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PIPP Benefits Administrator
2 weeks ago
Overview:
As the PIPP Benefits Administrator, you will investigate, assess and administer bodily injury claim benefits, as well as respond to an enquiry line on claimant enquiries. You will work collaboratively with your team and other departments to administer dental and chiropractic claims, and calculate permanent impairment entitlements for all injury claims.
Responsibilities:
- Advise customers on benefits available, coverage and file progress and direct customers to the appropriate resource if the customer's inquiry cannot be addressed by the Benefit Administration Unit.
- Independently process authorization and render decisions of moderate complexity for entitlements on medical expense claims.
- Review current medical information to determine entitlement and request further information when required.
- Contact customers, service providers, and/or Case Managers to confirm information or resolve discrepancies.
- Enter benefit authorization and process permanent impairment payments.
- Maintain adequate reserve and approve payments.
- Leverage regulations, resources and processes and apply the intent to promote the most efficient, claimant appropriate resolution to the claim.
- Work with peers and supervisors to promote a collaborative team environment.
- Actively participate in identifying opportunities to improve departmental service quality.
Qualifications:
Education:
- Thirty credit hours of post-secondary education in business administration, management or related discipline.
OR
- Certificate or diploma in Business Administration, Management or related discipline.
Experience:
Two years of related customer service and/or administrative office experience
Ability to convey complex information in a concise and straightforward manner.
- Ability to provide excellent customer service while maintaining a professional balance between customer/claimant and organizational needs.
- Ability to deal with people in a manner which shows sensitivity, tact and professionalism.
- Ability to quickly and accurately analyze information, exercise sound judgment and practical thinking when determining how to handle inquiries, and use problem-solving techniques to address issues.
- Working knowledge of applicable office software, including Microsoft Word and Excel.
- Ability to work effectively in a team environment,
- Ability to work with minimal direction and exercise initiative.
- Ability to conduct simple financial calculations.
- Working knowledge of insurance principles and practices is an asset.
Employee Benefits:
Health benefits
We offer a comprehensive health benefits program that includes:
- flexible health, dental and vision plans
- health spending account
- travel health coverage
- other extended health benefits such as ambulance, massage and physiotherapy
Financial security
In an effort to support financial security, we offer:
- registered pension plan
- group, dependent, and optional life insurance coverage
- critical illness insurance
- sick leave to cover short-term disability
- long-term disability
Wellness
We offer programs that focus on how to better achieve a balance between work and personal commitments, as well as maintain a healthy workplace culture. This includes:
- vacation entitlement
- flexible work arrangement for eligible positions
- maternity, parental and adoptive leaves
- bereavement and family responsibility leaves
- employee and family assistance program
- mental-health programming
- lunch-and-learn offerings
- discounted gym memberships and wellness account
Diversity and inclusion
Manitoba Public Insurance believes that diversity and inclusion strengthens us. We consider ourselves to be a barrier-free organization where individual values, beliefs and practices are respected and appreciated for the diversity they bring to our work life.
Employee recognition
It's important to recognize our employees for their contributions. Not only do we recognize employees as they achieve milestone years in their careers, we also have several outlets for leaders and peers to reward each other for work well done.
Professional development
We want our employees to grow, which is why we offer support in keeping their skills up-to-date. We offer in-house training, professional development and an educational assistance program.
Safety and health
In an effort to encourage a safe and healthy work environment, we offer various safety, health and workplace policies and programs along with technical expertise and assistance to support employee activities in safety and health.