Bilingual Travel Insurance Claims Examiner (Hybrid)

National Healthcare Solutions, Inc.; Markham; Híbrido; CAD 40 000 - 45 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Dental care

Employee assistance program

Extended health care

Life insurance

On-site parking

Paid time off

RRSP match

Resumo da oferta

Epic Health Solutions is seeking a detail-oriented, bilingual Claims Examiner to join our Travel Insurance team in Markham, Ontario. You will review, investigate, and adjudicate travel insurance claims while communicating professionally with insureds, brokers, and medical facilities in English and Portuguese.

This role emphasizes accuracy, timely claim decisions, and collaboration within a fast-paced environment.

Qualificações

• 2-3 years of experience in claims examining or adjusting insurance claims (Travel, Health, or related field).
• Bilingual fluency in English and Portuguese (spoken and written) required; must be able to read, write, and speak with agents, medical facilities, and brokers in both languages.
• Strong understanding of travel insurance policies and benefits is a plus.
• Excellent analytical, problem-solving, and decision-making skills.
• Strong attention to detail and accuracy.
• Strong written and verbal communication skills.
• Ability to prioritize tasks and manage deadlines in a fast-paced environment.
• Proficiency with MS Office.

Responsabilidades

• Review, investigate, and adjudicate Travel Insurance claims (Medical, Trip Cancellation/Interruption/Delay, Baggage Loss/Damage/Delay) in accordance with policy terms and conditions
• Communicate effectively and professionally in both English and Portuguese with insureds, agents/brokers, medical facilities, and other stakeholders to collect documentation and explain claim status and decisions
• Analyze medical records and other supporting evidence to determine coverage and validity of claims
• Respond to claim inquiries and complaints from insureds and brokers in a timely, courteous manner
• Maintain accurate reserves and ensure timely updates to the claims management system
• Draft clear, accurate, and compliant claim denial letters that cite applicable policy language, in both English and Portuguese as needed
• Participate in quality reviews, training, and continuous improvement initiatives
• Perform other duties as assigned

Conhecimentos

Bilingual English-Portuguese

Analytical skills

Attention to detail

Written and verbal communication

MS Office proficiency

Ferramentas

MS Office

Descrição da oferta de emprego

Epic Health Solutions is seeking a detail-oriented, bilingual Claims Examiner to join our Travel Insurance team in Markham, Ontario. You will review, investigate, and adjudicate travel insurance claims while communicating professionally with insureds, brokers, and medical facilities in English and Portuguese.

This role emphasizes accuracy, timely claim decisions, and collaboration within a fast-paced environment.