External - Claims Service Representative - Summer
6 days ago
Job Summary:
May 1, September 1, 2023
Up to 4 Summer Term Positions
Acts as the primary point of contact for responding to and resolving claim and coverage related telephone inquiries from workers, employers, representatives, healthcare practitioners, and other service providers received in the Claims Service Centre or when Adjudicators or Case Managers are not available.
Job Duties:
The Claims Service Representative is responsible for creating new claim files, ensuring Workers Compensation coverage, accepting specific no time loss claims, and managing each inquiry to a resolution that provides for customer satisfaction and meets organizational standards and objectives.
When unable to resolve an inquiry prior to the end of the call, takes steps necessary for resolution immediately following the call or arranges for an Adjudicator or Case Manager to resolve on a timely basis.
Follows established procedures to create new claim files, input data, search the database, and verify and collect information by calling for, or requesting reports from injured workers, employers and healthcare providers.
Follows department standards for gathering, reviewing, and assessing information to establish Workers Compensation coverage for new claims, communicating decisions to affected parties where appropriate, and referring to the Supervisor or Assessment Services in cases where further action is necessary.
Utilizes each inquiry as an opportunity to address customer concern(s) and anticipate future needs, reviewing outstanding or future claim file tasks when appropriate.
Reviews the claim file and approves medical expenses within specified guidelines and authority levels. Manages claim owner approved wage loss issues. Refers inquiries that are highly unusual, complex or above authority levels to the appropriate Adjudicator or Case Manager.
Updates claim files as part of each call; clearly documents customer communication including any information gathered, entitlement decisions made, actions taken and claim tasks created.
Completes statistical coding of claims within quality and timeliness standards.
Performs other related duties as assigned.
Qualifications:
Actively enrolled in post-secondary education, returning in Fall 2023
Typing speed of 35 w.p.m. (error rate less than 5%)
Knowledge of customer service principles and practices
Proficiency in the use of personal computers and software in a Windows environment
Excellent customer service skills including the ability to manage potentially confrontational situations with tact and diplomacy
Well-developed verbal and written communication skills to deal with internal and external stakeholders
Ability to obtain, assess and evaluate information through claim file review, listening and/or questioning in order to problem solve and support decision making
Ability to perform detailed and accurate work in a fast paced environment
Ability to work independently and as part of a team
Customer service experience in a call centre environment including knowledge of call centre telephony and technology would be an asset
Knowledge of advanced communication skills such as active listening and de-escalation techniques would be an asset
Competencies:
Essential:
Client Service Orientation
Interpersonal Communication
Analysis/Problem Assessment
Written Communication
Very Important:
Judgment/Problem Solving
Quality Orientation/Attention to Detail
Important:
Teamwork
Additional Information:
- This summer student position is only open to students who will be returning to postsecondary education in the fall. Any applicant who does not meet this criteria will not be considered.
Please note that this position will begin on May 1, 2023 with an 8 week training class and end on September 1, 2023.
You may be asked to demonstrate your ability through competency based interviewing and/or testing.
Ability to communicate proficiently in both official languages (English & French) is an asset.
The WCB is committed to building a skilled, diverse workforce with equitable representation of Indigenous persons, visible minorities, persons with disabilities, women, LGBTTSQ+ persons and members of other equity-seeking groups.
About WCB:
The Wor
-
External Claims Service Representative
6 days ago
Winnipeg, Manitoba, Canada Worker's Compensation Board of Manitoba Full timeApril 29, August 30, 2024Four Summer Term PositionsActs as the primary point of contact for responding to and resolving claim and coverage related telephone inquiries from workers, employers, representatives, healthcare practitioners, and other service providers received in the Claims Service Centre or when Adjudicators or Case Managers are not available.Job...
-
Claims Representative
6 days ago
Winnipeg, Manitoba, Canada Manitoba Blue Cross Full timeManitoba Blue Cross was born out of a desire to protect our fellow Manitobans during life's most unexpected and sometimes challenging moments. This remains our driving force today, and fuels our ongoing commitment to providing superior health and wellness benefits that are delivered with compassion and excellence in service.As an independent and not for...
-
Field Claims Representative
4 weeks ago
Winnipeg, Manitoba, Canada Intact Full timeOur employees are at the core of our mission: to aid individuals, businesses, and society thrive in good times and endure challenges. By joining our team, you become part of a dedicated community of specialists.Feel empowered to develop and expand while being appreciated for who you are - diversity is a key asset here. Count on our commitment to assist you...
-
Field Claims Representative
7 days ago
Winnipeg, Manitoba, Canada Intact Full timeOur employees are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you're bringing this purpose to life alongside a passionate community of experts. Feel empowered to learn and grow while being valued for who you are– here, diversity is a strength. You have...
-
Field Claims Representative
4 weeks ago
Winnipeg, Manitoba, Canada Intact Full timeOur employees are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you're bringing this purpose to life alongside a passionate community of experts. Feel empowered to learn and grow while being valued for who you are– here, diversity is a strength. You have...
-
Field Claims Representative
3 weeks ago
Winnipeg, Manitoba, Canada Intact Full timeOur employees are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you're bringing this purpose to life alongside a passionate community of experts. Feel empowered to learn and grow while being valued for who you are– here, diversity is a strength. You have...
-
Claims Rep Ii
7 days ago
Winnipeg, Manitoba, Canada Intact Full timeOur employees are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you're bringing this purpose to life alongside a passionate community of experts.Feel empowered to learn and grow while being valued for who you are- here, diversity is a strength. You have our...
