Bilingual Health Insurance Claims Analyst

Jobtailor; Longueuil; On-site; CAD 50,000 - 65,000; Full time

Job summary

Jobtailor is seeking a detail-oriented Health Insurance Claims Analyst in Quebec. You will review and analyze health insurance benefit claims, applying contractual provisions and medical evidence to determine eligibility and payments.

Fluent in French and English, you will communicate decisions in writing and assist insured individuals and beneficiaries. The role requires a DEC and strong data processing skills, with proficiency in computer systems to update records and process payments

Qualifications

• DEC in a relevant field (required).
• Advanced French (spoken and written).
• Advanced English (spoken and written).

Responsibilities

• Review and analyze health insurance benefit claims.
• Analyze files considering contracts, medical evidence, government programs, and internal policies.
• Communicate decisions or recommendations in writing regarding approvals, requests for information, or denials.
• Provide customer service to insured individuals, policyholders, and beneficiaries.
• Update data and process payments using computer systems per contracts and guidelines.

Skills

Health Insurance Claims

Bilingual Communication

Data Processing

Customer Service

File Management

Education

DEC in relevant field

Tools

Computer Systems

Job description

Jobtailor is seeking a detail-oriented Health Insurance Claims Analyst in Quebec. You will review and analyze health insurance benefit claims, applying contractual provisions and medical evidence to determine eligibility and payments.

Fluent in French and English, you will communicate decisions in writing and assist insured individuals and beneficiaries. The role requires a DEC and strong data processing skills, with proficiency in computer systems to update records and process payments