Bilingual Claims Adjudicator I

Robertson & Company

  • Montreal, QC
  • $22.21 per hour
  • Contract
  • Full-time
  • 23 days ago
Our client is a top financial institution with significant North American holdings. They have operations across most major verticals, including institutional & corporate, wealth management, private client, commercial banking, treasury, and retail banking.Introduction: Robertson is seeking a skilled Bilingual Claims Adjudicator to join our client.Contract Period: 3 months with potential to extend or convert
Pay Rate: $22.21 per hour
Location: Toronto/Kitchener/Waterloo/Quebec
Location Type: Remote
Business Hours: Monday to Friday; 9 AM to 5 PMJob Responsibilities:
  • Organize and work within claim system to access client information while conducting initial intake calls with claimants, updating claims tasks, review of simple forms and submitting medical requests.
  • Prepare and review insurance claim forms and related documents for completeness.
  • Provide customer service, such as giving limited instructions on how to proceed with claims or providing referrals to other facilities or contractors.
  • Review claims to determine initial coverage eligibility and send appropriate communication to claimants.
  • Provide high-quality, cost-effective adjudication services which meet or exceed expectations provided to customers and are in accordance with the terms outlined in the Certificate of Insurance.
  • Summarize employment and mortgage lender documents.
  • Prepare all written correspondence, including request for additional information, communication of decisions, etc.
  • Meet objectives and service standards by working with the Manger to ensure that the team goals are met.
  • Other duties as assigned, may include reporting and other tasks to support the claims adjudicators.
Experience & Qualification Requirements:
  • Fully Bilingual in French and English
  • Exceptional Communication Skills: Proficient in both verbal and written communication for diverse internal and external audiences
  • Proficiency in Microsoft Office 365: Strong working knowledge of the Office 365 suite of programs
  • Detail-Oriented with Quick Assessment Skills: This role requires a keen eye for detail, as it involves reviewing receipts, extracting data, and accurately inputting information into the system. An analytical mindset is essential to understand and make decisions based on the information presented
  • Ability to deal with sensitive and confidential information
  • Ability to multi-task
  • Must be efficient, able to handle large volume of claims and have excellent time management skills
  • Previous experience in adjudicating Life and/or Disability claims
  • Good working knowledge of medical conditions and terminology
****ALL CANDIDATES MUST COMPLETE A CRIMINAL AND CREDIT CHECK AS PART OF THE APPLICATION PROCESS****How to Apply: If you are a motivated professional looking to contribute to a leading team, please submit your resume outlining your qualifications and experience relevant to this role. Robertson & the clients we represent, value diversity and are committed to creating an inclusive workplace. We invite all qualified individuals to apply.Robertson & the clients we represent are equal opportunity employers, committed to diversity and inclusion. Robertson is a certified diverse supplier and actively seeks to foster a representative and inclusive workforce. We welcome applications from all qualified individuals, regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, Aboriginal status, or any other legally protected factors. We champion building a diverse and inclusive environment. #LI-TM1

Robertson & Company