Claims Processing Specialist

Strong auditing background and data entry experience. Minimum 2-3 years’ experience in a similar role within a service-oriented organization. Proficient in MS Office, especially Excel and Word. Detail-oriented with a high level of accuracy and ability to adapt to change. Understanding of the needs of a highly confidential environment. Excellent organizational and time management skills.

Process client and employer financial support claims and ensure contractual and legislative requirements are met. Ensure quality assurance for claims/invoices processed by Service Provider staff. Answer inquiries from staff regarding claims and other administrative questions. Communicate issues regarding ineligible claims and provide guidance to staff. Handle discrepancies appropriately and escalate issues as necessary. Develop understanding of WCG’s contract, guidelines, policies, and processes. Undertake standard and ad hoc data entry tasks.