Bilingual Claims Examiner Job at Randstad (Winnipeg)

Bilingual Claims Examiner

Position: Claims Examiner – Full-time, contract up to 12 months, with possibilit...

Location

Canada , Winnipeg

Salary:

Not provided

Randstad

Expiration Date

July 28, 2026

Requirements

Minimum of one year of experience in a customer service environment
Excellent oral and written communication skills in both French and English (considered a strong asset)
Ability to understand complex instructions and basic contractual language
Basic knowledge of medical terminology
Excellent typing and data entry skills
proficiency in Microsoft Office programs
Demonstrated excellence in telephone etiquette and customer service
Strong organizational and time management skills, with the ability to manage multiple priorities effectively
Experience working in the disability insurance field is considered an asset

Job Responsibility

Review the system, claim documents, and contracts to confirm if eligibility requirements are met
Responsible for follow-up calls to plan sponsors and plan members within 24 hours of receiving initial claim information
Communicate via telephone or email with plan sponsors or members to verify any inconsistencies or missing/inaccurate information
Draft denial letters intended for plan sponsors and affected members
Assess and manage claims with a predetermined limited duration (known as "Quick Pay" claims)
Escalate files: If a claim does not meet "Quick Pay" eligibility criteria, transfer the file to the Disability Case Manager (DCM) for assessment and management, and to DCAs (Disability Claims Assistants) for benefit calculations
File and organize documents accordingly

What we offer

Career advancement opportunities
Potential for a permanent position

Fulltime

New

Bilingual Claims Examiner - French and English

Are you passionate about helping people? Do you enjoy solving problems and findi...

Location

Canada , Winnipeg

Salary:

Not provided

Randstad

Expiration Date

August 15, 2026

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.

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.

What we offer

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

Fulltime

Medical EOB Reviewer

A Hospital in Los Angeles is seeking a Medical EOB Reviewer to support our healt...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Prior experience in medical billing, hospital billing, collections, or a closely related healthcare revenue cycle role
Working knowledge of Explanation of Benefits review, payment posting processes, and insurance reimbursement practices
Familiarity with handling denials, supporting appeals, and researching claim discrepancies
Ability to interpret medical billing details accurately and manage documentation with strong attention to detail
Effective written and verbal communication skills for interacting with patients, payors, providers, and internal departments
Strong organizational skills with the ability to manage mail, payment records, and claim-related paperwork efficiently
Proficiency in maintaining accurate records and meeting deadlines in a fast-paced healthcare environment
Must be bilingual in Spanish

Job Responsibility

Examine Explanation of Benefits documents to confirm billing accuracy, identify discrepancies, and support compliance with healthcare reimbursement guidelines
Manage incoming mail by opening, sorting, and routing EOBs, payments, and related correspondence to the appropriate workflow
Log and organize live checks received from insurance payors with a high level of accuracy and attention to detail
Obtain authorizations from carriers or provider offices when additional approval is needed to move billing activity forward
Address questions from patients, providers, insurance representatives, and internal teams regarding charges, payments, and EOB-related items
Compile and submit supporting records required for claims follow-up, billing review, appeals, or other reimbursement activities
Maintain clear and organized documentation of reviewed EOBs, authorizations, payment records, and submitted materials
Partner with billing, collections, and medical records staff to investigate issues, resolve variances, and keep accounts progressing appropriately

What we offer

Medical
Vision
Dental
Life insurance
Disability insurance
401(k) plan

Fulltime

Field Investigator

We are looking for a Field Investigator to join a contract opportunity based in ...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 3 years of experience in investigations, law enforcement, paralegal support, claims review, or a closely related field
Ability to manage timelines effectively while handling multiple assignments in both office and field settings
Working knowledge of accident investigation methods, field operations, and evidence documentation practices
Strong verbal and written communication skills, with the ability to conduct thorough interviews and produce organized reports
Comfortable traveling for fieldwork and conducting site visits, canvassing, and other in-person investigative activities
Bachelor’s degree in Criminal Justice, Psychology, Communications, or a related area is preferred
California-based candidates are required
private investigator licensure or eligibility to pursue licensure is highly valued
Bilingual language skills are a strong advantage

Job Responsibility

Carry out interviews with witnesses, claimants, and other relevant parties to gather accurate information for active investigations
Travel to incident locations to document conditions, observe surroundings, and collect details that support case findings
Review accident- and injury-related matters by verifying facts, examining records, and identifying inconsistencies or areas requiring follow-up
Assist with case preparation by organizing investigative materials, supporting discovery-related tasks, and helping coordinate required documentation
Locate, secure, and maintain evidence in accordance with established procedures to protect accuracy and chain of custody
Perform surveillance and field observations when needed to support difficult service attempts or other sensitive investigative assignments
Track deadlines, manage multiple active cases, and provide timely updates to ensure work progresses according to required timelines
Prepare clear written summaries, reports, and supporting documentation for internal teams, attorneys, or clients

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

Customer Advocate Phone Specialist (Bilingual Traditional Mandarin/English) - Hybrid

Blue Cross Blue Shield of Arizona (BCBSAZ) is urgently hiring a full-time, virtu...

