Claims Specialist

Claims Support Specialist Bilingual (ENG/FR)

Location: Toronto, ON

Work Model: Hybrid (3 days onsite, 2 days remote)

Duration: ASAP – Oct 31, 2026 (strong possibility of extension up to 12 months)

Pay range: CAD $20-23/hr

Shift Timings:

• 8:00 AM – 4:30 PM OR
• 11:00 AM – 7:30 PM
• (Monday to Friday, full-time)

KEY RESPONSIBILITIES:

Claims Processing & Administration:

• Manage correspondence (email, calls, mail, fax) and ensure timely processing
• Data entry, validation, and database updates with high accuracy
• Scan, organize, and maintain confidential documents securely

Claimant Support:

• Handle inbound calls with empathy and professionalism
• Conduct outbound follow-ups for missing information
• Communicate claim status updates clearly across channels

Support Tickets & Operations:

• Triage and resolve tickets via internal systems
• Track and document inquiries with accuracy and timeliness
• Escalate sensitive or complex cases appropriately

Claims Coding & QA:

• Accurately code claim details, including sensitive content
• Perform quality checks for compliance and accuracy
• Identify discrepancies and flag issues

Call Center Responsibilities:

• Manage high-volume calls with professionalism and discretion
• Maintain detailed call notes and follow compliance protocols
• Handle emotionally sensitive interactions with composure

Project & Team Support:

• Assist with backlog cleanup and process improvements
• Provide reporting, tracking, and audit support
• Train, coach, and support junior team members

REQUIREMENTS:

• Bilingual in English & French (mandatory)
• 1+ year experience in customer service / call handling / claims support
• Strong data entry and administrative experience
• Ability to handle sensitive and emotionally charged content
• Proficiency in Microsoft Office (Outlook, Word, Excel)
• Experience with VOIP or call systems preferred
• Strong attention to detail, organization, and communication skills
• Experience in professional services environment preferred

NICE TO HAVE:

• Knowledge of Indigenous culture
• Ability to speak Indigenous languages (Cree, Inuktitut, Ojibway, etc.)

IMPORTANT NOTE:

Role involves reviewing highly sensitive content (e.g., abuse, trauma, self-harm). Candidates must be emotionally resilient and comfortable handling such material