Eligibility Representative - French Speaking

Role Overview

As an Eligibility Representative, you will be the bridge between members, clients, and internal operations, making sure healthcare coverage details are accurate, up to date, and processed without delay. Your day-to-day work involves verifying enrollment information, handling changes and terminations, and answering eligibility questions by phone and email — always with a focus on data integrity and a smooth member experience. This position sits within a global healthcare team, so you will collaborate across departments to resolve issues, improve workflows, and support the organisation's commitment to reliable, confidential service.

Key Responsibilities

• Maintain member eligibility records across multiple internal systems, ensuring every update is reflected accurately and on schedule.
• Process new registrations, coverage modifications, cancellations, and benefit changes while meeting agreed turnaround times.
• Act as the go-to contact for clients, members, and vendors who have questions about eligibility status, coverage start dates, or data discrepancies.
• Investigate mismatches or system errors that affect member profiles, then implement fixes or escalate them to the right team.
• Run validation checks and generate reports to confirm that eligibility data remains consistent and complete.
• Guide internal colleagues on the correct procedures for submitting eligibility requests and using related tools.
• Protect sensitive personal information by following data privacy rules and handling every record with discretion.
• Suggest practical improvements to eligibility workflows that reduce errors, speed up processing, and raise service quality.

Requirements & Qualifications

• Diploma, bachelor's degree, or equivalent hands-on experience in an administrative or service-oriented role.
• Professional fluency in both English and French, with clear written and spoken communication for client-facing interactions.
• At least 1–2 years of experience in customer service, healthcare administration, insurance operations, or eligibility management.
• Strong attention to detail, especially when entering, checking, or reconciling data under deadlines.
• Comfort working with customer databases, spreadsheets, and standard office tools (Excel and Outlook are essential).
• Demonstrated ability to investigate problems, identify root causes, and propose workable solutions.
• Capacity to juggle multiple requests in a fast-paced environment without compromising accuracy.
• Familiarity with confidentiality requirements and a professional approach to handling sensitive member information.

What We Offer / Why Join

You'll be part of a multicultural, global team where your daily work has a direct impact on someone's access to healthcare. The organisation provides structured onboarding and ongoing learning to help you build expertise, along with flexible working arrangements and wellbeing initiatives that respect your work-life balance. You will also have the chance to interact with colleagues and clients across different countries and cultures, all within a role that values initiative, accuracy, and continuous improvement.