Location

United States , Phoenix

Salary:

20.00 USD / Hour

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

At least one (1) year of experience in claims examination, health insurance, customer service, call center, medical office, or other healthcare-related field
High School diploma or GED
Within 45 days of hire in member concierge, Mi Consejero Azul, or areas supporting sales, employee must hold an active, current, and unrestricted AZ Department of Insurance Health Insurance License
Intermediate PC proficiency
Advanced bilingual (Mandarin/English) skill in verbal communication
Intermediate bilingual (Mandarin/English) skill in written communication

Job Responsibility

Identify, research, process, resolve and respond to customer inquiries and correspondence via telephone, written communication and/or in person
Answer a diverse and high volume of health insurance related customer calls and correspondence on a daily basis
Meet quality, quantity, and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
Document and record facts related to inquiries and correspondence by updating BCBSAZ files and systems
Demonstrate and maintain current working knowledge of the required BCBSAZ systems, procedures, forms, and manuals

What we offer

Monetary incentive for bilingual speakers (must pass language assessment)
Remote, in-office, and hybrid work options within the state of Arizona
Eleven (11) paid holidays, including 2 floating holidays you can use any time you wish
Accrued paid time off (up to 18 days per calendar year)
Comprehensive medical, dental, and vision coverage
401(k) up to 5% dollar-per-dollar match, 2% non-elective employer contribution
Up to 12% annual bonus based on corporate goals and individual performance
Eight (8) paid volunteer hours to support our mission of inspiring health
Tuition reimbursement for you
scholarship opportunities for your children

Fulltime

Hotel Manager – Premier Inn – Skegness Seafront

Become the leader of a hospitality Dream Team and take hotel management at Premi...

Location

United Kingdom , Skegness

Salary:

29000.00 - 31800.00 GBP / Year

BEEFEATER

Expiration Date

Until further notice

Requirements

Previous management experience in the hospitality industry or similar environment where you led a team to success
Strong leadership skills with a passion for customer service
Excellent team management and communication skills with a warm, genuine approach to people and a capacity to engender trust and win support at all levels
Commitment to safety and maintaining high standards of service

Job Responsibility

Lead and motivate our team of Front of House and Housekeeping to ensure outstanding service and compliance with our brand standards
Work with the team to manage daily operations within the hotel, including the bar and kitchen, to keep us the UK's number one
Understand the bigger picture and what really matters in your hotel to drive improvement and spot commercial opportunities
Ensure health and safety standards are met throughout the hotel to maintain our high-quality standards

What we offer

Award-winning induction and training
Performance-related company bonus scheme
Pension Scheme
Share Save Scheme
Whitbread Privilege Card giving you 25% off in our restaurants and up to 50% off in our Premier Inn Hotels
33 days annual leave (including bank holidays)
Get discounts at shops, your utility bills, travel, cinema trips, supermarkets and more through Perks at Work

Fulltime

Casual Sales Assistant

Frasers is a dynamic and iconic retail destination, originally established in 18...

Location

United Kingdom , Norwich

Salary:

Not provided

Frasers Group

Expiration Date

Until further notice

Requirements

Relevant retail or hospitality experience and a customer-first mindset
Confidence and warmth that builds trust and lasting relationships
A genuine passion for delivering a luxury shopping experience
A target-driven approach and the drive to exceed sales goals
A team-first attitude, ready to support other areas of the store when needed
Flexibility, reliability, and adaptability in a fast-paced environment.

Job Responsibility

Greet and engage every customer with confidence and warmth from the moment they walk in
Offer first-contact solutions, whether that's directing to click-and-collect or checking additional stock
Provide styling advice and product recommendations through active listening and strong product knowledge
Step in to support nearby tills or departments to keep the customer journey seamless
Keep visual presentation sharp and stock available through replenishment and stockroom upkeep
Get involved in store events and activations, and share feedback to keep us improving
Stay alert and compliant with store procedures to support loss prevention
Follow health and safety standards at all times
Represent Frasers to the highest standard, in service and in personal presentation.

What we offer

Competitive pay
Generous staff discount across Frasers and all Frasers Group brands
Career growth in a fast-paced, ambitious retail group
A premium store environment with a customer-first culture
Training and development to sharpen your craft and grow your career.

Parttime

Casual Sales Assistant

Frasers is a dynamic and iconic retail destination, originally established in 18...

Location

United Kingdom , Oxfordshire

Salary:

Not provided

Frasers Group

Expiration Date

Until further notice

Requirements

Relevant retail or hospitality experience and a customer-first mindset
Confidence and warmth that builds trust and lasting relationships
A genuine passion for delivering a luxury shopping experience
A target-driven approach and the drive to exceed sales goals
A team-first attitude, ready to support other areas of the store when needed
Flexibility, reliability, and adaptability in a fast-paced environment

Job Responsibility

Greet and engage every customer with confidence and warmth from the moment they walk in
Offer first-contact solutions, whether that's directing to click-and-collect or checking additional stock
Provide styling advice and product recommendations through active listening and strong product knowledge
Step in to support nearby tills or departments to keep the customer journey seamless
Keep visual presentation sharp and stock available through replenishment and stockroom upkeep
Get involved in store events and activations, and share feedback to keep us improving
Stay alert and compliant with store procedures to support loss prevention
Follow health and safety standards at all times
Represent Frasers to the highest standard, in service and in personal presentation

What we offer

Competitive pay that reflects what you bring
Generous staff discount across Frasers and all Frasers Group brands
Career growth in a fast-paced, ambitious retail group
A premium store environment with a customer-first culture
Training and development to sharpen your craft and grow your career

Parttime

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Bilingual Claims Examiner

Job Description

Job Responsibility

Requirements

Nice to have

What we offer

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Bilingual Claims Examiner

Bilingual Claims Examiner

Bilingual Claims Examiner - French and English

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Hotel Manager – Premier Inn – Skegness Seafront

Casual Sales Assistant

Casual Sales Assistant

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