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Insurance Utilization Review Jobs in Ontario (NOW HIRING)

TOTH AND ASSOCIATES INC

Review and approve project deliverables prior to client submission. Client & Business Development ... Monitor project schedules and resource utilization to optimize department performance. * Contribute ...

Bronte Construction

Fleet Manager

Oakville, ON · On-site

Great health, dental, and vision insurance * DPSP plan that includes company dollar-for-dollar ... Reviewing SiteDocs Monthly Vehicle Audit submissions and defect close-outs; escalating non ...

Bronte Construction

Fleet Manager

Oakville, ON · On-site

Great health, dental, and vision insurance * DPSP plan that includes company dollar-for-dollar ... Reviewing SiteDocs Monthly Vehicle Audit submissions and defect close-outs; escalating non ...

Surbanajurong

Operations Manager

Toronto, ON · Hybrid

Lead monthly project health reviews and quarterly business performance reviews. 3. Practice ... Partner with Finance to improve revenue forecasting, utilization, WIP/AR management, and margin ...

B+H Architects

Operations Manager

Toronto, ON · Hybrid

Lead monthly project health reviews and quarterly business performance reviews. 3. Practice ... Partner with Finance to improve revenue forecasting, utilization, WIP/AR management, and margin ...

Somerville Auto Group

Rental Coordinator

Toronto, ON · On-site

... outbound), ensuring fleet utilization is optimized. * Build and maintain strong client ... Manage communications between commercial customers and their insurance providers to ensure ...

Bora Pharmaceuticals

Manager, QA Projects

Mississauga, ON

CA$91K - CA$114K/yr

Support review of batch records (master or executed) for non commercial and first commercial lots ... insurance -Retirement savings plans with employer contributions -Paid time off and flexible work ...

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Insurance Utilization Review information

What is an insurance utilization review?

An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.

What are the key skills and qualifications needed to thrive in insurance utilization review?

To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.

What are the most common challenges faced by insurance utilization review professionals?

One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.

How do I get into an insurance utilization review?

To become an insurance utilization review specialist, candidates typically need a background in healthcare, nursing, or a related field, along with knowledge of insurance policies and medical terminology. Certification such as the Certified Professional in Healthcare Quality (CPHQ) or similar credentials can enhance job prospects. Relevant skills include attention to detail, analytical thinking, and familiarity with medical records and insurance software systems.

Is insurance utilization review a stressful job?

Insurance utilization review can be stressful due to the need for accuracy, attention to detail, and meeting strict deadlines. Reviewers often handle complex cases and must balance policy guidelines with patient needs, which can contribute to job pressure. However, the level of stress varies depending on workload, work environment, and individual coping skills.

What are popular job titles related to Insurance Utilization Review jobs in Ontario?

For Insurance Utilization Review jobs in Ontario, the most frequently searched job titles are:

What job categories do people searching Insurance Utilization Review jobs in Ontario look for?

The top searched job categories for Insurance Utilization Review jobs in Ontario are:

Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Ontario as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 21% Part Time, and 6% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution.

Property Manager Multi Res & Condo

Chad Management Group

Toronto, ON • On-site

Full-time

Re-posted 8 days ago

Job description

Property Manager Multi Res & Condo

Position Summary

GTA West

Our client is a well established Property Management firm in Toronto. We are conducting a search for a Property Manager for a Multi res and Condo portfolio

Accountable for managing site conditions, contractors and reporting status on regular basis.

 

Responsibilities:

The specific duties and responsibilities for this position include but are not limited to the following:

  • Prepare comprehensive monthly reporting for owners and executive team on all project and tenant matters;
  • Developing Tenant Relationships / Customer Satisfaction;
  • Assisting with responding to tenant queries to ensure a full resolution;
  • Awareness & tracking of lease maturities and changes to site or existing tenants leases which would create value;
  • Assisting with collections;
  • Liaise with other departments in resolving tenant issues and addressing their needs (eg. Lease renewals, assignments, exclusives, billings etc.);
  • Process improvements - participate in / lead the process change with respect to tenant turnover; Percentage Rent billings, and tenant set-ups;
  • Create value (reducing costs or increasing revenues) through the use of:
    • Environmental friendly initiatives
    • Utilization of volume discounts or leveraging the size of the portfolio
    • Use of technology
    • Process improvements/efficiencies
    • Customer service/tenant relations
    • Operating excellence
    • Establishing and taking advantage of contractor discounts
    • Manage the physical aspects of the properties within your portfolio;
    • Co-ordinate all tenders for property operations;
    • Set and maintain all property annual budgets and any adjustments as required;
    • Review and approve all invoices;
    • Discuss with all supervisors variance reports to work towards maintaining budgets;
    • Co-ordinate with Insurance Brokers/Agents and Legal Entities regarding all accident claims;
    • Co-ordinate with Promotions Company and participating tenant promotions budgets and events;
    • Continue to achieve relationships with new and existing tenants;
    • Insuring contractors obligations outlined within contracts are maintained.

Qualifications

 

Academic/Education Requirements:

 

  • Four-year Bachelor’s Degree  and or Professional Designation;

 

Required skills/Experience:

  • Minimum 4 years experience in Property Management;
  • Effective planner for not only prioritizing work activities but also anticipating shifts in priorities;
  • Excellent oral and written communication skills with the ability to effectively communicate across all levels within, as well as outside the organization;
  • Effective skills in analyzing and interpreting needs of the tenants, leases and financial information
  • Ability to read and interpret leases