Bilingual Claims Support Specialist Job at Randstad (Toronto)

Bilingual Claims Support Specialist

Seeking Bilingual Claims Support Specialists to support a high-profile claim pro...

Location

Canada , Toronto

Salary:

23.00 CAD / Hour

Randstad

Expiration Date

August 10, 2026

Requirements

1+ year of experience communicating with clients / patients / or stakeholders over the phone
Experience in data entry
Must be fluent in communicate with French/ English speaking clients located outside Quebec on a regular basis
Proficiency in Microsoft Office suite including Outlook, Word, and Excel

Job Responsibility

Respond to incoming calls with empathy, professionalism, and discretion
Provide accurate information about the claims process while strictly adhering to confidentiality protocols
Escalate high-risk or complex cases to appropriate internal channels as needed
Maintain detailed and objective call notes in the system for documentation and audit purposes
Triage, assign, and resolve client or internal inquiries submitted via ticketing systems
Identify sensitive cases that may require escalation or prioritization
Ensure timely, respectful, and comprehensive responses are logged and tracked
Code claim details based on policy documentation, accurately capturing sensitive or traumatic descriptions without alteration or bias
Conduct quality assurance checks to ensure completeness, accuracy, and compliance with internal and regulatory standards
Identify inconsistencies or red flags and raise them for investigation or review

Fulltime

Bilingual Claims Support Specialist

Join a high-profile, mission-driven claims initiative reporting directly to the ...

Location

Canada , Toronto

Salary:

23.00 USD / Hour

Randstad

Expiration Date

July 25, 2026

Requirements

1+ year of experience communicating with clients / patients / or stakeholders over the phone
Experience in data entry
Must be fluent in communicate with French/ English speaking clients located outside Quebec on a regular basis
Proficiency in Microsoft Office suite including Outlook, Word, and Excel

Job Responsibility

Respond to incoming calls with empathy, professionalism, and discretion
Provide accurate information about the claims process while strictly adhering to confidentiality protocols
Escalate high-risk or complex cases to appropriate internal channels as needed
Maintain detailed and objective call notes in the system for documentation and audit purposes
Triage, assign, and resolve client or internal inquiries submitted via ticketing systems
Identify sensitive cases that may require escalation or prioritization
Ensure timely, respectful, and comprehensive responses are logged and tracked
Code claim details based on policy documentation, accurately capturing sensitive or traumatic descriptions without alteration or bias
Conduct quality assurance checks to ensure completeness, accuracy, and compliance with internal and regulatory standards
Identify inconsistencies or red flags and raise them for investigation or review

What we offer

Contract Duration: 3-month renewable contract
Work Mode: Hybrid (minimum 3 days in-office, 2 days remote)
Schedule: Full-time (standard office hours)

Fulltime

Bilingual Contact Center Specialist (Provider Network Support)

We are seeking a dedicated and skilled Bilingual Contact Call Center Specialist ...

Location

United States , Austin

Salary:

22.00 USD / Hour

MMC Group LP

Expiration Date

Until further notice

Requirements

A minimum of six months of recent, verifiable experience in a high-volume contact center/call center environment
Bilingual Proficiency: read, write and speak English and Spanish with an 80% or better score
Proficiency in Microsoft Office tools (Word, Excel, Outlook)
Strong multitasking abilities and organizational skills

Job Responsibility

Provide unbiased assistance to Medicaid providers and clients regarding eligibility, medical claims status, and other program-related questions
Respond promptly, courteously, and concisely to phone inquiries, ensuring a positive customer experience
Document all interactions in clear and concise online logs for accurate record-keeping
Transfer callers to appropriate Call Center units when necessary
Meet and exceed individual performance standards, including strict attendance and productivity metrics
Assist with problem resolution and escalate complex issues as needed
Perform additional duties as assigned by management

What we offer

Medical, dental, and vision coverage
Life and disability insurance
Additional voluntary benefits

Fulltime

New

Workers Compensation Claims Specialist

Randstad, the world’s leading talent company and a partner of choice to clients,...

