*Bilingual Medical Claims Assistant – 100% Remote

Recruit Action inc.; Waterloo; Remote; CAD 30,000 - 60,000; Full time

Job summary

A recruitment agency seeks a Bilingual Medical Claims Assistant for a remote opportunity in the insurance sector. This full-time role involves processing mortgage creditor claims, requiring bilingual English/French skills and prior adjudication experience. The position offers an hourly salary of $22 and a 4-month contract with potential permanent employment. Applicants should have a high school diploma or GED and strong communication skills.

Benefits

Hourly salary of $22

Potential for permanent employment

Flexible remote work

Weekday work schedule

Qualifications

• Bilingual in English and French is required for processing claims.
• Previous experience in the insurance industry is needed.
• Must have strong analytical skills and attention to detail.

Responsibilities

• Conduct intake calls and update case records.
• Review claim forms for completeness and accuracy.
• Request and process medical information.
• Ensure quality, cost-effective adjudication within defined standards.

Skills

Bilingual English/French

Claims adjudication experience

Attention to detail

Communication skills

Education

High school diploma or GED

Post-secondary education preferred

Tools

Microsoft Office 365

Job description

Bilingual Medical Claims Assistant – 100 % Remote

Remote opportunity in the insurance sector supporting mortgage creditor claims. Responsibilities include intake calls, medical requests, eligibility review, and client communication. Requires bilingual English/French skills, claims adjudication experience, and strong attention to detail.

What is in it for you:

• Hourly salary of $22.
• 4-month contract with the potential for permanent employment.
• Full-time position: 37.50 hours per week.
• Weekday schedule from 9 am to 5 pm.
• Enjoy the flexibility of remote work.

Responsibilities:

• Conduct intake calls with claimants and update case records.
• Review claim forms and documents for completeness and accuracy.
• Request and process medical information.
• Determine initial coverage eligibility and send communications to claimants.
• Summarize employment and lender documentation.
• Prepare written correspondence for additional information or claim decisions.
• Ensure quality, cost-effective adjudication within defined standards.
• Collaborate with the manager to meet team goals.
• Perform additional reporting and administrative tasks as required.

What you will need to succeed:

• High school diploma or GED required; post-secondary education preferred or equivalent work experience.
• Bilingual in English and French to interact with claimants, mortgage lenders, and medical providers in both languages, ensuring accurate and timely claims processing for clients in Quebec and other regions.
• Exceptional verbal and written communication skills to engage effectively with diverse internal teams and external stakeholders.
• Previous experience in adjudicating life and/or disability claims within the insurance industry.
• Strong knowledge of medical conditions and terminology to interpret supporting documentation.
• Proficiency in Microsoft Office 365 to efficiently manage and update claim records.
• High attention to detail and strong analytical skills for reviewing claim forms, receipts, and related documents.
• Ability to manage sensitive and confidential information with discretion.
• Proven capacity to handle a high volume of claims, prioritize competing tasks, and meet strict deadlines.
• Excellent customer service skills, with the ability to respond professionally in high-pressure or emotionally charged situations.
• Strong interpersonal skills to work independently and as part of a collaborative team.
• Adaptability to quickly adjust to process changes and evolving business requirements.

Why Recruit Action?

Recruit Action (agency permit: AP-2504511) provides recruitment services through quality support and a personalized approach to job seekers and businesses. Only candidates who match hiring criteria will be contacted.

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