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Claims Service Representative
6 hours ago
Position ID: J0126-0488 Competition No.: 26-14 Job Title: Claims Service Representative (7:55 :30 ) Job Type: Permanent, Full-time Open Positions: 7 Job Location: Winnipeg, Manitoba, Canada Work From Home Eligible: No Workplace Type: On-site Date Posted: January 27, 2026 Closing Date: February 10, 2026 About the Workers Compensation Board of Manitoba The Workers Compensation Board of Manitoba (WCB) serves workers and employers through a no-fault insurance system integral to the Manitoba economy. With approximately 600 employees, the WCB is dedicated to ensuring and supporting safe and healthy workplaces. We put workers and employers at the centre of everything we do, providing services for injury prevention, compensation and facilitating return to health and work. Through SAFE Work Manitoba, a division of the WCB, we collaborate with our partners to build a strong culture of workplace safety and health by preventing injuries and illnesses before they occur. If you're passionate about making a meaningful difference in people's lives, we invite you to join our dedicated team and contribute to a safer Manitoba. Why work for us? If you’re looking to make a real difference in your community, grow your career and work in a supportive, inclusive environment, the WCB is the place for you. We offer: competitive wages compressed work week and flexible start times defined benefit pension plan 100% employer-paid benefits work from home program paid professional development health and wellness spending accounts paid mental health and wellness days staff appreciation and recognition events respectful, diverse and inclusive workplace culture Apply today and see why we’re one of Manitoba's Top Employers. Job Summary Watch our video As the first point of contact for our stakeholders, you’ll provide clear, courteous assistance on claims and coverage. Your ability to navigate policy nuances and resolve inquiries with ease helps injured workers and employers move forward with confidence 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. Uses effective listening and questioning techniques to determine each customer's need(s); identifies, evaluates and determines alternatives to problem solve. 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. Notifies the appropriate internal parties at time of reporting of a serious accident or fatality.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.Accepts no time loss claims (Complexity A) within defined parameters. Claims requiring further investigation or approval are forwarded to Adjudicators for review.Utilizes each inquiry as an opportunity to address customer concern(s) and anticipate future needs, reviewing outstanding or future claim file tasks when appropriate.Identifies workers in crisis and refers to an appropriate WCB resource.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.Provides coverage at the main reception desk.Completes statistical coding of claims within quality and timeliness standards.Performs other related duties as assigned. Qualifications: Completion of a two (2) year diploma in a related discipline (Business Administration)Minimum two (2) years' experience interpreting and applying processes and procedures to manage and resolve customer inquiries/concernsTyping speed of 35 (error rate less than 5%)Knowledge of customer service principles and practicesProficiency in the use of personal computers and software in a Windows environmentExcellent customer service skills including the ability to manage potentially confrontational situations with tact and diplomacyWell-developed verbal and written communication skills to deal with internal and external stakeholdersAbility to interpret and apply processes and procedures including those related to WCB Adjudication and Case ManagementAbility to obtain, assess and evaluate information through claim file review, listening and/or questioning in order to problem solve and support decision makingAbility to perform detailed and accurate work in a fast paced environmentAbility to work independently and as part of a teamCustomer service experience in a call centre environment including knowledge of call centre telephony and technology would be an assetKnowledge of advanced communication skills such as active listening and de-escalation techniques would be an assetAbility to communicate proficiently in both official languages (English & French) is an asset, but is not required Additional Information Salary range: $60,844 - $78,333Please note that this position will begin on April 27, 2026 with a 9 week training class. During the period of your training, you will not be eligible to take vacation and hours of work will be Monday to Friday, 8:30 :30 Ability to communicate proficiently in both official languages (English & French) is an asset.A satisfactory criminal record check and verification of education will be required for the successful candidate.The WCB is committed to building a skilled, diverse workforce with equitable representation of Indigenous persons, visible minorities, persons with disabilities, women, 2SLGBTQ+ persons and members of other equity-seeking groups. Applicants are encouraged to indicate in their covering letter or resumé if they are a member of these groups.The WCB recognizes that individuals may face barriers that hinder their full and equal participation in the workplace, and is committed to providing reasonable accommodation to all employees and candidates who are or may be disabled by one or more barriers in the workplace. Accommodations are available on request for candidates taking part in all aspects of the selection process. Are you interested in this job?
