Find work in Canada.

321,099 jobs across our Canadian network. How we count

Jobs in Canada

25+ jobs

Email me new jobs Save this search

Added 8 mins ago
F(
Property Accountant
Forum (West)
Montreal, QC
- Full-time
Experience with Microsoft Excel, Word, Outlook
Added 8 mins ago
GC
January 2027 Coal and Coke Quality Co-op (Engineering/Geology)
Glencore Canada
Sparwood, BC
- $4,867 to $6,167 CAD / month
- Full-time
Strong computer skills, particularly with the Microsoft Office Suite® package: Excel, Word, and Outlook
Added 8 mins ago
GC
May 2027 Mining Engineering Co-op
Glencore Canada
Sparwood, BC
- $4,867 to $6,167 CAD / month
- Full-time
Proficient in Microsoft Office applications (Word, Excel, PowerPoint, Access)
Added 8 mins ago
BC
Member Advisor
Brunswick Credit Union
Sussex, NB
- Full-time
Added 8 mins ago
OH
Bilingual Care Coordinator, Regular Full Time, Central Ottawa General, Labelle
Ontario Health atHome
Ottawa, ON
- Full-time
Working knowledge of computer software (email, internet) and Microsoft Office applications (Word, Outlook, etc.)
Added 8 mins ago
WI
Proposal Specialist
WSP in Canada
AB · Edmonton, AB
- Full-time
Advanced proficiency with Microsoft Office Suite, particularly Word and PowerPoint.
Added 8 mins ago
DI
Insurance Financial Advisor
Desjardins Insurance
Barrie, ON
- Full-time
Proficient in Microsoft Office: Word, Excel and Outlook
Added 8 mins ago
R
Sales Business Development Manager
Remco
Mississauga, ON
- $90,000 to $120,000 CAD / year
- Full-time
Added 8 mins ago
ME
Senior Protection & Control Engineer
Morson Edge (Canada)
Burnaby, BC
- $95 to $120 CAD / hour
- Contract
Intermediate proficiency in Microsoft Office (Word, Excel, PowerPoint)
Added 8 mins ago
ZI
Executive Assistant
ZenaTech Inc.
Toronto, ON
- $60,000 to $70,000 CAD / year
- Full-time
Advanced proficiency in Microsoft Office (Outlook, Word, Excel, PowerPoint); familiarity with investor/CRM databases is an asset.
Added 8 mins ago
TI
Biomedical Sales & Customer Support Representative
Torontech Inc.
Richmond Hill, ON
- Full-time
Experience with CRM and Microsoft Office is preferred.
Added 8 mins ago
R
Inbound Manager
ROBINSON
Calgary, AB
- Full-time
Experience with WMS, inventory management systems, RF scanners, and Microsoft Office.
Added 8 mins ago
LC
HR Consultant
Leaps&Bounds Consulting
Winnipeg, MB
- Full-time
Proficiency with HRIS platforms and standard business tools (e.g., Microsoft Office)
Added 8 mins ago
EV
Coordinator, Marketing Operations
Elk Valley Resources
Vancouver, BC
- $80,000 to $100,000 CAD / year
- Full-time
Strong knowledge of Microsoft Office, particularly Word and Excel; SAP and CRM experience preferred
Added 8 mins ago
D
Sales Development Representative (SaaS)
DCM
Toronto, ON
- $50,000 to $60,000 CAD / year
- Full-time
Experience with CRM platforms such as HubSpot, Salesforce or Microsoft Dynamics
Added 8 mins ago
FC
Développeur dotnet
FOP Consultants
Quebec, QC · Greater Quebec City Metropolitan Area
- Full-time
Posséder 2 années d'expérience dans un environnement Microsoft .Net et en développement C#.
Added 9 mins ago
VA
Lead Hand - Accessory Shop
Voyageur Aviation
North Bay, ON
- Full-time
Added 9 mins ago
Proposal Specialist
WSP
AB · Edmonton, AB
Advanced proficiency with Microsoft Office Suite, particularly Word and PowerPoint.
Added 9 mins ago
PS
Advisor, Public Markets Solutions
Public Sector Pension Investment Board
Montreal, QC
- Full-time
Knowledge of data and business intelligence technologies such as Microsoft SQL Server, Power BI or similar tools is considered an asset
Added 9 mins ago
A
Customer Support Representative
ATCO
Bonnyville, AB
- Full-time
Proficiency with Microsoft Office applications.
Added 9 mins ago
FS
Catering & Conference Services Coordinator
Four Seasons Hotels and Resorts
Toronto, ON · Four Seasons Toronto
- Full-time
Added 9 mins ago
Client Service Processor, temporary 12-month contract
The Canada Life Assurance Company
London, ON
Working knowledge of Microsoft office products
Added 9 mins ago
Director, Programs and Policy
Winnipeg Regional Health Authority
Winnipeg, MB
Added 9 mins ago
F
Service Applications Advisor
Finning
Surrey, BC · Edmonton, AB · Calgary, AB
- Full-time
Proficiency with Microsoft Office applications and a strong aptitude for learning business systems.
Added 9 mins ago
Operational Account Manager
DSV
Brampton, ON

Jobgether

Appeals Coordinator

Canada

Full-time

Apply About employer

Applications open in a new tab.

