Claims Service Representative

3 days ago


Winnipeg, Manitoba, Canada WCB Manitoba Full time
Job Summary

We are seeking a highly skilled and detail-oriented Claims Service Representative to join our team at WCB Manitoba. As a Claims Service Representative, you will be responsible for providing exceptional customer service to workers, employers, and healthcare providers, responding to and resolving claim-related inquiries in a timely and professional manner.

Key Responsibilities
  • Respond to and resolve claim-related inquiries via phone, email, or in-person
  • Act as the primary point of contact for workers, employers, and healthcare providers
  • Use effective listening and questioning techniques to determine customer needs and resolve issues
  • Follow established procedures to create new claim files, input data, and verify information
  • Notify internal parties of serious accidents or fatalities
  • Follow department standards for gathering, reviewing, and assessing information to establish Workers Compensation coverage
  • Accept no-time-loss claims within defined parameters
  • Refer complex or unusual claims to Adjudicators or Case Managers
  • Update claim files and clearly document customer communication
Requirements
  • Completion of a two-year diploma in a related discipline (Business Administration)
  • Minimum two years' experience interpreting and applying processes and procedures to manage and resolve customer inquiries/concerns
  • Typing speed of 35 (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
About WCB Manitoba

The Workers Compensation Board of Manitoba promotes safety and health in Manitoba workplaces and aims to help prevent and reduce the occurrence of workplace injuries and disease. We work with our partners to promote safe and healthy workplaces, facilitate recovery and return to work, provide compassionate and supportive compensation services for workers and employers, and ensure responsible financial stewardship.



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