Pipp Benefits Administrator

5 days ago

Winnipeg, Canada Manitoba Public Insurance Full time

Overview:
As the French 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:

- Speaks intermediate level French to communicate with customers.
- 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

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