Claims Service Representative

1 month ago

Winnipeg, Manitoba, Canada WCB Manitoba Full time
Job Summary:

The Claims Service Representative is responsible for providing exceptional customer service to workers, employers, and healthcare providers by 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
  • Create new claim files and ensure accurate and timely processing
  • Verify and collect information from injured workers, employers, and healthcare providers
  • Notify internal parties of serious accidents or fatalities
  • Follow established procedures to gather, review, and assess information to establish Workers Compensation coverage
  • Communicate decisions to affected parties and refer complex cases to Adjudicators or Case Managers
  • Manage claim owner-approved wage loss issues and review medical expenses within specified guidelines
  • Provide coverage at the main reception desk and complete statistical coding of claims
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. Working with its partners, the WCB promotes safe and healthy workplaces, facilitates recovery and return to work, provides compassionate and supportive compensation services for workers and employers, and ensures responsible financial stewardship.

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