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Healthcare Claims Specialist with HIROC

Healthcare Insurance Reciprocal of Canada (HIROC)

toronto, on, Canada Full-time July 16, 2026

Opportunity Description

Join HIROC as a Healthcare Claims Specialist, driving excellence in claims management and risk analysis. This position balances remote work with important in-office collaboration, fostering professional growth and teamwork.
HIROC is looking for an experienced Intermediate Claims Examiner to manage complex claims while supporting healthcare organizations across Canada. You’ll perform essential duties like negotiating settlements, analyzing claims data, and ensuring compliance with best practices. Contribute to organizational growth and healthcare safety initiatives within a dynamic, supportive environment.
Key Responsibilities:
• Analyze initial claims and amend reserves
• Facilitate discussions with legal representatives
• Collect and authorize necessary evidence
• Negotiate with mediators and claimants effectively
• Liaise with finance for transaction verification
Requirements:
• At least 5 years of claims processing experience
• University education or e...
Full-time Other-General

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