Job details

Job type: Full-time
Posting language: English
Posted: Oct 6, 2026

Original job description

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an Appeals Coordinator based in Canada.

This role is responsible for coordinating and managing appeal cases while ensuring decisions are handled accurately and within required timeframes. You will maintain a caseload, review medical and clinical documentation, and determine the appropriate administrative or clinical appeal pathway. The position combines case management, data entry, customer communication, documentation, and cross-functional coordination. You will work closely with physician advisers, medical directors, case managers, supervisors, and other stakeholders to resolve complex appeal questions. The role also contributes to reporting, audits, quality improvement initiatives, and employee training. Strong organization, attention to detail, and communication skills are essential for maintaining high standards and regulatory compliance.

Accountabilities

Maintain an assigned caseload and monitor compliance with appeal decision timelines and applicable procedures.
Review clinical and medical records for completeness and determine whether cases require administrative or clinical appeal review.
Coordinate and distribute first-, second-, and third-level appeal assignments to the appropriate reviewers.
Assign cases requiring medical necessity review to physician advisers and medical directors.
Enter accurate appeal and case review information into databases and maintain complete documentation.
Prepare and present appeal information to panels and second-level multidisciplinary committees.
Gather and analyze appeal activity data and support the preparation of internal and external appeals audits.
Participate in quality improvement activities and contribute to the development and implementation of department workflows.
Support training for new employees and help ensure team members understand applicable procedures and performance standards.
Consult with managers and collaborate with case managers, clinical supervisors, account managers, and other personnel to resolve denial and appeal questions.
Respond to member, provider, and client inquiries regarding appeal status, processes, and outcomes.
Organize daily workloads and workflows to ensure appeals are resolved accurately, efficiently, and in accordance with client requirements and applicable regulations.

Requirements

High school diploma or GED required; an associate degree is preferred.
Previous customer service experience, particularly in roles involving direct customer interactions and detailed documentation.
Experience with data entry and case management.
Strong letter-writing, writing, proofreading, and document-review skills, with excellent attention to accuracy and detail.
Proficiency with Microsoft Office and Microsoft Suite applications.
Ability to review and understand health-related materials and handle sensitive information professionally.
Strong interpersonal and communication skills, with the ability to interact effectively with members, providers, clients, and internal stakeholders.
Highly organized and capable of managing multiple cases, priorities, and deadlines effectively.
Ability to recognize when assistance is needed and seek appropriate support on complex or unfamiliar tasks.
Experience in healthcare is a plus.
Customer service experience is valued.
Typing speed of approximately 50 words per minute is preferred.

Benefits

Opportunity to contribute to healthcare appeal and case management operations.
Exposure to clinical, administrative, and regulatory processes within a healthcare environment.
Opportunities to collaborate with multidisciplinary teams and healthcare professionals.
Experience supporting quality improvement, audits, reporting, and workflow initiatives.
Professional development through employee training and involvement in departmental projects.

How Jobgether Works

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Apply About employer

More about this job

Responsibilities

Manage an assigned caseload, review medical and clinical documentation, route appeals to appropriate reviewers, and ensure decisions meet required timelines and procedures. Maintain accurate records, respond to member and provider inquiries, support audits and quality improvement, and coordinate with clinical and administrative stakeholders.

Requirements

A high school diploma or GED is required, and an associate degree is preferred; relevant experience includes customer service, data entry, and case management. Candidates should have strong writing, proofreading, communication, organization, and document-review skills, proficiency with Microsoft Office, and the ability to handle health-related materials and sensitive information.

Skills

Appeals Coordination
Case Management
Medical Record Review
Clinical Documentation Review
Data Entry
Customer Service
Written Communication
Proofreading
Attention to Detail
Microsoft Office
Workload Management
Regulatory Compliance
Data Analysis
Audit Support
Cross-Functional Coordination
Quality Improvement

Benefits

Opportunity to Contribute to Healthcare Appeal and Case Management Operations
Exposure to Clinical, Administrative, and Regulatory Processes
Collaboration with Multidisciplinary Teams and Healthcare Professionals
Experience Supporting Quality Improvement, Audits, Reporting, and Workflow Initiatives
Professional Development Through Employee Training and Departmental Projects

Visa sponsorship

Not detected in the job text

Keywords

Appeals
Appeal Case Management
Administrative Review
Clinical Review
Medical Necessity
Medical Records
Clinical Documentation
Physician Advisers
Medical Directors
Multidisciplinary Committees
Case Management
Data Entry
Microsoft Office
Customer Service
Member Inquiries
Provider Inquiries
Appeal Timelines
Regulatory Compliance
Appeals Audits
Reporting
Quality Improvement
Workflow Development
Employee Training
Sensitive Information
Healthcare

Report this job