9 results for Claims Processor

Claims Manager, Group Benefits Robert Half is working with a well established, Edmonton-based insurance company to help them find a dynamic leader to develop and manage their new Health & Dental claims group. Responsibilities: <ul><li>Establish, mentor and lead a new claims processing team by fostering a collaborative environment that prioritizes accuracy, efficiency and employee engagement.</li><li>Design and implement health and dental claims processing workflows that ensure timely and compliant handling of claims.</li><li>Create a client service culture and embed client engagement by inspiring and motivating the claims team to provide the best claims experience in Canada.</li><li>Conduct regular health and dental claim file reviews and performance assessments, to identify and evaluate trends to optimize processes and provide recommendations for technology enhancements.</li><li>Possess excellent communication strategies to handle disputes and escalations, working with claimants and Plan Sponsors to find fair resolutions.</li><li>Assist in the evaluation for a new Health and Dental Claims Adjudication software partner.</li></ul>This is a unique opportunity for an experienced Claims Manager looking for a new challenge. In addition to a competitive salary, a comprehensive total rewards package is offered. Please note that this is a fully in office position based out of downtown Edmonton. Parking will be provided. Apply today!

Sr. Accident Claims Analyst Are you an experienced claims professional with expertise in managing complex accident claims involving bodily injury, property damage, physical damage, general liability, and cargo claims? We are looking for a Senior Accident Claims Analyst who can work independently while overseeing litigated cases and negotiating settlements with third parties. This role offers the opportunity to make a significant impact on claims management and contribute to risk reduction efforts for the company.Your Responsibilities:<ul><li>Independently manage minor to serious third-party bodily injury and property damage claims.</li><li>Handle litigated and complex claims under the supervision of Claims leadership.</li><li>Regularly update internal reporting tools such as the BI book (monthly) and quarterly reports for auditors.</li><li>Set, recommend, and monitor claim reserves within authority limits, providing action plans to leadership for reserves beyond authority.</li><li>Negotiate and adjudicate claims with third parties while managing claims within authority limits.</li><li>Coordinate investigations with independent adjusters, attorneys, and experts.</li><li>Facilitate post-accident drug and alcohol testing procedures when required.</li><li>Notify company departments regarding accidents or injuries as appropriate: keeping other stakeholders informed.</li><li>Analyze claims for subrogation potential and pursue recovery where applicable.</li><li>Provide informed guidance to leadership on risk management and liability issues.</li><li>Travel as needed for accident investigations, litigation processes, and industry seminars.</li><li>Participate in on-call duties after hours, if required.</li><li>Perform additional tasks as assigned by leadership.</li></ul>

Sales Analyst Our client is a very successful company in the auto industry. As a result of exciting growth and industry partnerships, they have added a new position of Sales Analyst to the team. Reporting to the Vice President, the Sales Analyst is responsible for sales analytics and other data analytics for one of its largest customers. The Sales Analyst's duties involve examining and analyzing sales and claims data, creating and managing data dashboards, and utilizing data analytics to optimize business operations. To be considered for the role of Sales Analyst, you must have a University degree in Business combined with studies in Math or Data Analytics. An MBA or CPA is an asset. You must be able to sort and analyze complex data with an ability to understand what the numbers are saying. You must have strong business acumen combined with exceptional data analytics skills. You will be presenting data to the Senior Leadership Team within our client as well as to their client. You must therefore have excellent written and verbal communication skills. The ideal candidate is able to convey the message and story behind the numbers to help drive business decisions in Canada. Responsibilities: • Analyzing and interpreting sales trends and metrics to identify areas of progression and regression• Creating and maintaining data dashboards using Power BI, acting as a power user and architect• Analyzing and interpreting claims data to identify key insights and trends• Utilizing data mining techniques to derive meaningful insights from vast data sets• Implementing variance analysis and providing explanations for identified variances• Investigating and identifying variances in financial metrics and KPI reporting• Assessing current reporting methods and suggesting new ways for improvement• Using data analytics and financial analytics to drive strategic decision-making• Examining changing competitive trends and their impact on sales• Managing budget processes and ensuring alignment with financial KPIs• Utilizing skills in analyzing trends to understand input and its impact on output.

Compensation & Benefits Specialist We are offering a short term contract employment opportunity for a Compensation & Benefits Specialist. This role involves the administration and oversight of numerous total rewards programs. You will be instrumental in supporting staff members with various benefits-related inquiries, enrollments, plan changes, terminations, audits, and reconciliations in a multi-union environment with several Pension Plans. Responsibilities: • Assist in the development, implementation, and maintenance of total rewards programs, including salary structures, incentive plans, benefits, and pension offerings • Conduct market research and benchmarking to ensure competitive compensation and benefits packages • Update and maintain the master salary tables to ensure accuracy of data • Contribute to the total rewards strategy and the annual total rewards proposal • Process salary adjustments for economic and/or contract increases • Coordinate the job evaluation processes, including educating managers and employees on the process • Advise affected employees and managers of changes to salary as a result of job evaluation and update the HRIS system accordingly • Provide insights and recommendations to enhance employee engagement and satisfaction through rewards programs.

