Job Closed

This listing is no longer active.

Bilingual Claims Adjudicator

BilingualBilingualFull TimeRemoteMid LevelTeam 10,001+Since 1887H1B SponsorCompany SiteLinkedIn

Location

Canada

Posted

27 days ago

Salary

$43.9K - $73.1K / year

Seniority

Mid Level

Bachelor Degree2 yrs expFrenchEnglish

Job Description

Bilingual Claims Adjudicator

Manulife

• Establish and maintain superior customer service to policyholders and agents • Manage ongoing claims by requesting further medical, financial documentation or investigations • Review claims and underwriting files for proper disclosure • Make decisions on claim benefit eligibility determination • Document the claim file for accurate record keeping • Obtain proper file information and verify eligibility • Accurately maintain claim records on system

Job 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
  • Customer service oriented
  • 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 analytical skills

Benefits

  • Health insurance
  • Dental insurance
  • Mental health support
  • Vision care
  • Short-term disability
  • Long-term disability
  • Life insurance
  • AD&D insurance coverage
  • Adoption/surrogacy benefits
  • Employee/family assistance plans
  • Retirement savings plans
  • Pension plan
  • Global share ownership plan with employer matching contributions
  • Financial education and counseling resources
  • Paid time off including holidays, vacation, personal, and sick days
  • Statutory leaves of absence

Related Categories

Related Job Pages

More Bilingual Jobs

TorkLaw logo

Bilingual Intake Specialist

TorkLaw

Representing The People

Bilingual27 days ago
Full TimeRemoteTeam 11-50H1B No Sponsor

Role Description As an Intake Specialist your duties will include, but are by no means limited to: - Client Engagement: Utilize your exceptional people skills to connect with potential clients, establishing trust and rapport from the first interaction. - Consultative Approach: Carefully assess each potential client’s unique situation, confidently presenting the best course of action and how TORKLAW can support their journey to justice. - Communication Excellence: Exhibit outstanding communication abilities across all platforms (phone, text, chat, and email), ensuring clarity, empathy, and professionalism in every exchange. - Precision in Execution: Perform accurate data entry and maintain diligent follow-up to ensure no detail is overlooked in the potential case intake process. - Team Collaboration and Independence: Thrive in a supportive team environment while also possessing the drive and discipline to work autonomously. - Seamless Hand-off: Transition the newly retained client to the team that will handle his/her case. Qualifications - Bilingual (English/Spanish) is required - Ideally 1+ year of experience in a similar role, or equivalent education - Computer literate and proficient with standard office productivity software - Effective team player - Excellent interpersonal and communication skills - Strong organizational and multitasking abilities - A problem-solver with the ability to handle challenging situations - Friendly and approachable demeanor - High school diploma or equivalent preferred - Previous experience in customer service or administration preferred Benefits - Competitive salary plus generous bonus structure - 12 paid holidays annually - 10 paid vacation days annually - 6 paid sick days annually - Medical insurance - Optional dental, vision, and life insurance - 401(k) with a 4% fully vested safe-harbor company match - Regular team events, happy hours, team-building activities, and holiday parties - Company-issued laptop upgraded every 3 years - yours to keep afterward

United States
$40K - $52K / year
Job Closed
Educational Systems Federal Credit Union logo

Bilingual Member Care Representative

Educational Systems Federal Credit Union

Educational Systems FCU has proudly served the education community for over 70 years. With over $1.3 billion in assets and 95,000 members, we're a fast-growing credit union who knows who we are, who we serve, and where we are going. Core purpose is serving the education community Values: trustworthy, excellence, collaborative, empowering, and caring Vision is to make financial wellness and stability accessible for all the communities we serve Success is a result of our Ambassador's commitment to making a difference each day

