French Bilingual, Claims Quality Assurance Analyst

Job description

Accountabilities: Review medical records, invoices, claim forms, and supporting documentation to ensure accurate adjudication of pet insurance claims in line with policy guidelines. Support claims teams in maintaining consistency, accuracy, and fairness in claim decisions, including complex or sensitive cases. Participate in claims payment verification audits and contribute to the preparation, tracking, and analysis of audit results. Assist with internal and external audits to ensure compliance with operational and regulatory standards. Identify trends, gaps, and opportunities for improvement within claims processes and recommend enhancements. Translate and transcribe medical and customer communications between French and English as needed. Contribute to a high-performance environment by maintaining productivity, accuracy, and collaboration across distributed teams. Requirements: Fully bilingual in French and English, with strong written and verbal communication skills in both languages. Valid Damage Insurance Claims Adjuster License (Personal Lines) in Québec. Minimum of 2 years of experience in insurance claims adjudication. At least 1 year of experience in customer service, preferably in a phone-based environment. Experience in pet insurance claims or veterinary clinic environments is considered a strong asset. Strong analytical and problem-solving skills with a detail-oriented mindset. Comfortable working with Microsoft Office tools and web-based systems in a digital workflow environment. Ability to adapt quickly to changing processes, priorities, and operational needs in a fast-paced setting. Strong collaboration skills and commitment to delivering high-quality customer and partner service. Benefits: Base salary of approximately 70,000 CAD annually. Monthly performance-based bonus opportunities. Restricted Stock Units (RSUs) with a 4-year vesting schedule for new hires. Employer-paid extended health coverage for employees and their families. Employer-paid medical insurance for one pet (cat or dog). Four weeks of paid vacation plus 11 paid floating holidays. Five-week paid sabbatical after five years of service. Remote-first work model anywhere in Canada with a flexible and collaborative environment. RRSP and retirement support through a partnered savings program. Paid volunteer time to support nonprofit organizations. How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1 This position is posted by Jobgether on behalf of a partner company. We are currently looking for a French Bilingual, Claims Quality Assurance Analyst in Canada. This role plays a key part in ensuring the accuracy, consistency, and integrity of pet medical insurance claims across a fast-growing claims operations environment. You will review medical documentation, invoices, and claim files to ensure adjudications align with established policies and quality standards. Working closely with claims teams and leadership, you will help maintain high-quality outcomes for pet owners and veterinary partners. The position also contributes to audits, payment validation, and process improvement initiatives that strengthen operational performance. You will operate in a dynamic, collaborative, and fully remote environment supporting clients across Canada, including Québec. This is an impactful role where precision, analytical thinking, and bilingual communication directly influence customer trust and service quality.