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		<title>Claims Examiner Jobs  in  Canada ONTARIO</title>
		<link>http://www.jobvolume.com/rss/jobs-q-claims+examiner-p-ontario.xml</link>
		<description>Claims Examiner Jobs  in  Canada ONTARIO</description>
		<language>en-us</language>
		<copyright>Copyright (c) 2006 Jobvolume All rights reserved.</copyright>
		<lastBuildDate>Tue, 2 Dec 2008 23:11:32 GMT</lastBuildDate>

        
                  <item>
                        <title><![CDATA[Accounts Administrator-Group Benefits or Insurance Industry Experience at Randstad, (CAN-ON-Etobicoke)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=2662902300</link>
                        <guid isPermaLink="false">2662902300</guid>
                        <pubDate>Sun, 30 Nov 2008 03:41:05 GMT</pubDate>
                        <description><![CDATA[Job DescriptionReporting to the Corporate Team Leader: this position will provide administrative and financial support to the department. Duties include maintaining member eligibility data within the company&apos;s software What are the responsibilities of the job?Provide administrative assistance to a variety of corporate clients including correspondence and emails Maintenance of data transfers from client to company database Respond to client requests Support the claims examiner and inform of any errors or corrections to be made to client fileWhat are we looking for?Post secondary degree/diploma in business administration, accounting or financeIntermediate to advanced EXCEL skills a must! Good time management skills, analytical and problem solving skills with sound business judgment Superior Communication skills are required Some financial or administrative experience in group benefits plan administration or insurance will only be considered
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                  <item>
                        <title><![CDATA[Bilingual Creditor Claims Examiner at INDUSTRIAL ALLIANCE GROUP, (CAN-ON-Toronto)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=2927209611</link>
                        <guid isPermaLink="false">2927209611</guid>
                        <pubDate>Sat, 29 Nov 2008 21:47:23 GMT</pubDate>
                        <description><![CDATA[Bilingual Creditor Claims Examiner 
Company Overview
You are looking for a great opportunity on the west coast? You want to take on new challenges in a dynamic environment? You are looking for a company with great values, where you can grow? 
This is exactly what we have to offer. 
Industrial Alliance Pacific, with it&apos;s head office in Vancouver, is part of the Industrial Alliance Group; the 5th largest Life Insurance organization in Canada. We have more than $3 billions in assets under management. 
Description
Reporting to the Supervisor, this position is responsible for managing a fluctuating caseload of new and ongoing Creditor disability, life and critical illness claims within department time and quality standards. This is an entry level position for Creditor disability, life and critical illness claims adjudication. 
In a high volumes environment, claims are handled in an efficient and effective manner while maintaining good customer service. Disability case management is executed through the planning and implementation of strategies to manage claims through recovery and/or closure, in the shortest time possible given the nature and severity of the disability.
To carry out the duties of this position, the incumbent requires a good knowledge of all Creditor products, the legal issues that make an impact on claims adjudication, as well as, a good understanding of the market that the Creditor Claims unit services. Strong verbal and written communication skills is an essential asset.
Claims Management (60%)
With assistance from a Claims Specialist I or II:
- Determine claims eligibility on application for benefits under various Creditor products. 
Products include disability, life and critical illness benefits.
- Create case management strategies for those accepted claims and carry out the planning and 
implementation of these strategies to effectively manage claims through recovery or closure, 
in the shortest time possible.
- Manage claims through decision-making in accordance with the Certificate of 
Insurance provisions that can differ from certificate to certificate, and explain/clarify 
provisions to claimants, financial institutions, and occasionally, car dealerships. It is 
also important to keep abreast of current legal issues and implications to ensure that IAP 
Life is not exposed to punitive damage suits.
- Initial and ongoing case management of claims by compiling and evaluating medical and 
other information provided by the claimant, claimant&apos;s employer and medical practitioners, 
while keeping abreast of current and new medical processes.
- Consults with in-house Medical Directors on medical information. 
- Written communication consists of 75% standard letters with some modification and 25% 
customized letters.
- Discuss and present difficult or complex claims before peers and management.
