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

• Functional Expert: Considered a thought leader on a subject
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Motivations

Preferred

• Goal Completion: Inspired to perform well by the completion of tasks
• Self-Starter: Inspired to perform without outside help
• Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization

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