Bilingual27 days ago
Full TimeRemoteTeam 201-500

Role Description We are currently seeking an energetic, self-motivated professional with a positive attitude, excellent interpersonal and communication skills to join our dedicated team as a Bilingual Member Care Representative in our fast-paced, high call volume Contact Center. The Bilingual Member Care Representative plays a critical role in our member experience by: - Providing a variety of service functions for our members. - Working with members to identify additional financial solutions that meet their specific needs. - Assisting non-members in establishing their membership and setting up their accounts by phone. Must be able to work a 40 hour a week variable schedule with hours between 8 a.m. and 6:05 p.m. EST Monday through Friday and on Saturdays from 8 a.m. to 2:05 p.m. EST. Qualifications - High school diploma or equivalent (GED) required. - Must read and speak Spanish fluently. - Minimum of one year experience working in a financial institution required. - Previous contact center experience helpful. - Experience selling and cross-selling products or services. - Excellent member service skills, including strong verbal and written communication skills. - Ability to demonstrate patience and professionalism in dealing with members. - Functional knowledge of Microsoft Office suite of products. - Ability to perform routine mathematical calculations. - Ability to function in a call center environment and utilize standard office equipment including but not limited to: computer, 10 key calculator, fax, copier, telephone, etc. Requirements - Must be able to work in a fast-paced environment and utilize available resources to help members.

United States
$17 - $22 / hour
ibex logo

Bilingual Customer Service Representative

ibex

CX outsourcing experts for the world's leading brands.

Bilingual27 days ago
Full TimeRemoteTeam 10,001+H1B Sponsor

Role Description Bilingual Customer Service Representatives will be working directly with the customer to answer general inquiries, address concerns, and assist with requests about products and services across multiple lines of business. The CSR must project a professional company image and provide superior customer service while working with customers through any of the customer contact channels. - Resolving coordination of benefits inquiries by analyzing patient activity (including enrollment, third party liability, claims attachments). - Having a comprehensive understanding of insurance coverage and being able to interpret and communicate accurate information. - Thoroughly and completely documenting all customer interactions. - Educating customers and dental professionals on eligibility, benefits, claims payment, and authorizations. - Educating on the usage and benefits of self-service tools. - Assisting members on gaining access to care by locating a network dentist or assignment to a primary care dentist. - Directing inquiries to necessary departments or individuals when the resolution of the inquiry is beyond the span of control for this role. - Responding to customer inquiries in a courteous and professional manner. - Researching and consistently providing accurate information to resolve all member and provider inquiries through verbal and written communications through all channels including phone, email, web portal, and chat interactions. - Responding to and resolving internal and external complex customer inquiries. - Resolving claim payment inquiries by researching and analyzing patient activity and determining appropriate action to be taken. - Taking ownership of the resolution and setting expectation for follow up. - Ensuring resubmissions, stop payments, and voids are appropriately handled. - Meeting or exceeding individual, department, and client specific goals. - Understanding and adhering to all client administrative and contractual policies and procedures. - Suggesting ways to improve the service delivery processes contributing to the success of the organization. - Other duties as assigned. Qualifications - Fluent in both English and Spanish, with the ability to accurately translate and communicate medical terminology. - High School Diploma or Equivalent. - 2 years experience in a customer service environment. - Ability to multi-task using multiple applications simultaneously. - Ability to set-up computer equipment and troubleshoot issues with minimal assistance. - Professional verbal and written communication skills. - Ability to operate a computer and knowledge of Microsoft Office applications. - Strong organizational skills and attention to detail. - Ability to work independently and with a team. - Ability to learn quickly and adapt to a fast pace production environment. - Cooperative, professional and effective interaction skills. - Critical thinking and problem solving skills. - Ability to tolerate repetitive work without compromising accuracy and service levels. - Attend additional training as requested/deemed necessary. Requirements - Private, distraction free workspace (not a shared/common area of the home). - Hard wired ethernet internet connection with minimum speeds of 50 Mbps Download / 10 Mbps Upload. (5G, hotspots, and satellite internet not supported). - Active wireless phone service. - Must remain on camera during working hours. Eligible States This role is currently limited to candidates residing in: - Arkansas - Delaware - Florida - Georgia - Idaho - Indiana - Kansas - Kentucky - Louisiana - Michigan - North Carolina - Ohio - Oklahoma - Pennsylvania - South Carolina - Tennessee - Texas - Vermont - Virginia - West Virginia - Wisconsin - Wyoming Preferred - Experience in healthcare or related industry experience. - Medical/Dental terminology knowledge experience. - Medicare/Medicaid knowledge. - Claims/Billing and coding experience. Benefits - Medical, Dental, and Vision insurance. - 401(k) Retirement Savings Plan. - Paid Time Off. - Paid T-Mobile cell service. - Employee referral program. - Employee PerkSpot (discounts on retail, hotel, food, restaurants, car rental and much more!). What to Expect After You Apply Once your application is submitted, keep an eye out for an email or text from ibex with the next steps. Be sure to respond quickly so we can stay in touch. If selected, you will be invited to a video interview. We’re excited to meet you and talk more about this opportunity!