Financial Management (20%) 
- Ensure that the claims process maintains correct reserve setting, through the accuracy of data 
entry to the mainframe and creditor system.
- Negotiate with the financial institutions/claimants in the case of an overpayment to ensure 
that IAP Life receives a full refund. This can involve setting up a repayment schedule.
Client Relations (10%)
- Develop positive and effective relationships with the claimant base, financial institutions, and
where appropriate, car dealerships.
- Provide appropriate and timely communication, while maintaining the confidentiality 
required with claimants, employers, attending physicians, financial institutions, other insurers, 
legal representatives, medical professionals, other departments within IAP Life, and 
where appropriate, car dealerships.
- Assist in the investigation and handling of claims appeals and complaints at level one nature. 
- Interact on a daily basis with disability claimants suffering both physical and mental illnesses 
in an empathetic but firm manner according to the Certificate of Insurance provisions and in 
keeping with the ICA Statement of Principles. 
Process Integrity (10%)
- Maintain established claims management practices, be cognizant of claims practices and 
suggest process improvements when noted, and achieve service standards. 
- Ensure file documentation is precise, accurate and objective to meet legal standards.
- Ensure computer records are correct and cheques are issued on a timely basis.
- Utilize internal resources (medical and legal) appropriately and within time standards. 
Qualifications
Basic Skills
- Proven excellence in communication (verbal /written).
- Critical thinking analysis and Decision making ability.
- Superior organizational skills and ability to multi-task. 
- Proven dedication to customer service.
- Demonstrated initiative and drive.
- Strong sense of urgency. 
- Good conflict resolution, negotiation and problem solving skills.
Education   Certification
A:
- Minimum completion of Post Secondary or Community College Diploma or an Undergraduate university degree in Science or Business Administration an asset
- Minimum 4 to 5 years related industry experience.
- Willing to complete Associate ALHC designation.
OR
B:
- High school graduation diploma plus 1 year post secondary education
- Industry related experience of 6 to 8 years, of which a minimum of 2 years in claims adjudication or claims assistant experience, with an in-depth knowledge of medical terminolgy.
- Willing to complete Associate ALHC designation.
Computer, Systems and Technology Knowledge 
- Basic PC Skills, Mainframe application experience.
- Microsft Office (Word, Excel, Outlook). 
- Familiar with the Internet and maneuvering within a Web based application.
Claims and Policyowner Services Creditor Claims Life and Disability Claims College Diploma Customer Service Data Integrity Decision Making English Fluent French Fluent
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                        <title><![CDATA[Claims Examiner - Extended Health   Dental Adjuster at INSURANCE CAREER NETWORK INC., (CAN-ON-Mississauga)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=2340127358</link>
                        <guid isPermaLink="false">2340127358</guid>
                        <pubDate>Fri, 14 Nov 2008 18:08:32 GMT</pubDate>
                        <description><![CDATA[workopolis com   Claims Examiner   Extended Health   Dental Adjuster   Etobicoke  ON  CANADA   INSURANCE CAREER NETWORK INC    or   Claims Examiner   Extended Health   Dental Adjuster  INSURANCE CAREER NETWORK INC Posted Nov 14  2008 Full Time Etobicoke  ON  CANADA  Mississauga  Greater Toronto Area 2 Position s  Relevant Work Experience  Job Category  Industry  Company Url  2 Dental  Insurance Insurance GeneralOur client is an independently owned  third party benefit administration and consulting company  They are looking for a Claims Examiner for their office in Etobicoke Claims Examiner   Extended Health   DentalQUALIFICATIONS Experience in a related fieldSound knowledge of and aptitude of mathematicsKnowledge of and hands on experience in a computerized environmentProven Microsoft office experience  strong keyboarding with good accuracy ratioSuperior customer service and interpersonal skills including an excellent telephone manner Ability to work well under pressure and meet deadlinesGood organizational skills  Excellent oral and written communication skills SUMMARY STATEMENTThe incumbent processes claims for Extended Health and Dental benefits using the technical knowledge obtained from the policies  procedural manuals  and industry and government communications The incumbent must be able to work independently with little supervision  possess the ability to distinguish