports.Thi... Show more

Senior Technical SR&ED Writer (Software Focus)

RightBlue Labs IncToronto, Ontario, Canada
CA$110,000.00 yearly
Full-time

Job Opening: Senior Technical SR&ED Writer (Software Focus).Zero To One Strategic is a fast-growing consultancy that helps innovative Canadian companies unlock non-dilutive funding through SR&a... Show more

Data Engineer (AWS / Snowflake / DBT / Airflow / Informatica IICS)

ALTER SOLUTIONSToronto, Ontario, CA
Full-time

Act Digital is an international IT consulting firm with.Data & AI, Cybersecurity, Cloud & Infrastructure, and Software Delivery.We are currently partnering with a.Canada | Remote possible | EST t... Show more

Lead Planner- Major Civil and Infrastructure Projects

EBC Inc.East Toronto (The Beaches), ON, ca
CA$95,000.00–CA$145,000.00 yearly
Full-time

Primarily assigned to a major project, the individual will be responsible for managing the planning and scheduling.This resource must be capable of managing.The Lead Planner supports project teams ... Show more

Personal Lines Account Manager

Hello World RecruitmentToronto, ON, CA
CA$50,000.00 yearly
Full-time

Personal Lines Account Manager.In this role, you will manage a portfolio of accounts and support clients with their personal insurance needs.You will be a key point of contact, ensuring client rete... Show more

Lead Agentic Solutions Architect

Band of CodersToronto, ON, Canada
Remote
Full-time +1
Quick Apply

Remote (USA or Canada strongly preferred; Americas time zones required).At Band of Coders, we are pushing the boundaries of automation and intelligence.Lead Agentic Solutions Architect.AI engineeri... Show more

Director - Derivatives & Commodity Settlements (GWO)

ScotiabankToronto, ON, CA
Full-time

Oversee end-to-end settlement operations for OTC derivatives and commodities across global regions.Ensure timely and accurate processing of cashflows, valuations (MTM), client queries, claims, and ... Show more

Director, Change & Claims Management

Egis GroupToronto, Ontario, Canada
Full-time

The Director, Change & Claim Management is a senior commercial leadership role responsible for leading change management, claims management, contractual entitlement, and commercial risk activit... Show more

Legal Claims Assistant

Randstad CanadaToronto, Ontario, CA
CA$59,300.00 yearly
Permanent
Quick Apply

We are looking for a highly organized and proactive Legal Claims Assistant to join one of our top clients in the Insurance industry! In this role, you will be the backbone of their legal operations... Show more

Assistant Vice-President, Technology Lead, Health

S.i. SystemsToronto
Permanent

You are as unique as your background, experience and point of view.Here, you’ll be encouraged, empowered and challenged to be your best self.You'll work with dynamic colleagues - experts in their f... Show more

French to English Medical Translator (contract)

Royal Bank of Canada>TORONTO, Canada
CA$55,000.00 yearly
Full-time +1

You will be responsible for accurately conveying the meaning of written and spoken medical and insurance content from French to English, while ensuring that context, clinical accuracy, and meaning ... Show more

Leave & Accommodation Business Partner

Molson CoorsToronto, ON, CA
Full-time

Cheers to creating an incredible tomorrow!.At Molson Coors, we tackle big challenges and defy the status quo.With a proud legacy of excellence, an incredible portfolio of beer, seltzers, spirits, a... Show more

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Complex Claims Director - Insurance

Complex Claims Director - Insurance

MercorToronto, Ontario, Canada
5 days ago
Job type
  • Part-time
  • Remote
  • Quick Apply
Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Complex Claims & Coverage Director
Type: Contract
Compensation: $800/hour
Location: Remote
Commitment: 20–40 hours/week

Role Responsibilities

  • Design realistic scenarios involving disputed coverage, reservations of rights, excess exposure, multiple insureds, multiple carriers, allocation, litigation, mediation, bad-faith risk, and high-severity settlement strategy.
  • Create work products such as complex claim strategies, coverage-position analyses, authority requests, litigation-management plans, reserve rationales, and escalation recommendations.
  • Write "golden" reference responses at senior technical claims quality.
  • Grade AI-generated responses against structured rubrics for policy analysis, strategic judgment, factual support, stakeholder awareness, and escalation discipline.
  • Identify claim-handling positions that are internally inconsistent, unsupported by the record, operationally unrealistic, or outside the authority of a non-lawyer claims professional.
  • Provide written feedback the research team uses to improve model behavior.

Qualifications

Must-Have

  • 2+ years of professional experience handling complex, litigated, high-severity, or coverage-sensitive insurance claims.
  • Experience evaluating coverage issues and developing claim strategies involving multiple parties, layers, policies, or jurisdictions.
  • Understanding of insurer duties, reservation-of-rights practices, litigation management, settlement authority, and escalation to internal or external counsel.
  • Ability to distinguish an operational coverage position from formal legal advice and recognize when specialized legal review is required.
  • Exceptional written reasoning, defensible judgment, and high attention to detail.
  • Comfort with reviewing incomplete records and clearly separating facts, assumptions, open issues, and recommended next steps.

Preferred

  • CPCU, AIC, SCLA, ARM, or comparable insurance designation.
  • Experience with excess casualty, professional liability, directors and officers, cyber, environmental, construction-defect, or other complex lines.
  • Experience managing mediations, trials, coverage disputes, or extra-contractual exposure.
  • Home-office technical claims or claim-governance experience.
  • Experience overseeing TPAs, independent adjusters, experts, or panel counsel.

Start Date

  • Immediately; applications reviewed on a rolling basis.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.