Senior Claims Administrator

Bilinguallink; Lévis; Hybrid; CAD 50,000 - 55,000; Full time

Benefits offered by this job

Salary 50-55k CAD

Hybrid work

Health benefits

Employee assistance program

Wellness spending account

RRSP matching

3 weeks vacation

Tuition reimbursement

Growth opportunities

Inclusive culture

Supportive leadership

Career growth

Job summary

MSH in Canada is seeking a Claims Management professional to help ensure accurate processing of claims and provide guidance to team members. You will work with Claims leadership, manage complex cases, assist with escalations, and contribute to delivering exceptional customer experiences.

This role suits someone with claims experience who enjoys problem-solving, mentoring others, and making a meaningful impact on team performance and client satisfaction.

Qualifications

• 1–3 years of experience in claims administration, insurance, healthcare, or related field.
• Strong proficiency in Microsoft Office applications.
• Excellent verbal and written communication skills in English.
• Ability to interpret and apply health insurance policies and procedures.

Responsibilities

• Review and process complex claims accurately and within service standards.
• Validate and adjudicate claims with higher financial complexity.
• Investigate and resolve claims, payment, and banking-related inquiries.
• Manage escalated claims and support resolution of challenging cases.
• Utilize clinical and case management tools to support claim assessments and follow-up activities.
• Respond to escalated client inquiries by phone and email in a timely and professional manner.
• Partner with internal teams to resolve customer concerns effectively.
• Contribute to initiatives focused on improving customer satisfaction and service quality.
• Support the onboarding and training of new team members.
• Share knowledge and best practices with Claims Administrators.
• Provide coaching and guidance to help maintain a high-performing team.
• Ensure all work is completed in accordance with service standards, company policies, and regulatory requirements.

Skills

Microsoft Office

English communication

Education

College/University degree or equivalent

Job description

Join a team where your passion meets purpose! We’re not just colleagues – we’re enthusiasts who genuinely love what we do and make work enjoyable for everyone.

About You:

You’ll play a key part in ensuring claims are processed accurately and efficiently while providing guidance and support to team members. You’ll work closely with Claims leadership, manage complex claims, assist with escalations, and contribute to delivering an exceptional customer experience.

This is an excellent opportunity for someone with claims experience who enjoys problem-solving, mentoring others, and making a meaningful impact on both team performance and client satisfaction.

What You’ll Be Doing

Claims Management

• Review and process complex claims accurately and within service standards.
• Validate and adjudicate claims with higher financial complexity.
• Investigate and resolve claims, payment, and banking-related inquiries.
• Manage escalated claims and support resolution of challenging cases.
• Utilize clinical and case management tools to support claim assessments and follow-up activities.

Customer Experience

• Respond to escalated client inquiries by phone and email in a timely and professional manner.
• Partner with internal teams to resolve customer concerns effectively.
• Contribute to initiatives focused on improving customer satisfaction and service quality.

Training & Mentorship

• Support the onboarding and training of new team members.
• Share knowledge and best practices with Claims Administrators.
• Provide coaching and guidance to help maintain a high-performing team.

Compliance & Continuous Improvement

• Ensure all work is completed in accordance with service standards, company policies, and regulatory requirements.
• Maintain strict confidentiality of personal and medical information.
• Participate in team meetings, process improvement projects, and quality initiatives.

What You Bring

Required Qualifications

• College diploma, university degree, or equivalent combination of education and experience.
• 1-3 years of relevant experience in claims administration, insurance, healthcare, or a related field.
• Strong proficiency in Microsoft Office applications.
• Excellent verbal and written communication skills in English.
• Ability to interpret and apply health insurance policies and procedures.

Preferred Qualifications

• Experience in the insurance industry and/or medical field.
• Medical Terminology certification is considered an asset.

Skills & Attributes

• Strong attention to detail and commitment to accuracy.
• Excellent analytical and problem-solving abilities.
• Outstanding customer service and relationship-building skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Strong organizational skills and sound judgment.
• Collaborative team player who can also work independently.
• Positive, adaptable, and proactive approach to work.

What’s In It for You

• Salary Range: 50-55k CAD annually + Variable Bonus (Final compensation will reflect the candidate’s experience, skills, and qualifications)
• Flexible hybrid work setup
• Comprehensive health benefits
• Employee assistance program
• Wellness spending account
• RRSP matching
• Minimum 3 weeks vacation (plus generous sick and flex days)
• Tuition reimbursement
• Real opportunities for growth and skill development
• Inclusive, diverse workplace culture
• Leadership that genuinely cares about your success and well-being
• Clear paths for both vertical and horizontal career growth

MSH is an equal opportunity employer committed to fostering an inclusive, barrier-free recruitment process. We welcome applications from all qualified individuals regardless of race, ancestry, colour, ethnic origin, citizenship, creed, sex, sexual orientation, gender identity or expression, age, record of offences, marital status, family status, or disability.

If you require accommodation at any stage of the recruitment process, please reach out. We will work with you in accordance with the Ontario Human Rights Code and the Accessibility for Ontarians with Disabilities Act (AODA).

We thank all applicants for their interest. Only those selected for an interview will be contacted.

In accordance with Ontario’s Working for Workers Four Act, 2024, MSH confirms that artificial intelligence tools may be used in the recruitment and selection process for this position