Bilingual (EN/FR) Claims Examiner

Xodus Travel Services Inc.; Canada; On-site; CAD 45,000 - 50,000; Full time

Benefits offered by this job

Competitive salary and benefits

3 weeks vacation to start

Career learning and development

Job summary

Xodus Travel Services Inc. is seeking a Bilingual Claims Examiner in Canada to valueate and adjudicate travel insurance claims per policy terms and regulations. You will process medical, trip cancellation/interruption, baggage loss and other claims, ensuring accuracy, compliance and customer satisfaction.

Responsibilities include guiding claimants through the process, requesting information, and providing updates while handling English and French communications via phone and digital channels.

Qualifications

• Bachelor's degree or equivalent experience.
• Excellent analytical and decision-making skills.
• Detail-oriented with strong organizational abilities.
• Knowledge of insurance regulations and industry standards.

Responsibilities

• Review claims against policy wordings to determine coverage.
• Request additional information from clients, providers and suppliers.
• Calculate benefit payments and process claim payments/denials.
• Document claim decisions with clear rationales.
• Manage claim files from receipt to resolution.
• Communicate with claimants in English and French across channels.

Skills

Analytical skills

Detail-oriented

Insurance knowledge

Bilingual English/French

Education

Bachelor's degree or equivalent experience

Job description

Salary Range: $45,000.00 To $50,000.00 Annually

Who we are

Xodus Travel Services Inc. was established with a clear mission: to tackle and resolve the limitations within the Canadian travel insurance industry that became glaringly apparent during and in the aftermath of the global pandemic. Recognizing the unprecedented challenges faced by travelers and the insurance sector alike, Xodus is committed to revolutionizing the landscape of travel insurance, ensuring Canadians have access to comprehensive and responsive coverage in an ever-evolving world. Be a part of the solution.

About the role

The Bilingual Claims Examiner will valuate and adjudicate travel insurance claims according to policy terms, conditions, and applicable regulations. You will process medical, trip cancellation/interruption, baggage loss, and other travel-related claims while ensuring accuracy, compliance, and customer satisfaction. The Bilingual Claims Examiner will efficiently guide the claimant through their claims journey by proactively providing updates and facilitating claim settlement requirements.

What you'll do

• Review and analyze claims documentation against policy wordings to determine coverage eligibility and benefit amounts
• Request additional information from clients, healthcare providers, and travel suppliers
• Calculate benefit payments according to policy limits and exclusions, and process claim payments and/or issue denial letters
• Document claim decisions with clear rationales
• Manage claim files from receipt to resolution
• Communicate with claimants to provide status, claims decision rationale, and respond to general inquiries through voice and digital channels, including handling of inbound phone calls in both English and French
• Assist with appeals and escalated cases
• Identify potential fraud indicators

The skills you bring

• Bachelor's degree or equivalent experience
• Excellent analytical and decision-making skills
• Detail-oriented with strong organizational abilities
• Knowledge of insurance regulations and industry standards

Preferred qualifications

• Travel or Property & Casualty insurance experience is an asset
• Knowledge of medical terminology and coding is an asset
• Experience in claims adjudication
• Healthcare or medical background

What’s in it for you

• Competitive salary, health, and dental benefits.
• 3 weeks vacation to start.
• Career learning and development support.
• A supportive and collaborative work environment.

What’s important to us

• Looking around corners: We want people who can anticipate challenges and opportunities, act with a sense of urgency, and take ownership of their work and outcomes.
• Creative problem solving: We want people who can think outside the box, generate novel ideas, and find effective solutions to complex and dynamic problems.
• Understand and exceed client and consumer expectations: We want people who can listen to and empathize with our clients and consumers, deliver high-quality products and services, and seek continuous feedback and improvement.
• Be a team player: We want people who can collaborate and communicate well with others, respect diversity and inclusion, and contribute to a positive and supportive work environment.

Xodus Travel Services Inc. is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We are committed to working with and providing reasonable accommodation to applicants with physical or mental disabilities. For accommodation requests, email us at [e-mail] . Our Talent Acquisition team reviews all applications and a hiring manager always makes the final hiring decision. On occasion, we also use AI-assisted tools to help review applications.