Claims Processing Specialist

WCGEmployment services

Remote - Canadian Home OfficeFull-TimeMiddle

Salary53,040 CAD per year

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Job Details

Languages: Bilingual (English and French) (preferred)
Experience: Minimum 2-3 years’ experience in a similar role working in a service-oriented organization
Required Skills: Microsoft ExcelMicrosoft OfficeAttention to detailTime ManagementQuality AssuranceData entry

Have a strong auditing background and data-entry experience.
Have at least 2–3 years’ experience in a similar role in a service-oriented organization.
Be proficient in MS Office, especially Excel and Word.
Demonstrate attention to detail and a high level of accuracy.
Be able to adapt to change and changing workloads.
Understand the needs of a highly confidential environment.
Maintain composure in difficult and high-pressure situations.
Have organizational and time-management skills and be able to work in a fast-paced environment.
Bilingual English and French is preferred.
Knowledge of the Employment Services industry is preferred.

Process client and employer financial support claims while ensuring contractual and legislative requirements are met.
Conduct quality assurance for claims and invoices processed by Service Provider staff.
Answer staff inquiries about claims and administrative questions.
Communicate issues regarding ineligible claims in line with processes.
Provide staff with guidance on claims processing requirements and guidelines.
Monitor emerging claims-assessment trends and flag them to the Claims Manager.
Handle discrepancies appropriately and escalate issues when necessary.
Identify and manage risks, escalating non-standard or high-risk transactions and activities.
Develop an understanding of WCG’s contracts, guidelines, policies, and processes.
Complete standard and ad hoc data entry using WCG’s Case Management System and other systems and databases.

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