Medical Coordinator- EN

Global Excel Management Inc.; Sherbrooke; Hybrid; CAD 55,000 - 65,000; Full time

Benefits offered by this job

RRSP match program

Education assistance

Health & wellness initiatives

Job summary

Global Excel Management Inc. seeks a Medical Coordinator to guide medium-risk claims within a multilingual, client-focused team. You will review medical records, assess treatment appropriateness, and develop case plans to ensure appropriate coverage.

The role supports hybrid work after orientation and involves coordinating with international clients and insurers. The position requires nursing qualifications, licensure in good standing, and strong communication.

Qualifications

• College diploma/university degree in nursing or equivalent medical training.
• Current nursing license in good standing with the respective provincial nursing governing body.
• At least one year of clinical experience in an acute care setting is an asset.
• Handle/communicate and exchange sensitive information professionally.
• Excellent written and verbal communication skills with diverse audiences.
• Able to manage fluctuating work volumes in a fast-paced, customer-focused environment.
• Able to work independently and in a team.
• Ability to prioritize to achieve best outcomes.
• Basic understanding of travel insurance and case management is an asset.

Responsibilities

• Review, summarize and analyze client medical records with focus on outpatient claims.
• Assess appropriateness of proposed medical treatment with guidance from Medical Directors/Advisors.
• Formulate a case direction and communicate to the team.
• Analyze clinical information and assess impact on eligibility for coverage.
• Document all call details and actions in case management software.
• Collaborate with GEM Triage team on medical risk assessment.
• Adjust responsibilities as business needs change.
• Hybrid work model after orientation.
• Work various shifts, primarily days with rotating evenings and weekends.

Skills

Communication skills

Teamwork

Time management

English fluency

Adaptability

Handling confidential information

Education

Nursing diploma

Registered nurse license

Tools

Microsoft Word

Microsoft Excel

Microsoft Teams

Outlook

Job description

Job Description

Are you a people person with a knack for providing excellent customer service? Are you interested in working in a multilingual and friendly environment that encourages personal and professional development? We would love to meet you! Global Excel Management works with Canadian, International Insurers and prestigious brands, provides services to individuals who have purchased a travel insurance policy and need assistance on their trip or to submit a claim.

Job Description

Are you a people person with a knack for providing excellent customer service? Are you interested in working in a multilingual and friendly environment that encourages personal and professional development? We would love to meet you! Global Excel Management works with Canadian, International Insurers and prestigious brands, provides services to individuals who have purchased a travel insurance policy and need assistance on their trip or to submit a claim. The Case Management team guides travelers around the globe through high acuity medical emergencies. As part of the Case Management team, the Medical Coordinator is responsible for medical management of medium-risk claims. This includes the prompt review, analysis and development of a case plan based on the understanding of what a clients' travel policy covers, ensuring that medical expenses are appropriate and necessary. The Medical Coordinator will also assist with claim triage by assessing the medical risk of new claims and closing claims that do not meet case management criteria.

What does your typical day look like?

• Review, summarize and analyze client medical records, with a focus in outpatient claims and some inpatient claims as needed;
• Assess the appropriateness of proposed medical treatment with the support of GEM Medical Directors/Medical Advisors;
• Formulate a case direction and communicate this to the team;
• Analyze clinical information and communicate the impact on eligibility for coverage to internal and external stakeholders;
• Use case management software to accurately and concisely document all call details and actions taken/required;
• Work with GEM Triage team in assessment of medical risk of incoming claims;
• Responsibilities may be adjusted to support alternate functions as business needs change;
• Hybrid work model post completion of orientation;
• Able to work various shifts and days of the week as required, primarily day shift with rotating evenings and weekends as required.

What skills and training do you need?

• College Diploma/University Degree in Nursing or equivalency medical training;
• Current license in good standing with the respective provincial nursing governing body;
• At least one year of clinical experience in an acute care setting an asset;
• Handle/communicate and exchange sensitive and confidential information in a professional manner;
• Excellent written and verbal communication skills with proven ability to communicate medical terms/concepts to diverse groups, including medical professionals and the general public;
• Able to handle fluctuating work volumes in a fast paced, customer focused environment;
• Able to successfully work independently and in a team;
• Proven ability to prioritize work responsibilities to achieve best possible outcomes;
• Basic understanding of travel insurance, insurance terminology and case management is an asset;
• Strong computer skills (Microsoft System including word, excel, teams, outlook).
• Excellent communication skills in English. English will be used on a daily basis to communicate with business clients and insured members, the majority of whom are located outside of Quebec, to obtain missing information, follow up on files, and collaborate with colleagues and departments across our various offices, including Ontario, Miami, Mexico, and other locations.
• Additional language skills, particularly in French and/or Spanish, are considered an asset.

When You Apply

If you require assistance or accommodation during our recruitment process, please notify Human Resources so that we can review and consider how we may be able to assist you based on your individual needs.

We offer you

• Global Excel offers more than a position;
• We offer a competitive compensation package that includes a base salary, performance bonus and an extensive benefits package;
• A professional future with opportunities for development, growth, and advancement;
• RRSP Match program;
• Financial assistance to employees who wish to continue their education;
• Work/life balance, health and wellness initiatives including an excellent EAP program;
• Employee engagement programs that focus on fitness, food, and fun.

Ontario Candidates : Salary starting at 27.60$/hour.

Québec Candidates : Salary starting at 26.78$/hour.