Bilingual Claims Processing Specialists Job at Randstad (Montréal)

Call Center Specialist - Bilingual

We are looking for a skilled and empathetic Bilingual (English/Spanish) Call Cen...

Location

United States , Las Vegas

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Must be fluent in both English and Spanish, with strong verbal and written communication skills
High school diploma required
additional college or business school education is preferred
Proficiency in basic computer operations and intermediate-level Microsoft Office applications (Word, Excel, Access, PowerPoint, Outlook)
Proven experience in a high-volume call center environment, handling claims inquiries and reviews
Familiarity with medical specialties, fee schedules, complaints, appeals, and managed care procedures
Ability to learn quickly and grasp claims payment policies and processes
Detail-oriented, dependable, and capable of managing time effectively
Strong listening skills and problem-solving abilities, with adaptability to changes in workflows or procedures

Job Responsibility

Respond to inbound calls from members, medical providers, and other stakeholders with professionalism and empathy
Process and adjust claims accurately, ensuring all details are correct
Address customer inquiries regarding fee schedules, network participation, and procedural requirements
Update and maintain customer records while collaborating effectively with internal teams
Redirect misdirected calls appropriately and provide solutions to complex or non-standard issues
Utilize decision-support tools to deliver accurate and informed responses
Investigate and resolve inquiries using available training materials and system resources
Adapt communication styles to suit the needs and understanding of various callers
Educate callers on processes and validate their comprehension of shared information
Support departmental projects and collaborate with other teams as directed by management

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan
free online training

Fulltime

New

Bilingual HR Benefits Specialist

We are seeking a Bilingual (English and Spanish) HR Benefits Specialist to suppo...

Location

United States , Milwaukee

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in Human Resources, Benefits Administration, or a related field preferred
Bilingual language skills required
Strong communication and customer service skills
High attention to detail and strong organizational abilities
Ability to handle sensitive and confidential information with professionalism
Proficiency in Microsoft Office and HRIS systems preferred
Knowledge of employee benefits and HR practices is a plus

Job Responsibility

Administer employee benefits programs, including medical, dental, vision, life insurance, and retirement plans
Assist employees with benefits enrollment, changes, and questions, providing bilingual support as needed
Maintain accurate employee benefits records and related documentation
Coordinate with insurance carriers and vendors regarding claims, eligibility, and billing issues
Support open enrollment processes, including employee communications and education
Ensure compliance with company policies and applicable laws and regulations
Process leave of absence paperwork, including FMLA and disability claims, when applicable
Assist with benefits reporting, audits, and special projects
Educate employees on available benefits and company-sponsored programs

What we offer

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

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

Bilingual Contact Center Specialist

We’re looking for passionate and detail-oriented individuals to join our Provide...

Location

United States , Austin

Salary:

22.00 USD / Hour

ChaseSource

Expiration Date

Until further notice

Requirements

Minimum 6 months of recent experience in a high-volume contact or call center environment
Fluent in English and Spanish (reading, writing, and speaking). Candidates must pass a bilingual skills assessment with a score of 80% or higher
Strong verbal and written communication skills
Detail-oriented, organized, and able to multitask effectively

Job Responsibility

Provide professional assistance to Medicaid providers and clients with questions about eligibility, claims, and other program-related inquiries
Respond to incoming calls promptly and courteously, ensuring each interaction delivers a positive experience
Document all interactions accurately in system logs
Transfer calls or escalate complex issues as needed
Meet established performance metrics, including attendance, productivity, and quality standards
Support team goals and contribute to process improvements

What we offer

Comprehensive health benefits
Equipment provided for on-site work
A supportive, professional environment with opportunities for growth

Fulltime

Customer Care Specialist

We are the duck. We develop and empower our people, cultivate relationships, giv...

Location

United States , Windsor

Salary:

37440.00 - 55000.00 USD / Year

Aflac

Expiration Date

Until further notice

Requirements

Knowledge of principles and processes for providing customer and personal services, including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction
Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, and other office procedures
Emotional intelligence skills shown through giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times
Skill in selecting and using training/instructional methods and procedures when learning new policies, procedures, concepts or products
Skill in managing one's own time and actively looking for ways to help people whether team members or customers
Skilled in verbal and written communication regardless of channel (phone, chat, email, text, social media, etc.) in order to convey information and ideas so others will understand
Requires special communication skills including, but not limited to having the ability to defuse tough conversations in a high-emotion environment while maintaining a calm demeanor
Problem solving skills
Microsoft Excel skills
Experience translating from Spanish to English and English to Spanish (for bilingual positions)

