Accident and Health Claims Adjudicator - Contract

Crawford & Company; Canada; Remote; CAD 60,000 - 85,000; Full time

Job summary

Crawford & Company is seeking an Accident and Health Claims Adjudicator for an 18-month contract covering maternity leave. This flexible position offers in-office, hybrid, or fully remote work options. Ideal candidates will possess strong analytical skills, relevant insurance experience, and excellent communication abilities.

Benefits

Flexible working arrangements

Professional development opportunities

Qualifications

• Minimum 2 years Accident and Health Adjudication experience.
• Bilingualism in French and English is an asset.
• Experience in adjusting multi-line claims required.

Responsibilities

• Review file material on low level claims.
• Provide timely first contact on new claims.
• Maintain communication with claimant while awaiting decision.

Skills

Analytical skills

Interpersonal skills

Decision-making skills

Multitasking ability

Customer service skills

Education

Post secondary education in an insurance related field

Working towards full Provincial Adjusting License

CIP designation

Job description

Accident and Health Claims Adjudicator - Contract

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Accident and Health Claims Adjudicator - Contract

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Job Description

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.

Job Description

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.

Responsibilities

• 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 details
• Appropriate and timely communication with customer regarding low to mid-level claims
  
  

Qualifications

• 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.
  
  

About Us

Why Crawford?

Because a claim is more than a number — it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community – one claim at a time.

At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us.

We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com

Our total compensation plans provide each of our employees with far more than just a great salary

Pay and incentive plans that recognize performance excellence

Benefit programs that empower financial, physical, and mental wellness

Training programs that promote continuous learning and career progression while enhancing job performance

Sustainability programs that give back to the communities in which we live and work

A culture of respect, collaboration, entrepreneurial spirit and inclusion

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  Insurance

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