United States
Hire Hangar logo

Senior New Patient Coordinator

Hire Hangar

We connect top talent with vetted employers, competitive pay, and real growth opportunities. Please NOTE: It is crucial that you complete the application form in full. As part of the application process, you will be required to record a video. If your application is successful, you will receive an email confirming next steps—the video is the first step of the interview process. If you do not record a video, we will not be able to consider you for ANY open roles.

Bilingual27 days ago
ContractRemoteTeam 11-50

Role Description We’re seeking a part-time Senior New Patient Coordinator to handle inbound inquiries (primarily via SMS) and occasionally scheduled phone consultations. Unlike a typical call-center role, our focus is on building trust with prospective clients by: - Asking thoughtful questions - Understanding their needs - Guiding them toward the next step in their journey You’ll work in a flexible, on-call capacity throughout the day, ready to respond promptly when leads appear. During slower periods, you won’t have calls or messages to handle, but you must remain available to engage new inquiries as soon as possible. This is an excellent opportunity for someone who is curious, empathetic, and comfortable discussing health and wellness topics in a consultative manner. If you are looking for a part-time role on top of our existing commitments, we are also interested in speaking with you. Qualifications - Strong Communication Skills : Excellent written communication for SMS outreach, plus clear verbal communication when handling scheduled calls. - Curiosity & Empathy : A genuine interest in understanding each individual’s background, goals, and concerns. - Tech-Savvy : Comfortable learning new platforms; prior experience with CRMs, telehealth software, or scheduling tools is a plus (we provide full training in Go High Level and DrChrono). - Excel experience : Familiarity with basic setups on Excel if requested. - Healthcare/Wellness Interest : Familiarity or enthusiasm for medical or wellness services (e.g., telehealth, chiropractic, physical therapy, concierge medicine) is beneficial. - Reliable Availability : Able to quickly respond to leads throughout the day, even if messages/calls are sporadic. - Attention to Detail : Meticulous in taking notes, updating systems, and following privacy guidelines. Requirements - Location : This is a remote, part-time position. - Hours : Flexible schedule but must be available to respond rapidly to inbound leads as they arise. Most leads will be on East Coast Hours (estimated 16:00 to 24:00 GMT). - Compensation : Competitive part-time base salary. Benefits - Meaningful Engagement : Move beyond a script-driven call center approach—truly connect with clients, understand their needs, and help them access the right resources. - Flexible Work Style : Benefit from a part-time structure that allows for personal flexibility while still meeting crucial response times. - Ongoing Training : Learn in-demand tools. - Team Culture : Collaborate with a supportive group that values curiosity, empathy, and genuine care for client outcomes. To Apply Please send your resume or CV. We look forward to hearing from you! We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, or disability status. We connect top talent with vetted employers, competitive pay, and real growth opportunities.

EST (UTC-5)
$400 - $650 / month
Job Closed