priorities and adapt well to change  The individual must work well under pressure  maintain production requirements and must be willing to work overtime as required The incumbent must maintain the confidentiality and security of client files and data  and must adhere to specific rules and standards in protecting manual and computerized information DUTIES AND RESPONSIBILITIESProcesses Extended Health   Dental benefits through the use of an automated claims payment system Ensures all claims are processed in date order  by automatically assisting other examiners in the processing of their assigned plan s  when their own client base is in good order Maintains daily production requirements to a minimum as determined by the Manager Liaises in a professional manner with insurance agencies  doctors  trustees  members  management  lawyers  etc   ensuring that only allowable information is released to recognized recipients and that all information is released in writing Keeps abreast of industry and government requirements  Maintains confidentiality over client and corporate records and medical claims information Assists in special projects such as booklets  comparison of benefits  reports Answers all phone calls with courtesy and tact Operates automated claims payment system and performs manual calculations as required  Following training period  a minimum of 95% accuracy is required Keeps the Manager aware of problems or areas of concern that require special attention  May be required to work overtime hours as determined by the Manager  If you have these qualifications please send your resume in confidence to   We thank all applicants but only those being considered will be contactedJob ToolsClick for a printer friendly version at INSURANCE CAREER NETWORK INC Email This Job From Please enter a valid e mail address To Please enter a valid e mail address Text HTMLRegistered UsersAlready have a Workopolis account?New User        Copyright 2008 workopolis com  All Rights Reserved ]]></description>
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                  <item>
                        <title><![CDATA[Claims Examiner at Adecco Canada, (CAN-ON-Toronto)]]></title>
                        <link>http://www.jobvolume.com/jobid.jsp?jkey=281963641</link>
                        <guid isPermaLink="false">281963641</guid>
                        <pubDate>Fri, 14 Nov 2008 06:05:26 GMT</pubDate>
                        <description><![CDATA[Claims Examiner Job in Toronto GTA  Ontario Canada Claims ExaminerCompany Adecco CanadaLocation Toronto GTA  ONSalary Wage 35 000 00   37 000 00 CAD  yearStatus Full Time  EmployeeJob Category Accounting Finance InsuranceOccupations Claims Review and AdjustingCareer Level Experienced  Non Manager Industry Staffing Employment AgenciesUse the preferred method to send your resume  click Apply Now  Job DescriptionCompany Info  Third party benefit administrator Job Description  Our client requires an experienced claims examiner for their growing team  Responsibilities include    processes extended health   dental benefits   ensures all claims are processed effeciently   maintains daily production requirments   communicates effectively with insurance agencies  doctors  lawyers etc   is knowledgeable of industry s changing requirements   maintains confidentiality   assists in special projects as required Required Skills    Must have experience with health   dental claims   Self managed  highly motivated to meet and excede targets   good computer skills including aphanumeric speed of 10 000 keystrokes   Strong verbal and written communication Please provide your resume as a word document attachment Contact  Keleigh MacArthur Senior Placement Specialist 1600 Steeles Ave  W  Unit 31 Vaughan  ON L4K4M2 Phone   905  695 0202 Fax   905  695 0212 E mail  Contact Company Adecco CanadaContact Keleigh MacArthurEmail Address 1600 Steeles Ave  W Unit 31Vaughan  ON L4K4M2Phone  905  695 0202Fax  905  695 0212Reference Code 26520 36621 You are Applying to  Claims Examiner  Adecco Canada  Toronto GTA  ONStep 1   = Required InformationFirst Name   RequiredLast name   RequiredEmail address   RequiredInvalid Send me a copy of this application Privacy Notice  We ll save your name and the email address you ve entered so that we can contact you about the status of your application if necessary  and for our internal reporting purposes  We will not disclose your e mail address to anyone other than this employer Step 2 Personalize the cover letter below  or add your own note instead  To send your resume without a note  leave this box empty Note  Use plain text only  HTML is not supported InvalidCharacter Count  0  4 000 character limit  Limit exceeded]]></description>
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