Job Responsibility

Under general supervision, receives inbound calls, email, or chats regarding Aflac products and services
provides thorough and accurate responses to policyholder or field force inquiries regarding policy or claim issues for Aflac products and service
Accurately processes Point of Call transactions including, but not limited to, customer name changes, transfers, cancellations, and beneficiary changes
promotes good customer relations by providing premier customer service with a professional and friendly demeanor
develops customer relationships through rapport-building, listening skills, engaging the customer, seeking clarification, and building trust
Composes and/or generates communications to request information or confirm action taken
is responsive and timely with correspondence and problem resolution, and displays a caring attitude
coordinates with other departments/divisions as necessary to ensure customer satisfaction with Aflac's services and products
Navigates computerized system for tracking, gathering and researching information
routes and tracks outstanding requests to ensure policy-holders and other customers receive complete, accurate and timely resolutions

What we offer

medical
dental
vision coverage
prescription drug coverage
health care flexible spending
dependent care flexible spending
Aflac supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity offered at no costs to employee)
401(k) plans
annual bonuses
opportunity to purchase company stock

Fulltime

New

Operations Specialist / Customer Service Representative

Robert Half is seeking an Operations Specialist / Customer Service Representativ...

Location

United States , Opa-locka

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

3+ years of experience in order processing, customer service, operations, or logistics support
Strong SAP experience required
Strong Microsoft Excel skills required
Excellent communication and organizational skills
Ability to multitask and prioritize in a fast-paced environment
Experience coordinating shipments, invoicing, and inventory preferred
Bilingual Spanish is a plus

Job Responsibility

Receive and review customer orders, resolving discrepancies as needed
Process sales orders within SAP, ensuring accuracy in pricing, product configuration, and delivery timelines
Send order acknowledgements and communicate updates to customers
Coordinate with factories, purchasing teams, and warehouses to ensure timely delivery of products
Communicate shipment delays and provide status updates to customers
Arrange logistics and shipping in accordance with company guidelines
Create invoices and coordinate with the finance department regarding payment or credit issues
Provide customer support related to inventory availability, delivery dates, and product inquiries via phone and email
Maintain accurate order documentation and records
Assist with claims resolution related to delivered products

What we offer

Medical, vision, dental, and life and disability insurance
401(k) plan

Accounts Receivable and Collections Specialist

We are looking for a skilled Accounts Receivable and Collections Specialist to j...

Location

United States , San Antonio

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 1–3 years of experience in B2B accounts receivable and collections
Advanced proficiency in Excel, including pivot tables and complex formulas
Strong critical thinking skills to analyze discrepancies and resolve payment issues
Ability to work independently and proactively without requiring constant supervision
Excellent verbal and written communication skills for interacting with clients and internal teams
Bilingual proficiency in English with Spanish as a preferred skill
Familiarity with high-volume invoicing and cash application processes

Job Responsibility

Monitor assigned accounts for overdue payments, discrepancies, and payment trends
Investigate and resolve short payments, overpayments, and deductions through customer portals or direct communication
Apply incoming payments accurately across customer accounts and ensure proper allocation
Process debit and credit transactions while maintaining accurate records for reporting purposes
Generate and manage aging reports to track outstanding balances and support the collection process
Collaborate with internal teams and sales partners to address payment issues and negotiate repayment terms
Research and resolve customer claims and promotional credits to ensure proper accounting
Handle manual invoicing tasks and cash application duties for high-volume operations
Reconcile accounts receivable data and prepare periodic reports for analysis
Maintain detailed documentation of collection activities and provide insights to improve financial performance

What we offer

Medical, vision, dental, and life and disability insurance
Eligible to enroll in company 401(k) plan

Payroll Specialist

We are seeking a skilled Payroll Specialist to join our team and manage bi-weekl...

Location

United States , Napa

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Bachelor’s degree or equivalent experience
3+ years of payroll generalist experience with increasing responsibility
Paylocity experience highly preferred
Bilingual English/Spanish strongly preferred
Intermediate proficiency in Microsoft Word and Excel
Demonstrated ability to handle sensitive and confidential information with discretion
Strong ability to manage multiple priorities in a fast‑paced, changing environment
Highly organized with the flexibility to pivot when urgent needs arise
High level of integrity, attention to detail, and analytical thinking
Proven ability to think proactively and solve problems with minimal oversight

Job Responsibility

Process bi-weekly payroll for three companies (240+ employees), including commissions, incentives, hours worked, tips, and adjustments
Prepare and issue all manual payroll checks for off‑cycle payments and final payments at offboarding
Process bi‑weekly 401(k) contributions, garnishments, payroll tax filings, and related reporting
Reconcile payroll with external partners, including the outside accounting firm, benefit brokers, and 401(k) plan administrators and advisors
Respond to payroll inquiries and employment verification requests
Serve as admin for HR and payroll modules within Paylocity, including HRIS updates, compliance features, and ACA dashboard management
Ensure all employees are assigned to correct benefit classes and that system data remains accurate and up to date
Maintain all employee changes in Paylocity, including job movements, leaves of absence, departmental reorganizations, and general updates
Assist employees with benefit and 401(k) questions, including enrollments, qualifying life events, contribution changes, and coverage details
Partner with the HR Director to support annual open enrollment activities (July–November)

What we offer

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

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Bilingual Claims Processing Specialists

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