*Bilingual Disability Claims Administrator (100% Remote)

Job Description

Bilingual Disability Claims Administrator — Remote, Eastern Time

Join a leading organization in the insurance sector and become part of a collaborative team that values professionalism, continuous learning, and exceptional service. This opportunity offers meaningful work, strong stakeholder interaction, and the chance to grow within a dynamic and supportive environment.

What is in it for you:

• Hourly salary of $19.50.

• 12-month contract with the potential for permanent employment.

• Schedule: Monday to Friday, 37.5 hours per week.

• Shift start time: 7:00 am or 9:00 am.

• Work model: Remote, anywhere in Canada.

Responsibilities:

• Manage and monitor permanent disability claims.

• Request, review, and assess medical reports and supporting documentation.

• Conduct telephone interviews with claimants to gather information and verify eligibility.

• Communicate regularly in French and English with claimants, physicians, case managers, healthcare providers, and other stakeholders.

• Evaluate ongoing eligibility for disability benefits.

• Interpret policy provisions and determine their impact on claims decisions.

• Escalate complex cases to appropriate case managers or resources as required.

• Maintain accurate claim records, documentation, and updates.

• Deliver exceptional customer service while managing multiple priorities.

• Ensure timely follow-up, claim updates, and stakeholder communication.

• Coordinate with internal departments, case managers, physicians, and other involved parties to support ongoing claims management and monitoring.

• Make referrals to a case manager or other resources when required.

What you will need to succeed:

Required qualifications

• Postsecondary education in any field of study.

• Working knowledge of disability management processes and contract wording.

• Experience reviewing and evaluating medical documentation, disability claims, insurance claims, or healthcare-related information.

• Ability to request, review, and assess medical and supporting documentation.

• Ability to review and interpret contractual and policy provisions and understand their impact on benefits.

• Ability to make referrals to a case manager or other resource when needed.

• Proficiency with Microsoft Office applications, including Windows and Excel.

• Strong proficiency with data and document management systems.

• Experience handling telephone communications with claimants and various stakeholders.

• Bilingualism in French and English, both written and spoken, is required to communicate with claimants, physicians, healthcare providers, case managers, and other stakeholders across Canada.

Preferred qualifications

• 2 years of experience in an administrative role.

• Experience in disability claims administration.

• Experience in insurance, benefits administration, healthcare, or a related field.

• Additional education or training in healthcare, medical terminology, disability management, or insurance.

• Medical, healthcare, clinical, or medical terminology knowledge.

• Experience using claims management systems such as Navigator or similar claims administration platforms.

• Strong customer service and case management exposure.

Soft skills

• Excellent communication skills and strong interpersonal abilities that foster effective interactions with a variety of stakeholders.

• Strong customer service orientation, tact, diplomacy, and professionalism when communicating with claimants, service providers, and internal stakeholders.

• Excellent organizational, prioritization, planning, and time-management skills with the ability to manage multiple priorities simultaneously.

• Exceptional attention to detail and accuracy.

• Sound judgment, analytical thinking, and problem-solving abilities, including the ability to investigate discrepancies, gather information, and resolve issues effectively.

• Adaptability and flexibility in a fast-paced environment.

• Proactive approach with the ability to take initiative.

• Ability to work independently with minimal supervision while demonstrating strong team collaboration skills.

Why Recruit Action?

Recruit Action (agency permit: AP-2504511) provides recruitment services through quality support and a personalized approach. As part of the screening process, some applications may be reviewed using artificial intelligence tools. Only candidates who meet the hiring criteria will be contacted.