Bilingual (English and French) Claims Examiner

Johnston Group; Winnipeg; Hybrid; CAD 40,000 - 55,000; Full time

Job summary

A leading employee benefits provider in Winnipeg seeks a Claims Processor to manage Dental and Extended Health Care claims. The ideal candidate is fluent in English and French, has a keen attention to detail, and can thrive in a fast-paced environment. This role offers a hybrid work model, requiring three in-office days each week.

Qualifications

• Excellent verbal and written communication skills in English and French.
• High attention to detail and accuracy.
• Ability to handle competing priorities and maintain confidentiality.

Responsibilities

• Process Dental and Extended Health Care claims in compliance with company policies.
• Evaluate claims while ensuring quality and productivity levels.
• Participate in training sessions as required and stay current on process changes.

Skills

Fluency in English and French

Attention to detail

Organization skills

Problem-solving skills

Intermediate MS Excel skills

Verbal and written communication skills

Job description

Johnston Group provides employee benefit solutions to over 30,000 companies, ranging from one employee to thousands across various product lines, including Chambers of Commerce Group Insurance Plan, Canada’s #1 employee benefits plan for small businesses. JG is a platinum member of Canada’s Best Managed Companies and was named one of Manitoba’sTop Employers. We support a positive work atmosphere where we value the diversity in the people we serve and are looking for talent who will contribute to our diverse and inclusive workplace; where individual differences are recognized, appreciated, and respected. JG believes in giving back and contributes significantly to local health, arts, sports, and other community organizations.

You will be responsible for the timely processing of Dental and Extended Health Care claims, in both English and French, for all lines of business. Duties will include evaluating claims within service, quality and productivity levels using established policies and procedures.

You will be required to stay current on all process changes and participate in training when required. You will ensure compliance with privacy requirements and company policies as well as identify and report cases of abuse to the audit department.

• Hybrid working model based out of our Winnipeg, MB office, with three days in-office per week.

Qualifications

• Excellent verbal and written communication skill and ability to effectively convey information with fluency in English and French
• High level of attention to detail and accuracy
• Ability to handle competing priorities
• Ability to maintain confidentiality at all times
• Ability to work well in a team environment and independently
• Effective and well-developed organization skills
• Good written and verbal communication skills
• Strong problem-solving skills
• Ability to work in a fast-paced environment with tight deadlines
• Intermediate MS Excel and Word skills
• Experience working with group benefits is considered an asset

The successful candidate must be legally eligible to work in Canada. We thank all applicants for their interest. Please note that only those selected for an interview will be contacted.