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.

# MFCJP00015433

Job Tags

Similar Jobs