[Hiring] Claims Processing Specialist @WCG International Consultants Ltd.

Role Description

As a Claims Processing Specialist, you’ll be responsible for processing performance-based funding alongside employment-related financial supports for clients and employer expenditures. You will work closely with the Claims Manager and Financial Quality and Support Specialist to ensure accuracy, compliance, and continuous quality improvement while maintaining a high level of confidentiality pertaining to client records and financial information.

• 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 any issues regarding ineligible claims in line with processes.
• Provide support and guidance to staff regarding claims processing in line with contractual and guideline requirements.
• Keep abreast of emerging trends for claims assessment and flag these to the Claims Manager.
• Demonstrate flexibility to change activities based on changing requirements and business needs.
• Ensure discrepancies are handled appropriately and escalate issues when necessary; refer staff to appropriate team members or internal partners as appropriate.
• Protect the interests of the organization – identify and manage risks, and escalate non-standard, high-risk transactions/activities as necessary.
• Develop a strong understanding of WCG’s contract, guidelines, policies, and process.
• Undertake standard and ad hoc data entry tasks.
• Effective use of WCG’s Case Management System and other systems and databases.

Qualifications

• Strong auditing background and data entry experience.
• Minimum 2-3 years’ experience in a similar role working in a service-oriented organization.
• Proficient in MS Office, especially Excel and Word.
• Detail-oriented with a high level of accuracy.
• Ability to adapt to change.
• Understanding of the needs of a highly confidential environment.
• Able to maintain composure during difficult and high-pressure situations.
• Results-driven with a creative approach to idea generation and problem-solving.
• Excellent organizational and time management skills.
• Ability to work in a fast-paced environment with changing workload.

Requirements

• Bilingual (English and French) - preferred.
• Knowledge of the Employment Services industry - preferred.

Benefits

• Competitive salary of $53,040.00 per year.
• Comprehensive and flexible health and dental benefits.
• RRSP Matching program of 2.5% base earnings.
• Ongoing learning and development opportunities.
• Generous time-off policies that promote work/life balance.
• A diverse and inclusive workplace with a track record of high employee engagement and teamwork.
• The opportunity to do work that makes a difference!