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Claims Examiner in Healthcare Insurance

Remote / Online - Candidates ideally in
Toronto, Ontario, C6A, Canada
Listing for: Healthcare Insurance Reciprocal of Canada (HIROC)
Remote/Work from Home position
Listed on 2026-06-28
Job specializations:
  • Healthcare
    Emergency Crisis Mgmt/ Disaster Relief, Health Insurance
Job Description & How to Apply Below
Position: Claims Examiner Role in Healthcare Insurance
Join HIROC as a Claims Examiner and help create a safer healthcare system in Canada. This position allows for a blend of remote work and essential in-office collaboration.

As a Claims Examiner at HIROC, your role involves thorough documentation reviews, legal analysis, and settlements of healthcare liability claims. With a focus on risk management, you will leverage 8-10 years of experience to guide initiatives that enhance safety for over 700 healthcare organizations. Your contributions will be crucial in providing strategic recommendations.

Key Responsibilities:

• Review and analyze claims documentation rigorously

• Instruct counsel/lawyers about claim strategies and decisions

• Negotiate settlements with various stakeholders

• Ensure comprehensive evidence collection and preservation

• Support policy development and provide risk management advice

Requirements:

• Minimum of 8-10 years claims processing experience

• Enrollment or completion of CIP, FCIP, or CRM courses

• Excellent organizational and communication abilities

• Strong multitasking and analytical skills

• Vehicle access and a valid G driver’s license

Drive impactful change in the healthcare sector by managing claims effectively at HIROC.
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