Ottawa, Ontario, Canada Remote (Country) Employment CAD 50,700 - CAD 52,786.5

WCG International Consultants Ltd. is hiring a Bilingual Claims Specialist (Remote)

About the Role

The specialist will handle claims in both English and a second language, verify documentation, communicate with stakeholders, and ensure compliance with procedures while delivering efficient service.

Responsibilities

  • Review and process insurance claims submitted by clients
  • Communicate with policyholders to gather required documentation
  • Verify accuracy and completeness of claim forms
  • Conduct follow-ups with healthcare providers and third parties
  • Maintain records in compliance with regulatory standards
  • Resolve discrepancies in submitted claims
  • Provide updates to clients on claim status
  • Ensure claims are processed within established timelines
  • Identify potential fraudulent claims and escalate appropriately
  • Collaborate with internal departments for case resolution
  • Translate documents between English and a second language
  • Enter data into claims management systems accurately
  • Adhere to privacy and data protection policies
  • Respond to inquiries via phone and email
  • Support team goals through consistent performance
  • Participate in training and quality assurance reviews
  • Stay updated on policy changes and procedures
  • Assist in improving claims workflows
  • Maintain professionalism in all client interactions
  • Track key performance metrics for accuracy and timeliness

Nice to Have

  • Certification in insurance or claims adjusting
  • Experience in a multinational or remote team environment
  • Familiarity with GDPR or HIPAA regulations
  • Additional language proficiency beyond required pair
  • Prior experience in a supervisory role
  • Knowledge of automated claims processing systems

Compensation

Competitive salary based on experience

Work Arrangement

Remote position with flexible hours

Team

Part of a global customer support and claims processing team

Languages Required

Fluency in English and Spanish required; additional language skills a plus

Work Hours

Must be available during business hours in Eastern Time zone, with some flexibility required

Not available

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About company
WCG International Consultants Ltd.
We believe in the power of work. Since 1994, we’ve been partnering with governments and local agencies across Canada to create sustainable employment opportunities for people, businesses and communities. We understand that work gives hope, strengthens relationships and drives economic growth. Job Description: About the roleLocation: Remote - CanadaStatus: Temporary (15-Month Fixed Term)Like WCG, you believe in the power of work to transform lives. As Claims Specialist, you’ll be responsible for answering client telephone inquiries about their claims, processing claims, and invoicing Veterans Affairs Canada. This is a customer service and clerical role that will suit a detail-oriented individual who is willing to learn. This position requires a high level of confidentiality pertaining to client records and financial information. What you’ll do* Work with the User Support Team to resolve participant claim issues by responding to questions and resolving tickets in our ticketing system * Provide back up for User Support Team as needed – answering calls from participants and service delivery staff * Process client claims and service provider invoices in case management system accurately and ensures contractual and legislative requirements are met * Review, process, and invoice all RSVP services to the contractual standard as needed * Provide quality assurance for claims/invoices processed by other Claims Specialists * Answer inquiries from field staff regarding claims and other administrative questions via phone and secure message * Prepare cheques and EFT payments * Filing, mailing, scanning and other administrative tasks Qualifications: What you bring* Proficient in MS Excel and Word * Ability to prioritize and problem solve * Ability to work independently and in a team environment * Willingness to learn and enhance skills * Strong interpersonal skills * Detail oriented in a fast-paced continually changing environment * Previous experience in claims processing or financial services environment * High level of confidentiality; employment contingent on Security Clearance – Reliability Status For complete job requirements, see the full Job Description here. Additional Information: What we offer* Competitive salary of $52,786.50 per year (based on full-time hours) * Comprehensive and flexible health and dental benefits * RRSP Matching program of 1.5% base earnings * Ongoing learning and development opportunities * Generous time-off policies that promote work/life balance * A diverse and inclusive workplace with a track record of high employee engagement and teamwork * The opportunity to do work that makes a difference! ICRSVPADMINDiversity, Equity, Inclusion and Belonging MatterWCG is strengthened by diversity. We are committed to achieving a workplace that is equitable and representative of Canada’s diverse population. We actively work to attract, develop, and retain employees from diverse and equity-deserving backgrounds who have exceptional ability and the desire to make a difference. We continuously strive to support individual needs and differences in a work environment that is built on inclusivity and respect for everyone.WCG is committed to providing an accessible, barrier free recruitment and selection process. If contacted for an employment opportunity, please advise us if you require accommodation in advance of any part of the recruitment and selection process. Passion and Lived Experience Matter!If you don’t quite have the above credentials but feel passionate about this role and your ability to do it successfully, please APPLY ANYWAY! Tell us in your application why you believe you would be a great fit. We believe in developing talent and have a wide range of opportunities to support passionate team members as they grow towards their employment goals.
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Job Details
Department Rehab Services - Admin
Category other
Posted a day ago