-
Customer Service Representative
6 days ago
Winnipeg, Manitoba, Canada Manitoba Blue Cross Full timeJOB TITLE CUSTOMER SERVICE REPRESENTATIVE (Term)REPORTS TO Team Lead, Customer ServicesCUSTOMER SERVICE CENTRE HOURS 8:00 AM - 5:30 PMHOURS OF WORK: 9:30 AM - 5:30 PM May be required to assist and work in the Customer Service Centre.The position responds to diverse and complex inquiries from customers by telephone. The incumbent requires extensive knowledge...
-
Claims Administrator
6 days ago
Winnipeg, Manitoba, Canada Wawanesa Insurance Full timeJob Overview Working under general supervision, this role supports Wawanesa's success by providing claims administrative support to claims adjudicators and case managers within the claims department in an accurate and timely manner. This includes reviewing contract wording, and accurately setting up claims on our inhouse system. As well, this role is...
-
Customer Service Representative
6 days ago
Winnipeg, Manitoba, Canada Manitoba Blue Cross Full timeManitoba Blue Cross was born out of a desire to protect our fellow Manitobans during life's most unexpected and sometimes challenging moments. This remains our driving force today, and fuels our ongoing commitment to providing superior health and wellness benefits that are delivered with compassion and excellence in service.As an independent and not for...
-
Customer Service Representative
6 days ago
Winnipeg, Manitoba, Canada crownautogroup Full timeCustomer Service Representative Crown Autobody and Glass Job type: Full Time Come join one of the leading automotive groups in Manitoba. Family owned and operated, we have been in Winnipeg for 38 years and specialize in import brands. We have a great opportunity for a Customer Service Representative to join our team at Crown Autobody & Glass, where we are...
-
Customer Service Representative
6 days ago
Winnipeg, Manitoba, Canada Crown Auto Group Full timeCustomer Service RepresentativeCrown Autobody and GlassJob type: Full TimeCome join one of the leading automotive groups in Manitoba. Family owned and operated, we have been in Winnipeg for 38 years and specialize in import brands.We have a great opportunity for a Customer Service Representative to join our team at Crown Autobody & Glass, where we are one of...
-
Customer Service Representative
2 weeks ago
Winnipeg, Manitoba, Canada crownautogroup Full timeCustomer Service Representative Crown Autobody and Glass Job type: Full Time Come join one of the leading automotive groups in Manitoba. Family owned and operated, we have been in Winnipeg for 38 years and specialize in import brands. We have a great opportunity for a Customer Service Representative to join our team at Crown Autobody & Glass, where we are...
-
Administrative Representative
6 days ago
Winnipeg, Manitoba, Canada Manitoba Hydro Full timeADMINISTRATIVE REPRESENTATIVEWinnipeg-Downtown_ Manitoba Hydro is consistently recognized as one of Manitoba's Top Employers__ Great Benefits_ Competitive salary and benefits package. Definedbenefit pension plan. Nineday work cycle which normally results in every other Monday off, providing for a balanced approach to work, family life- and community....
-
Disability Claims Administrator
6 days ago
Winnipeg, Manitoba, Canada Canada Life Assurance Company Full timeDisability Claims Administrator**Description: - Temporary Full Time- We are looking for a Disability Claims Administrator in Winnipeg, MB.- The Disability Claims Administrator (DCA) is the expert on, and has responsibility for, the financial aspect of the disability claims process. This includes all aspects of the benefit calculation and payment. DCAs are...
-
Claims Implementation Specialist
6 days ago
Winnipeg, Manitoba, Canada People Corporation Full timeThis is an exciting time to join People Corporation. Our high level of acquisition activity and our consistent organic growth continue to define and further enhance our benefits, pension, and HR products and services and how they are delivered to our clients.We are in search of a dynamic individual to join our team as a Claims Implementation Specialist to...
-
Bilingual Call Centre Representative
6 days ago
Winnipeg, Manitoba, Canada Ellement Consulting Full timeBilingual Call Centre RepresentativeABOUT ELLEMENTEllement Consulting Group (Ellement) is a privately-owned actuarial consulting firm that has been providing actuarial, administration, software programming, and consulting solutions for pension, benefits, and investment programs for individuals, corporations, unions, associations, and governments for programs...
-
Field Claims Adjuster
7 days ago
Winnipeg, Manitoba, Canada Wawanesa Insurance Full timeDate:Mar 11, 2024Location: Winnipeg, MB, CA, R3C-3P1Company:Wawanesa InsuranceJob ID: 7730Working Business Language**: EnglishSalary: At Wawanesa, salary is only one component of a holistic, comprehensive and competitive offering that we provide to our employees. In addition to salary, full-time and part-time permanent employees are eligible for an annual...
-
Claims Administrator
6 days ago
Winnipeg, Manitoba, Canada Wawanesa Insurance Full timeDate:Jun 3, 2024Location: Winnipeg, MB (Hybrid), CACompany:Wawanesa InsuranceJob ID: 8142Working Business Language: EnglishSalary: At Wawanesa, salary is only one component of a holistic, comprehensive and competitive offering that we provide to our employees. In addition to salary, full-time and part-time permanent employees are eligible for an annual bonus...
-
Customer Service Representative
6 days ago
Winnipeg, Manitoba, Canada AutoCanada Inc. Full timeCustomer Service Representative - Collision CentreMcNaught Collision CentreWinnipeg, ManitobaAt McNaught Collision Centre, we are looking for someone who is passionate about delivering exceptional customer service and to take ownership of administrative support to our Collision Centre team. Acting as a Full-Time Customer Service Representative, you will play...