*Bilingual Medical Claims Administrator – 100% RemoteSaint‑Hyacinthe, Canada | Posted on 04/10/2026- Industry Claims and Disability Management- Date Opened 04/10/2026- City Saint‑Hyacinthe- Country Canada- Job Opening ID 7655- Job Type PermanentJob DescriptionBilingual Medical Claims Administrator – RemoteInsurance role focused on claims analysis in both group and individual contexts, involving interactions with various stakeholders and medical professionals. This position offers a flexible remote work environment, benefits starting on day one, a stable schedule, and conditions that support work‑life balance.What is in it for you:- Salary between 55K-65K, depending on experience.- 4 weeks of vacation from the start of employment.- 35‑hour workweek, scheduled between 8:00 am and 5:00 pm.- Full‑time remote work with a required presence at the Saint‑Hyacinthe office once per month.- Group insurance from day one, including medical, dental, vision, travel, and roadside assistance coverage.- Defined benefit pension plan equivalent to government plans, available after one year of service.- Social activities organized throughout the year, including BBQs, Christmas parties, and Halloween events.- Various employee discounts,



including the Saint‑Hyacinthe privilege card and insurance products.- Ongoing training opportunities.- Recognition of years of service.Responsibilities- Analyze group and individual insurance claims by evaluating medical evidence, contract provisions, government programs, and applicable legal aspects.- Determine eligibility of claims and ensure proactive case management to optimize outcomes.- Communicate with insured members, employers, brokers, providers, and healthcare professionals to gather relevant information for decision‑making.- Clearly and effectively communicate decisions and action plans to all stakeholders.- Collaborate with medical consultants and rehabilitation teams in case follow‑ups.- Ensure compliance with established processing timelines and service standards.- Participate in departmental activities and projects and support colleagues as needed.What you will need to succeed:- College diploma or university degree in a relevant field.- Knowledge of legal or medical concepts is considered an asset.- 2 years of experience in a similar role or a related field, including customer service.- Excellent communication skills with a strong client‑focused approach.- Bilingual in English and French to support clients in both languages.- Solid analytical and problem‑solving skills with attention to detail.- Strong interpersonal skills, empathy, and adaptability.- Ability to work independently with strong organizational and time management skills.- Proficiency in computer tools, including Word and Excel.#J-18808-Ljbffr

📌 Bilingual Medical Claims Administrator – 100% Remote - C$55,000 - C$65,000 A Year (Saint-Hyacinthe)
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