Review, process, and analyze health insurance benefit claims for specialized products
Analyze information contained in assigned files, taking into account contractual provisions, medical and/or death-related evidence, government programs, and internal policies and procedures
Communicate decisions or recommendations primarily in writing regarding benefit approval, requests for additional information, or claim denials
Provide customer service to insured individuals, policyholders, and/or beneficiaries
Obtain specific information, communicate claim-related information, and respond to calls
Perform technical tasks to support the management of assigned files
Use relevant computer systems to update data and process payments in accordance with contracts and internal guidelines
Requirements Hold a college diploma (DEC) in a relevant field
Advanced proficiency in French, both spoken and written
Advanced proficiency in English, both spoken and written




Core Competencies Demonstrates expertise in analyzing health insurance benefit claims, ensuring compliance with contractual provisions and internal policies. Proficient in both French and English, facilitating effective communication with insured individuals and stakeholders.
Highest-signal resume keywords Health Insurance Claims Analysis
Contractual Provisions Review
Bilingual Communication
Customer Service
Data Processing
ATS Optimization Keywords Hard Skills Claims Processing
File Management
Technical Analysis
Data Updating
Payment Processing
Soft Skills Written Communication
Customer Interaction
Certifications & Qualifications College Diploma (DEC)
Industry Keywords Health Insurance
Benefit Claims
Government Programs
Internal Policies
Medical Evidence
Tools & Technologies Computer Systems

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📌 Health Insurance Claims Agent (Quebec City)
🏢 Jobtailor
📍 Quebec City