Case Manager Associate, Bilingual

This is a fully remote position, open to applicants in Canada.

📋 Description

• Oversee and update cases related to hospitalized patients and outpatient care.

• Guarantee timely and precise documentation within company systems.

• Collaborate with Medical Consultants and Registered Nurses to evaluate medical information and aid in decision-making.

• Authorize eligible medical procedures and coordinate with internal medical teams.

• Communicate with patients and their families about policy benefits, case updates, and logistical arrangements.

• Review insurance policies and determine the appropriate course of action for each case.

• Set and modify case reserves based on current and projected costs.

• Investigate additional insurance coverage options, including Provincial Health and Extended Health Plans.

• Manage billing arrangements and acquire up-to-date billing information.

• Collect and organize necessary documentation for each case.

• Provide administrative and logistical support to facilitate case progression.

• Liaise with business partners and escalate complex cases as necessary.

• Contact and coordinate with providers for authorizations, documentation, and clarifications.

⛳️ Requirements

• A post-secondary education is required.

• Preferred minimum of 2 years of experience in Emergency Assistance or a similar case management role.

• Exceptional attention to detail is essential.

• Strong multitasking abilities in a fast-paced environment.

• Excellent verbal communication skills—professional, clear, and empathetic over the phone.

• Proven problem-solving abilities.

• Capability to exercise sound judgment and initiative.

• High level of accountability and ownership regarding case outcomes.

• Solid understanding of global geography.

• Awareness of current events.

• Familiarity with medical terminology is required.

• Fluency in both French and English, written and spoken, is required.

• Ability to effectively utilize artificial intelligence, machine learning, data analytics, and cloud-based tools.

• Responsible use of insights in alignment with data governance, security, and ethical-use standards.

🏝️ Benefits

• Performance-based bonuses.

• Merit increases.

• Additional incentives based on individual and company performance.

• Opportunities for personal and professional development courses.

• Targeted development programs.

• Opportunities for international mobility and career advancement.

• Work Well programs.

• Flexible work-life balance arrangements.

• Health insurance.

• Dental insurance.

• Vision insurance.

• Retirement savings plans.

• Paid time off.

• Additional employee programs.