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Bilingual (French) Claims Administrator

Temps plein

Jobgether

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Bilingual (French) Claims Administrator based in Canada. As a Bilingual Claims Administrator, you will play an important role in delivering reliable, compassionate, and efficient support throughout the insurance claims process. You will manage administrative activities related to death and living benefit claims, serving as a key point of contact for claimants, members, insurance representatives, and external partners. Using your French and English communication skills, you will handle inquiries, initiate claims, coordinate documentation, and ensure accurate information is provided at every stage. You will work closely with claims adjudicators and internal teams to facilitate timely claim processing and minimize delays. This role combines customer service excellence, administrative coordination, and attention to detail in a fast-paced, service-oriented environment. Your contribution will help maintain high-quality service standards while ensuring compliance with privacy, regulatory, and operational requirements. Accountabilities You will oversee the initial administration and coordination of death and living benefit claims, ensuring that claimants receive prompt, accurate, and professional assistance. Through effective communication, careful documentation, and collaboration with internal stakeholders, you will help maintain efficient claims operations and deliver a positive customer experience. - Answer incoming calls regarding new claims and claim status inquiries from claimants, members, insurance representatives, funeral homes, and other stakeholders. - Provide courteous, responsive, and accurate assistance to individuals reporting a death or submitting a living benefit claim. - Assess callers' needs, provide appropriate information, and resolve inquiries efficiently while ensuring all required documentation and conditions are met. - Manage the claim notification process, including entering information into internal systems, maintaining claims registers, sending documentation requests, and following up on outstanding requirements.

- Process administrative transactions and ensure claims are accurately established and prepared for adjudication review. - Navigate various back-office systems to complete the necessary claim-related transactions and administrative activities. - Monitor and manage the general claims email inbox, ensuring timely responses and appropriate follow-up. - Prepare correspondence, reports, and other documentation for members, insurance representatives, and external partners. - Receive, verify, and match benefit cheques before coordinating their mailing to claimants. - Perform required calculations and ensure all claims activities comply with internal procedures and applicable requirements. - Handle customer complaints in accordance with established guidelines and take ownership of resolving concerns. - Maintain clear, accurate, and appropriate communication while protecting confidential information and complying with privacy and legal standards. - Meet established service-level agreements, productivity targets, and quality standards while managing competing priorities and tight deadlines. - Collaborate with colleagues to support team objectives, share knowledge, and contribute to continuous process improvement. - Support operational projects and basic analytical activities while prioritizing customer satisfaction, quality, and service delivery. - Demonstrate adaptability, accountability, and a positive approach to change, continuous learning, and professional development. Requirements : The ideal candidate is a customer-focused administrative professional with strong communication skills in both French and English, excellent attention to detail, and the ability to manage sensitive information.

L'offre d'emploi a été publiée il y a 1 jour
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