Bilingual Patient Care Navigator managing patient enrollments, reimbursement, and service coordination for Sentrex Health Solutions. Providing dedicated support to patients and healthcare teams for optimal therapy access.
About the role
- Bilingual Disability Claims Adjudicator managing disability claims for Canadian clients. Supporting superior customer service and adjudicating claims across policyholder and specialist communications.
Responsibilities
- Establish and maintain superior customer service to policyholders, agents, marketing centers
- Manage ongoing claims by requesting further medical, financial documentation or investigations
- Review claims and underwriting files for proper disclosure of past medical history, exclusions, riders, endorsements
- Make decisions on claim benefit eligibility determination and communicate decisions to stakeholders
- Document the claim file to ensure an accurate record of events that transpire in the claim handling
- Obtain proper file information and review with policy provisions to verify eligibility
- Accurately maintain claim records on system to ensure accuracy of reserve calculations
Requirements
- Fully bilingual (French/English)
- 2-3+ years’ experience in adjudicating claims, preferably disability.
- University degree in any discipline or equivalent work experience in the insurance industry is an asset.
- Excellent interpersonal skills with good oral and written communication skills
- Good working knowledge of medical conditions and terminology
- Experience in the interpretation and application of financial documentation and fair claims practices
- Ability to respond constructively and decisively in high pressure or emotional situations
- Working knowledge of government legislation and legal precedents, the Insurance Act and/or Quebec Civil Code is an asset.
- Good working knowledge of the underwriting process.
- Good analytical skills to evaluate conflicting information from various key sources to assess risk
Benefits
- health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage
- adoption/surrogacy and wellness benefits
- employee/family assistance plans
- various retirement savings plans including pension
- global share ownership plan with employer matching contributions
- financial education and counseling resources
- generous paid time off program including holidays, vacation, personal, and sick days
- full range of statutory leaves of absence
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Report this job
Found something wrong with the page? Please let us know by submitting a report below.
Proposal Strategist providing strategic and tactical support for EY's Canada Strategic Proposal team. Collaborating with diverse teams to win new business through effective proposals and presentations.
Bilingual Patient Care Coordination Virtual Assistant supporting patient care in telehealth. Delivering administrative support for a healthcare practice with a focus on professionalism and communication.
Bilingual Fraud Advisor at RBC Advice Centre supporting clients with fraud prevention and security solutions. Engaging through various communication channels while managing client relationships and risks.
Bilingual Coordinator managing CPD requirements for McCarthy Tétrault. Ensuring compliance, coordination, and administration of educational programs across jurisdictions.
Quality Coordinator responsible for supporting Dexterra's Quality Program in Canada. Overseeing compliance and continuous improvement initiatives while being bilingual in English and French.
Qualité Coordinator handling quality assurance programs for Dexterra's operations. Supporting compliance and continuous improvement within quality systems across different sites.
Bilingual Customer Service Representative assisting clients with inquiries at Securian Canada. Engaging in customer support while fostering a diverse and inclusive work environment.
Partner Support Coordinator at Trupanion delivering real - time support to veterinary partners via phone, email, and chat. Requires bilingual skills and experience in high - volume contact environments.
Bilingual Contracts & RFP Specialist responsible for managing contract lifecycles and ensuring compliance in the healthcare sector. Collaborate across teams for efficient contract management and tender responses.