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Benefits Administrator

3 months ago

Winnipeg Manitoba, Manitoba, Canada Manitoba Public Insurance Full time

As the PIPP Benefits Administrator you will investigate, assess, and administer bodily injury claim benefits of moderate complexity, such as chiropractic and physiotherapy treatment, permanent impairment ratings, dental, and medical expense claims of varying complexity.

Sous la supervision du superviseur, Services administratifs du RPPP, l’administrateur des avantages sociaux du RPPP instruit, évalue et administre les avantages sociaux relatifs aux demandes pour préjudices corporels modérément complexes, comme les prestations de traitements de chiropratique ou de physiothérapie, l’établissement du taux de déficience permanente, et de soins dentaires et médicaux.


Responsibilities

  • Advises customers on benefits available, coverage and file progress; directs customers to the appropriate resource if the customer’s enquiry cannot be addressed by the Benefit Administration Unit.
  • Develops a thorough understanding of the Personal Injury Protection Plan (PIPP) product and its value for Manitobans.
  • Administers dental claims and chiropractic claims for other Injury Claims Management (ICM) departments.
  • Independently processes authorizations and renders decisions of moderate complexity for entitlements on medical expense claims.
  • Receives notification of incoming documentation on medical expense only claims, and independently assesses and completes the required response.
  • Reviews current medical information to determine entitlements and requests further information when required.
  • Contacts customers, service providers, and/or Case Managers to confirm information or resolve discrepancies, as required.

  • Approves customer and vendor submitted accounts as required.
  • Émettre, aux clients, des avis sur la couverture et les avantages sociaux offerts, ainsi que sur l’avancement des dossiers. Orienter la clientèle vers la ressource appropriée pour toute demande de renseignements ne pouvant être traitée par la Section de l’administration des avantages sociaux.
  • Comprendre en profondeur les modalités du Régime de protection contre les préjudices personnels (RPPP) et son utilité pour les Manitobains.
  • Administrer les demandes de soins dentaires et de traitements chiropratiques pour les autres services de Gestion des dommages corporels.
  • En toute autonomie, traiter les autorisations et rendre des décisions modérément complexes quant aux indemnités accordées pour les demandes de remboursement de frais médicaux.
  • Recevoir les avis concernant l’arrivée de documents associés aux demandes concernant exclusivement le remboursement de frais médicaux, puis traiter et mener à bien de manière autonome, l’intervention nécessaire.
  • Étudier les versions à jour des dossiers médicaux pour déterminer les prestations accordées, et demander des précisions lorsque cela est nécessaire.
  • Entrer en contact avec les clients, les fournisseurs de services ou les gestionnaires de cas pour vérifier l’information ou pour résoudre les écarts, au besoin.




Qualifications


  • Thirty credit hours of post-secondary education in business administration, management or related discipline
  • Certificate or diploma in Business Administration, Management or related discipline.
  • Two years of related customer service and/or administrative office.

  • Trente heures-crédits d’études postsecondaires en administration des affaires, en gestion ou dans une discipline connexe.
  • Certificat ou diplôme en administration des affaires, en gestion ou dans une discipline connexe.
  • Deux ans d’expérience pertinente en service à la clientèle ou dans un organisme administratif.



Employee Benefits

Health benefits

We offer a comprehensive health benefits program that includes:

  • flexible health, dental and vision plans
  • health spending account
  • travel health coverage
  • other extended health benefits such as ambulance, massage and physiotherapy

Financial security

In an effort to support financial security, we offer:

  • registered pension plan
  • group, dependent, and optional life insurance coverage
  • critical illness insurance
  • sick leave to cover short-term disability
  • long-term disability

Wellness

We offer programs that focus on how to better achieve a balance between work and personal commitments, as well as maintain a healthy workplace culture. This includes:

  • vacation entitlement
  • flexible work arrangement for eligible positions
  • maternity, parental and adoptive leaves
  • bereavement and family responsibility leaves
  • employee and family assistance program
  • mental-health programming
  • lunch-and-learn offerings
  • discounted gym memberships and wellness account

Diversity and inclusion

Manitoba Public Insurance believes that diversity and inclusion strengthens us. We consider ourselves to be a barrier-free organization where individual values, beliefs and practices are respected and appreciated for the diversity they bring to our work life.

Employee recognition

It’s important to recognize our employees for their contributions. Not only do we recognize employees as they achieve milestone years in their careers, we also have several outlets for leaders and peers to reward each other for work well done.

Professional development

We want our employees to grow, which is why we offer support in keeping their skills up-to-date. We offer in-house training, professional development and an educational assistance program.

Safety and health

In an effort to encourage a safe and healthy work environment, we offer various safety, health and workplace policies and programs along with technical expertise and assistance to support employee activities in safety and health.

Régime de soins de santé

Nous offrons un régime de soins de santé exhaustif qui comprend ce qui suit :

  • une assurance de soins de santé, dentaires et de la vue;
  • un compte de frais de santé;
  • des frais de déplacement pour soins de santé;
  • d’autres prestations de soins de santé, comme l’ambulance, la massothérapie et la physiothérapie.

Sécurité financière

Afin de veiller à votre sécurité financière, nous offrons ce qui suit :

  • un régime de pension agréé;
  • une assurance vie optionnelle collective et pour les personnes à charge;
  • une assurance contre les maladies graves;
  • des congés de maladie en cas d’invalidité de courte durée;
  • une assurance invalidité de longue durée.

Mieux-être

Nous offrons des programmes qui mettent l’accent sur les meilleurs moyens d’atteindre l’équilibre entre votre travail et vos obligations personnelles et nous nous efforçons de maintenir une culture de travail saine. Cela comprend ce qui suit :

  • des vacances;
  • programme de travail souple
  • des congés de maternité, parentaux et d’adoption;
  • des congés de deuil et de responsabilités familiales;
  • un programme d’aide aux membres du personnel et à leur famille;
  • un programme de santé mentale;
  • des conférences-midi;
  • des rabais sur des abonnements au centre de conditionnement physique et un compte de mieux-être.

Diversité et inclusion

La Société d’assurance publique du Manitoba est convaincue que la diversité et l’inclusion sont une force. Nous nous considérons comme un organisme sans frontières où les valeurs, les croyances et les pratiques individuelles sont respectées et appréciées pour la diversité qu’elles apportent à notre vie professionnelle.

Reconnaissance des membres du personnel

Il est important de reconnaître les contributions des membres du personnel. Non seulement offrons-nous de la reconnaissance aux membres du personnel qui atteignent des jalons dans leur carrière, mais nous offrons également plusieurs occasions pour les leaders et les collègues de se récompenser mutuellement pour un travail bien fait.

Perfectionnement professionnel

Nous souhaitons que les membres de notre personnel puissent croître. C’est pourquoi nous soutenons la mise à jour de leurs compétences. Nous offrons de la formation interne, du perfectionnement professionnel et un programme d’aide aux études.

Santé et sécurité

Afin de favoriser un milieu de travail sûr et sain, nous avons mis sur pied plusieurs politiques et programmes de santé et de sécurité au travail. Nous offrons également de l’expertise technique et de l’aide pour appuyer les membres du personnel dans leurs activités de santé et de sécurité.