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Bilingual claims examiner - french and english

Canada, Winnipeg · Job Posted April 05, 2026

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Job Description

Are you passionate about helping people? Do you enjoy solving problems and finding creative solutions? Do you have excellent communication skills in both English and French? If you answered yes to these questions, we are looking for someone like you to join a dynamic team!

Job Responsibility

  • Review system, claim documents and contract to confirm if eligibility requirements are met
  • Accountable for the outreach call to Plan Sponsors and Plan Members within 24 hours of receipt of initial claim information
  • Responsible to communicate via phone calls/emails to verify any discrepancies, missing or unclear information from either Plan Sponsor or Plan Member
  • Responsible for declination letter to Plan Sponsor and Plan Member accordingly
  • Adjudicate and manage the claim if expected to be for a limited duration (known as Quick Pay claims)
  • If claim does not meet eligibility for a Quick Pay claim, transfer the claim to the Disability Case Manager for claim adjudication and management and to DCAs for benefit calculation
  • File documents accordingly

Requirements

  • Minimum of one year within a customer service environment
  • Excellent oral and written communication skills in both French and English would be considered an asset
  • Must be able to understand complex instructions and basic contractual language
  • Knowledge of basic medical terminology
  • Strong typing and data entry skills
  • proficiency with Microsoft Office programs
  • Demonstrates excellence in phone etiquette and client service
  • Strong and effective organizational and time management skills with the ability to manage multiple priorities
  • Working experience within disability insurance is an asset

Nice to have

  • Excellent oral and written communication skills in both French and English would be considered an asset
  • Working experience within disability insurance is an asset

What we offer

  • Full time opportunity: 37.5 hours per week in office full time to start with option of hybrid depending on capability
  • 11 month contract with potential to have a permanent position
  • Career advancement options
  • Being a part of a great team

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