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.
— Sarah J.
·
Marketing Manager
★★★★★
Verified
