Remote bilingual (FR/EN) claims quality analyst responsible for reviewing medical records, claim forms and invoices to ensure eligibility decisions follow policy. Perform claim audits, validate payments, support internal/external audits, identify process improvements, translate/transcribe records, and collaborate with claims team to deliver excellent customer service.

Review medical records, claim forms, invoices, and supporting documentation to validate claim outcomes per policy; perform payment verification audits and support internal/external audits; translate/transcribe communications between French and English; identify trends and recommend process improvements; collaborate with claims teams to ensure accuracy and excellent customer and clinic experience.