Bilingual Claims Adjudicator I

Randstad Canada; Montreal; Remote; CAD 45,000 - 57,000; Full time

Job summary

A leading insurance company is seeking a Bilingual Claims Adjudicator I to support its Mortgage Creditor Insurance team. This remote role involves conducting intake calls, reviewing claim documents, and providing customer service while ensuring high-quality adjudication services. Ideal candidates will be bilingual in French and English with strong communication and analytical skills.

Benefits

Remote role

Competitive pay rate

6 month contract with possibility of conversion/extension

Qualifications

• Requires being fully bilingual in French and English.
• Must have exceptional communication skills for diverse audiences.
• Knowledge of Microsoft Office 365 is essential.

Responsibilities

• Conduct intake calls, medical requests, and client interaction.
• Review and prepare insurance claim forms for completeness.
• Provide customer service and assess coverage eligibility.

Skills

Bilingual in French and English

Exceptional Communication Skills

Proficiency in Microsoft Office 365

Detail-Oriented

Analytical Mindset

Ability to Handle Sensitive Information

Education

High school diploma or GED

Post secondary education preferred

Job description

Are you looking for a challenging role where you will have the opportunity to have a huge impact on an industry leader? Do you have outstanding relationships and a creative streak?

If so, this role may be for you! We are looking for Bilingual Claims Adjudicator I who will support our Mortgage Creditor Insurance team by conducting intake calls, client calls, medical requests and some other duties for that block of business. This will allow our Adjudicators to focus on claims mail handling within SLA.

Hours: 9am-5pm Monday-Friday; standard 37.5 hrs./week

Advantages
• Remote role
• Earn competitive pay rate
• 6 month contract with a possibility of conversion / Extension


Responsibilities
The main function of a claims adjudicator is to obtain information from insured or designated persons for purpose of settling claims with the insurance carrier.
Typical Day in Role
Organize and work within claim system to access client information while conducting initial intake calls with claimants, updating claims tasks, review of simple forms and submitting medical requests
Prepare and review insurance claim forms and related documents for completeness.
Provide customer service, such as giving limited instructions on how to proceed with claims or providing referrals to other facilities or contractors.
Review claims to determine initial coverage eligibility and send appropriate communication to claimants
Provide high quality, cost effective adjudication services which meet or exceed expectations provided to customers and are in accordance with the terms outlined in the Certificate of Insurance.
Summarize employment and mortgage lender documents.
Prepare all written correspondence, including request for additional information, communication of decisions, etc.
Meet objectives and service standards by working with the Manger to ensure that the team goals are met.
Other duties as assigned, may include reporting and other tasks to support the claims adjudicators

Qualifications
Candidate Requirements/Must Have Skills:
1) Fully Bilingual in French and English
2) Exceptional Communication Skills: Proficient in both verbal and written communication for diverse internal and external audiences.
3) Proficiency in Microsoft Office 365: Strong working knowledge of the Office 365 suite of programs.
4) Detail-Oriented with Quick Assessment Skills: This role requires a keen eye for detail, as it involves reviewing receipts, extracting data, and accurately inputting information into the system. An analytical mindset is essential to understand and make decisions based on the information presented.
5) Ability to deal with sensitive and confidential information.

Soft Skills:
• Excellent customer service skills.
• Excellent interpersonal skills with exceptional oral and written communication skills.
• Ability to respond constructively and decisively in high pressure or emotional situations and to respond quickly and positively to change.
• Personal style should reflect the high level of professionalism which projects to our customers.
• Ability to work independently and as part of a high functioning team.
• Excellent time management and organizational skills

Nice-To-Have Skills:
- Previous experience in adjudicating Life and/or Disability claims is an asset.
- Good working knowledge of medical conditions and terminology is an asset.

Education:
• High school diploma or GED required. Post secondary education preferred or equivalent work experience

Summary
If you are interested in this role, please apply in our website www.randstad.ca

Randstad Canada is committed to fostering a workforce reflective of all peoples of Canada. As a result, we are committed to developing and implementing strategies to increase the equity, diversity and inclusion within the workplace by examining our internal policies, practices, and systems throughout the entire lifecycle of our workforce, including its recruitment, retention and advancement for all employees. In addition to our deep commitment to respecting human rights, we are dedicated to positive actions to affect change to ensure everyone has full participation in the workforce free from any barriers, systemic or otherwise, especially equity-seeking groups who are usually underrepresented in Canada's workforce, including those who identify as women or non-binary/gender non-conforming; Indigenous or Aboriginal Peoples; persons with disabilities (visible or invisible) and; members of visible minorities, racialized groups and the LGBTQ2+ community.

Randstad Canada is committed to creating and maintaining an inclusive and accessible workplace for all its candidates and employees by supporting their accessibility and accommodation needs throughout the employment lifecycle. We ask that all job applications please identify any accommodation requirements by sending an email to [e-mail] to ensure their ability to fully participate in the interview process.