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Claims processor Jobs in Toronto, ON

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Claims processor • toronto on

Last updated: 1 day 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

Bilingual Claims Care Analyst (12 months contract)

Securian CanadaToronto, Ontario, CA
Temporary
Quick Apply

What we do every day to be our very best.Every day at Securian Canada means a day spent helping Canadians and their families build secure tomorrows.We’re agile and innovative, and we aren't afraid ... 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 (Contract)

Klick HealthToronto, Ontario, Canada
CA$70,000.00 yearly
Temporary

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

Complex Claims Specialist

Zurich Insurance CompanyToronto, ON, CA
Full-time

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 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

Automotive Technical Specialist, Claim Resolutions-Remote

ADESA Auctions Canada Corporation, a OPENLANE Inc. CompanyToronto, ON, Canada
CA$33.00 hourly
Remote
Full-time

AUTOMOTIVE TECHNICAL SPECIALIST, CLAIM RESOLUTIONS-REMOTE JOB AT CITY FOR ADESA AUCTIONS CANADA CORPORATION, A OPENLANE INC.Accurately document customer claims & complaints.Arrange vehicle inspecti... 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

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

Transfer Agent

Pitch Health SolutionsToronto, ON, CA
CA$33.00 hourly
Full-time
Quick Apply

SALES SUPERSTARS WANTED – EARN $33+/HOUR 🚀 Are you hungry to make money?.Do you love talking to people, competing, and getting paid for your performance?.Pitch Perfect Solutions is hi... 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

Bilingual Customer Service Representative

ARAG Legal Solutions IncToronto, Ontario, Canada
Full-time

Please note the location of this position must be based in the Greater Toronto Area.Bilingual Customer Service Representative.As part of our strategy to expand and strengthen our presence across Ca... 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

Helmsman Senior Claims Specialist

Liberty Mutual CanadaToronto, ON, CA
CA$10.00 hourly
Full-time +1
Quick Apply

Assistant Vice President, Claims.Helmsman Management Services Canada Inc.Helmsman Management Services LLC, a US-based third-party administrator (TPA) backed by the strength of Liberty Mutual Insura... 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

Certified Dental Receptionist

River Street EndodonticsToronto, Ontario, Canada
CA$28.00 hourly
Full-time
Quick Apply

Boutique Endodontic Practice | Full-Time.We are a endodontic speciality practice located in the east end of downtown Toronto committed to providing exceptional, patient-centred care in a calm and r... 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

SAP Trade Promotion Management (TPM) Specialist

High Cliff Partners Inc.Toronto, ON, CA
Full-time
Quick Apply

Our Toronto based client is seeking an experienced SAP Trade Promotion Management (TPM) Specialist to join their project immediately and will until the end of the year, with possibility o... Show more

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Complex Claims Director - Insurance

Complex Claims Director - Insurance

MercorToronto, Ontario, Canada
1 day 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.