Location

Canada , Toronto

Salary:

58400.00 - 87600.00 CAD / Year

Randstad

Expiration Date

September 30, 2026

Requirements

Experience: Proven experience in disability management, workers' compensation claims, or risk management is an asset
Knowledge: Strong understanding of regional occupational health and safety legislation and workers' compensation board processes
Communication: Exceptional interpersonal skills with the ability to coach field staff and influence stakeholders at all levels
Analytical Thinking: Ability to spot trends in data and translate them into actionable safety improvements
Organization: Highly organized with the ability to manage multiple moving files while meeting strict legal deadlines
Bilingual fluency Preferred: French and English

Job Responsibility

Incident Response: Act as the first point of contact for all lines of business regarding incident and injury reporting on non work related claims, first aid, near misses, no lost time claims and modified no loss time claims
End-to-End Processing: Oversee the claims submission process, ensuring all data and forms are transferred to various workers compensation boards within legally prescribed timelines
Field Support & Coaching: Guide branch managers through workplace accident investigations
Modified Work Program Management: Act as the ongoing liaison between the field, the injured workers and champion early return-to-work strategies
Appeals & Documentation: Assist in the preparation of formal appeal submissions and maintain meticulous records of all claims activity
Customer Service: Handling all certification of insurance requests and generic certificate of Insurance, clearance certificates
Administrative Task: Mail (Digital mailroom - Xerox), Mail in CNESST portal, other duties as required

What we offer

Work-Life balance: Embrace a remote work environment with a competitive salary
Dynamic environment: Thrive in an atmosphere with diverse challenges and opportunities for continuous learning
Collaborative leadership: Work with a leadership team committed to a collaborative and participatory approach
RRSP
health spending account
comprehensive medical, dental, vision, disability, and life insurance
personal spending account
employee assistance program (EAP)
generous time off policy
discounts on everything from cell phone plans to car purchases

Fulltime

Bilingual Claims Processing Specialists

We are seeking Claims Processing Specialists (Independent Contractors) to suppor...

Location

Canada , Montréal

Salary:

23.00 USD / Hour

Randstad

Expiration Date

July 25, 2026

Requirements

Bilingualism (English and French) is required to communicate regularly with clients located outside Quebec
1+ year of experience in phone support (an asset)
Prior experience in data entry and administrative roles
Experience in claims, insurance, or complaints management
Proficiency in the Microsoft 365 suite (Outlook, Word, and Excel)
Familiarity with case management software and databases
Experience with VoIP/Internet phone services is desirable
Exceptional attention to detail
Commitment to high-quality deliverables
Self-motivated

Job Responsibility

Managing Correspondence: Handle incoming and outgoing mail, email, faxes, and phone communications
Ensure call & claims are processed promptly and directed appropriately
Data Entry & Verification: Enter, review, and verify data from electronic and paper forms into a standard database, maintaining accuracy and confidentiality at all times
Document Processing & Organization: Scan, file, and securely store sensitive materials
Organize physical and digital records to ensure efficient retrieval when needed
Claims Coding & Quality Checks: Code claim details based on policy documentation, accurately capturing information
Conduct quality assurance and comply with internal and regulatory standards
Identify inconsistencies or red flags and raise them for investigation or review
Claimant Support & Communication: Maintain precision and attention to detail when processing claims, data and information
Return incoming calls in a professional and empathetic manner, & assisting claimants

What we offer

Contract Duration: 3-month renewable contract
Salary: $23 per hour

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

Customer Support Specialist

You’ll be the voice of the brand across phone, email, chat, and order portals—so...

Location

United States , Carlsbad

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

1–3+ years in customer service, order management, or contact center environment
Strong written/verbal communication and a calm, patient problem‑solving style
Detail‑accurate, fast with systems, and comfortable juggling multiple tickets
Background in consumer goods, retail/e‑commerce, or sporting/outdoor products is a plus
Bilingual (English/Spanish) is a strong plus for North County customer bases

Job Responsibility

Own daily customer communications via phone, email, and chat
triage inquiries and resolve issues quickly and professionally
Manage order entry and edits, shipment tracking, RMAs, replacements, and warranty claims
Research and resolve delivery delays, damaged shipments, and mis‑shipments
coordinate with 3PL/warehouse
Maintain accurate case notes, update CRM records, and track trends to provide feedback to leadership
Guide customers through product selection, promos, and basic troubleshooting
escalate technical issues as needed
Collaborate with Sales Ops and Accounting on order holds, credits, tax, and payment discrepancies
Prepare daily and weekly summaries on SLAs, ticket volumes, and top customer pain points

What we offer

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

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

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Bilingual Claims Support Specialist

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