Claims Support Specialist Bilingual (ENG/FR)

Location: Toronto, ON

Work Model: Onsite/hybrid

Duration: 3 months Contract with strong possibility of extension up to 12 months

Shift Timings:

- 8:00 AM – 4:30 PM OR
- 11:00 AM – 7:30 PM
- (Monday to Friday, full-time)

Rate: CAD 23/hr on T4

KEY RESPONSIBILITIES:

- Process and administer claims by managing correspondence, data entry, record validation, and database updates.
- Maintain, scan, organize, and securely handle confidential claimant documentation.
- Provide claimant support through inbound calls, outbound follow-ups, and timely claim status communications.
- Triage, investigate, document, and resolve support tickets while escalating complex or sensitive cases when required.
- Accurately code claim information and perform quality assurance reviews to ensure compliance, accuracy, and completeness.
- Identify discrepancies, exceptions, and process issues, and escalate them for resolution.
- Manage high-volume interactions with professionalism, empathy, and adherence to compliance standards.
- Maintain detailed records, call notes, and case documentation across multiple systems.




- Support operational efficiency through backlog management, reporting, audit preparation, and process improvement initiatives.
- Collaborate with cross-functional teams and provide training, coaching, and support to junior team members.

REQUIREMENTS:

- Bilingual in English & French (mandatory)
- 1+ year experience in customer service / call handling / claims support
- Strong data entry and administrative experience
- Ability to handle sensitive and emotionally charged content
- Proficiency in Microsoft Office (Outlook, Word, Excel)
- Experience with VOIP or call systems preferred
- Solid attention to detail, organization, and communication skills
- Experience in professional services environment preferred

NICE TO HAVE:

- Knowledge of Indigenous culture
- Ability to speak Indigenous languages (Cree, Inuktitut, Ojibway, etc.)

IMPORTANT NOTE:

- Role involves reviewing highly sensitive content (e.g., abuse, trauma, self-harm). Candidates must be emotionally resilient and comfortable handling such material.

📌 Bilingual Claim Support (Greater Toronto Area)
🏢 Hays
📍 Greater Toronto Area