Customer Service Representative We are seeking a Customer Service Representative to join our team in the service industry, located in Thornhill, Ontario. As a Customer Service Representative, you will be responsible for managing customer interactions, maintaining accurate records, and processing applications. This role offers a contract to permanent employment opportunity, where you will play a key role in managing customer accounts and ensuring their needs are met. Responsibilities:• Efficiently process and manage customer credit applications• Maintain accurate records of customer interactions and transactions• Handle customer inquiries and resolve issues promptly• Monitor customer accounts and take appropriate action when necessary• Prepare and manage correspondence on claim files, including letters to members and third-party reports• Process payments related to claim files such as appraisal fees and police report fees• Support the team by preparing and sending proof of loss documents to expedite claim settlements• Request official reports like police reports and fire incident reports to aid in claims investigation• Dispatch claim files to legal representatives when requested• Process, sort, and distribute incoming correspondence appropriately• Make outbound calls to members to obtain the first notice of loss on new claims reported after hours or online• Answer inbound calls and efficiently route the callers to the appropriate department, subject to business demands.

Accounting Assistant We are offering an exciting opportunity for an Accounting Assistant to join our team in Toronto, Ontario. This role is primarily focused on the administration of billing and collections, maintaining customer support, and identifying process improvement opportunities in our system. Responsibilities: • Oversee the administration of billing and collections using claims management system and QuickBooks • Handle accounts payable processing, which includes entering invoices into the QuickBooks system and communicating with vendors as necessary • Ensure the highest level of customer support aligning with our mission • Prepare periodic reports for the monitoring of accounts receivable • Resolve any errors or discrepancies with customer billing, accounts, or billing reports • Interact with clients to resolve issues and answer inquiries • Assist with project work or other assignments as directed • Identify and implement process improvement opportunities in systems and processes to optimize the operating model.

Payroll and Shared Services Coordinator Responsibilities: Payroll: • Accurate and timely processing of bi-weekly and semi-monthly payroll for hourly employees across North America, as well as off cycles as necessary, while ensuring compliance with state tax requirements. • Update and maintain the payroll system such as entering new hire information, terminations, address changes, updating tax withholdings, and pay adjustments. • Prepare payroll payout file by calculating overtime pay based on the employee’s jurisdiction for finance. • Assist with year-end reconciliation and annual preparation of W-2s. • Responsible for employee onboarding and offboarding process. • Respond to US state unemployment claims and employment verifications within the deadlines. • Serve as back up support for payroll processing, year-end reconciliation and annual preparation of 1099s for independent contractors in North America. • Shared Services Operations: • Assist with corporate licensing. • Assist with incoming background check requests for candidates and backcheck providers. • Assist with Eequipment logistics with for adjusters across North America for primarily Canadian Clients (Allstate, Co-operators, Economical, SGI, Gore, TD) and remote team members. • Update and monitor inventory tracking forms. Qualifications: • 1-2 years of hands-on experience in processing payroll from beginning to end. • PCP designation or working towards is preferred. • Completion of a post-secondary program in business administration, accounting, or similar. • Experience with using ADP, Ceridian and Paycor is preferred. • Intermediate experience using MS excel (formulas, filter, sort, formatting, vlookup) is crucial to this role. • Ability to exercise a high level of discretion with confidential information. • Flexibility to work extra hours and in office during peak periods.

Payroll Coordinator We are a non-profit organization based in Vancouver, British Columbia, seeking a Payroll Coordinator to join our team. This role offers a contract to permanent employment opportunity. You will be part of a hybrid workplace, spending one day on-site and the rest working remotely. As a Payroll Coordinator, you will be responsible for various tasks related to payroll processing for our staff, which includes both hourly and salaried employees. Responsibilities: • Assist in processing payroll for both hourly and salaried employees • Manage and process union dues and claims • Oversee benefits administration, liaising with our providers, Sunlife and Pacific Blue Cross • Ensure accurate and efficient processing of ROE's • Apply your experience with Ceridian Dayforce in managing payroll functions • Maintain and reconcile payroll records • Manage end-of-year payroll tasks • Handle any payroll-related inquiries and issues • Monitor employee accounts and take appropriate action when necessary

Billing Clerk We are offering a long term contract employment opportunity for a Billing Clerk. The selected candidate will be part of a team that manages a variety of accounting activities, including processing customer applications, maintaining customer records, and resolving inquiries. You will also be tasked with monitoring customer accounts and taking appropriate actions when necessary. Responsibilities: • Manage and maintain accurate customer credit records using Accounting Software Systems and ADP - Financial Services. • Efficiently process customer credit applications. • Use Computerized Billing and EHR SYSTEM to oversee customer accounts and take the necessary actions. • Utilize Epic Software and About Time to enhance the efficiency of accounting functions. • Handle Accounts Payable (AP) and Accounts Receivable (AR) duties. • Respond to and manage Answering Inbound Calls from customers and resolve their inquiries. • Ensure accuracy and efficiency in all billing operations. • Collaborate with the team to streamline the billing process and improve customer satisfaction. • Stay updated with the latest billing software and technologies. • Participate in regular team meetings and contribute to the team's overall goals and objectives.