We are currently recruiting for a Contract Accident and Health Adjudicator to join our team remotely in Canada. This is a contract position covering an 18-month maternity leave. The position location is flexible, and we can offer in-office, hybrid or fully remote working arrangements. 

Minimum 2 years Accident and Health Adjudication experience.Working towards full Provincial Adjusting License and/or CIP designation.Bilingualism in French and English Bilingual is an asset.Post secondary education in an insurance related field is an asset.Experience in adjusting including the investigation and detailed reporting of multi-line claims.Excellent ability to interact with clients, claimants and field staff for the exchange of information often requiring analysis .Excellent interpersonal skills are required to enable effective interaction and communication in both oral and written format with employees, policyholders, employers and other insurance/medical/legal professionals.The ability and willingness to learn multiple computer systems.Strong analytical and decision-making skills.Ability to multitask.Ability to effectively manage change.Strong computer and reporting skills.Must be a team player with outstanding customer service skills.Willingness to work in a dynamic environment with opportunity for career growth.

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Review all file material on low level claims.Must provide first contact on new claims in a timely manner.Determine entitlement to benefits as per insurance policies and claims handling processes.Provide verbal and written dockets and reports communicating support for decision to supervisors and examiners.Detailed recording in system/progress notes.Prepare correspondence communicating decisions.Maintain communication with claimant while decision pending.Careful analysis of responding policy to ensure correct determination of eligibility of claim.Adhere to Client turnaround timelines.Obtain authority where required and issue indemnity or expense payment in timely manner.Timely and accurate expense account submissions.Approachable style to facilitate qualitative communications.Ensure notes are taken and added to the database confirming the discussion/email detailsAppropriate and timely communication with customer regarding low to mid-level claims