Benefits Claim Specialist

**An exciting opportunity exists at the Mainroad Group for a Benefits Claim Specialist**
This is a full-time, office-based position, ideally located at our Corporate Office in Cloverdale.

The **Benefits Claim Specialist is the organization’s primary lead for managing workplace injury claims directly with WorkSafeBC (WSBC)** and WCB-Alberta. This role oversees the full lifecycle of injury claims—from initial reporting, documentation, and eligibility review through to safe and timely return-to-work planning. The Specialist acts as the central liaison between injured employees, WorkSafeBC, internal teams, medical providers, and other external parties.

This position requires a high degree of accuracy, confidentiality, professionalism, and the ability to guide claims to successful resolution while supporting both the employee and the company.

**Required Qualifications**:

- Minimum 5 years of related experience in injury management. Experience in a multi-union environment is an asset.

- Strong knowledge of injury management practices and Stay at Work (SAW) / Return to Work (RTW) programs.

- Excellent interpersonal, verbal, and written communication skills to explain policy, procedure, and factual information clearly.

- Strong organizational and multitasking abilities with the capacity to meet deadlines and manage shifting priorities.

- High attention to detail, exceptional record-keeping skills, and strong recall of relevant historical information.

- Proficiency with Microsoft Word, Excel, Teams, and Outlook.

- Strong learning agility with the ability to adapt to evolving claims management practices.

- Effective time management and the ability to work independently and collaboratively.

- Demonstrated accuracy in delivering timely results.

- Positive attitude, willingness to learn, and comfort asking questions.

- Commitment to maintaining the highest level of confidentiality, tact, diplomacy, and professionalism.

**Key Behavioral Competencies**:

- **Integrity & Ethical Conduct** - Acts as a moral compass, maintaining confidentiality and building trust across the organization.
- **Dealing with Ambiguity** - Comfortable making decisions with incomplete information and adapting to change.
- **Priority Setting** - Quickly identifies critical tasks, removes barriers, and maintains focus.
- **Interpersonal Savvy** - Builds strong relationships, uses tact and diplomacy, and can de-escalate difficult interactions.
- **Decision Quality** - Makes sound decisions based on analysis, experience, and judgment.

**Primary Responsibilities**:
**A. Claims Administration**:

- Receive, review, and validate workplace injury claims, ensuring all documentation is complete and accurate (e.g., medical records, employment details).

- Enter claim information into internal systems, ensuring compliance with WSBC/WCB requirements.

- Coordinate with internal departments to resolve discrepancies and support timely processing.

**B. Claims Management**:

- Assess injury claim information to determine eligibility and gather additional details from medical professionals or specialists as needed.

- **Manage injury claims directly with WorkSafeBC and WCB-Alberta throughout the entire claim lifecycle.**

- Maintain full familiarity with each claim, set priorities, and identify issues requiring immediate action.

- Ensure collective agreement provisions and benefit plan rules are correctly applied.

- Consult with HR Business Partners on complex or sensitive claims.

**C. Communication & Liaison**:

- Act as the **primary point of contact** for the injured worker throughout their claim.

- Provide ongoing follow-up to ensure SAW/RTW plans are implemented until full duties resume.

- Coordinate with Safety and Operations teams to ensure RTW programs are understood and followed at worksites.

- Respond to inquiries from WSBC/WCB-AB, insurers, and legal representatives.

- Communicate regularly with supervisors and attendance keepers regarding injury case updates and tracking.

- Monitor claim activity and keep all stakeholders informed.

**Important to know**

Before we can finalize any offer of employment, you must:

- Consent to a criminal record check
- Confirm you’re legally entitled to work in Canada

This compensation package includes: RRSP matching, additional vacation, extended benefits and an annual performance-based bonus. The salary offered will be based on education, experience, skills, and qualifications as they relate to the role.

LPBC

**Experience**: Required

- 5 year(s): Administration
- 2 year(s): Related experience of working with collective agreements and other regulatory requirements.
- 5 year(s): Related experience in injury management (WorkSafe)

**Education**: Preferred

- Diploma or better in Business Administration or related field

**Behaviors**: Preferred

- Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

**Motivations**: Preferred

- Goal Comp