Overview
Bilingual Medical Claims Assistant – 100 % Remote (Montreal, QC)
Remote opportunity in the insurance sector supporting mortgage creditor claims. This role involves intake calls, medical information requests, eligibility review, and client communication. Requires bilingual English/French skills, claims adjudication experience, and strong attention to detail.
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 communicate with 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.
- Exceptional verbal and written communication skills.
- Previous experience in adjudicating life and/or disability claims within the insurance industry.
- Strong knowledge of medical conditions and terminology.
- Proficiency in Microsoft Office 365 to manage and update claim records.
- High attention to detail and strong analytical skills.
- Ability to manage sensitive information with discretion.
- Capacity to handle a high volume of claims, prioritize tasks, and meet deadlines.
- Excellent customer service skills and ability to respond professionally in high-pressure situations.
- Strong interpersonal skills to work independently and in a team.
- Adaptability to process changes and evolving business requirements.
What is in it for you
- Hourly salary of $22.
- 4-month contract with potential for permanent employment.
- Full-time position: 37.50 hours per week.
- Weekday schedule from 9 am to 5 pm.
- Remote work flexibility.
EEO statement: Recruit Action inc. provides recruitment services. Only candidates who match hiring criteria will be contacted.