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HIROC Senior Claims Examiner

Job in Toronto, Ontario, C6A, Canada
Listing for: Healthcare Insurance Reciprocal of Canada (HIROC)
Full Time position
Listed on 2026-09-24
Job specializations:
  • Insurance
    Insurance Claims
Salary/Wage Range or Industry Benchmark: 101000 - 120000 CAD Yearly CAD 101000.00 120000.00 YEAR
Job Description & How to Apply Below
Position: HIROC Senior Claims Examiner Role
Contribute to healthcare safety as a Senior Claims Examiner s hybrid position offers you the chance to manage critical claims processes while working with a renowned nonprofit.

HIROC is looking for a highly skilled Senior Claims Examiner with at least 8-10 years of claims experience. In this role, your responsibilities will include reviewing claims, negotiating settlements, and ensuring compliance with legal requirements.

Your role is essential in supporting a safe healthcare system across Canada.

Key Responsibilities:

• Review initial documentation and legal claims

• Direct negotiations with plaintiffs and stakeholders

• Make settlement decisions and authorize payments

• Compile evidence and prepare mediation materials

• Collaborate with departments for ongoing education

Requirements:

• 8-10 years’ experience in claims processing

• Completion of post-secondary education

• Advanced knowledge of insurance regulations

• Excellent communication and multitasking abilities

• Must possess a valid driver's license

Elevate your career with HIROC while contributing to safe healthcare practices.
Position Requirements
10+ Years work experience
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