Publié il y a 2 mois
French Bilingual- Claims Examiner
@ Staffmax
Winnipeg, Manitoba
En bref
Staffmax is hiring a temporary full-time bilingual French and English Intake Coordinator (Claims Examiner) in Winnipeg for a staff augmentation contract with potential conversion to permanent. The role follows up with plan sponsors and members on claim documents and eligibility, starting with in-office training for 1-2 months before moving to two days per week hybrid. Pay is $23.19 per hour and Protected B clearance is required.
Salaire :
23,19 $ de l’heure
Responsabilités :
- Contact plan sponsors and members within 24 hours of claim receipt
- Verify eligibility against system, documents and contract
- Follow up by phone and email on missing or unclear information
- Send declination letters and transfer claims to case managers
- Adjudicate Quick Pay claims and file documents
Résumé des exigences :
- One year of customer service experience
- Strong typing and data entry skills
- Proficiency with Microsoft Office
- Ability to understand complex instructions and basic contractual language
- Knowledge of basic medical terminology
- Bilingual French and English is an asset
Outils et compétences
Avantages mentionnés
Source et dates
Site carrière / système de candidatures · careerpage
- Date publiée par l’employeur
- 2026-08-30
- Première détection par notre source
- 2026-10-11
- Mise à jour du dossier source
- 2026-10-11
Ces dates décrivent le dossier source, pas une vérification en direct du recrutement. Consultez l’offre originale.
Détails du poste
| Niveau | Débutant |
| Domaine | Service à la clientèle |
| Expérience | 1 an(s) et plus |
| Heures par semaine | 40 (estimé) |
| Horaire | jour |
| Déplacements | avion : aucun · route : aucun |
| Milieu de travail | Bureau |
| Position | Surtout assis |
| Exigences physiques | physique faible · ordinateur élevé |
| Langues | English, French |
| Cote de sécurité | Autre cote |
Résumé et détails rédigés par l’IA à partir de l’offre; l’offre de l’employeur fait foi.
Staffmax
| Champ | Valeur |
|---|---|
| Offres sur Jobsy | 159 |
Request ID: MP-WS3178362425
Hiring Manager Name: Arlie Britton
Hiring Manager Location: Winnipeg, MB
Role Title: Intake Coordinator (Claims Examiner)
Work Style: In office training full-time 1-2 months until training is complete – Then Hybrid – 2 days per week
Location city(s): Winnipeg only
Number of Openings: 1
Anticipated Start Date: 3-4 weeks from offer
Duration: February 14, 2027
Part-time or Full-time: FT
Reason for role: (staff aug/replace vacancy): Staff augmentation
Convert to Permanent: Yes, there is potential for conversion
Pay rate range/limitations: $23.19/hr
Protected B Clearance Required? Yes
Any specific tools/skillset: Customer Service, Analytical Skills, Strong Communication
Job Summary
The Claims examiner will follow-up with both Plan Sponsors and Plan Members to obtain duly completed documentation, ensure the forms are fully completed and respond to any questions they may have on the claims process. They will also ensure the claim is accurately set-up on the system in accordance with the contract and any required group specific special features.
Responsibilities:
- 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.
Qualifications:
- 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.
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