Bilingual (Fr/En) Claims Review Specialist
Canada Life
full-time
Posted on:
Location Type: Office
Location: Winnipeg • 🇨🇦 Canada
Visit company websiteSalary
💰 CA$43,400 - CA$58,600 per year
Job Level
Mid-LevelSenior
About the role
- Conduct claims reviews, including assessment of documentation for preselected claims
- Handle referrals from other business units, to investigate concerns identified and follow up on non-responses
- Prepare communications to be sent to members and providers seeking confirmation or clarification of claim information
- Receive, file and action claim review documentation from providers and members
- Identify fraud risk factors of claims reviewed and escalate or refer for further investigation if appropriate
Requirements
- Bilingualism (fluent in French and English) required
- Post-secondary degree/diploma or equivalent work experience
- Education or work experience in an audit/quality/fraud discipline considered an asset
- Experience within a paramedical or other clinic setting considered an asset
- Excellent communication skills, both written and oral
- Ability to manage multiple demands with tight deadlines is necessary
- Strong technical skills including Outlook, Excel, Teams
- Ability to work independently and collaboratively at all levels
- Understanding of Health and/or Dental Claims processes and business knowledge would be an asset
- Reliability Status Security Clearance required
Benefits
- Health and dental benefits
- Professional development opportunities
- Flexible work arrangements
- Security clearance cost covered by employer
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims reviewfraud assessmentdocumentation assessmentauditquality control
Soft skills
bilingualismexcellent communicationability to manage multiple demandsindependencecollaboration
Certifications
Reliability Status Security Clearance