Claims Processing Specialist – Fixed Term

This is a fully remote position, open to applicants in Canada.

📋 Description

• Process financial support claims for clients and employers, ensuring compliance with contractual and legislative requirements.

• Ensure quality assurance for claims and invoices handled by Service Provider personnel.

• Respond to staff inquiries related to claims and administrative matters.

• Communicate issues concerning ineligible claims following established processes.

• Provide support and guidance to staff on claims processing along with contractual and guideline requirements.

• Monitor emerging trends in claims assessment and report them to the Claims Manager.

• Adjust activities in response to evolving requirements and business needs.

• Appropriately address discrepancies and escalate issues when necessary.

• Direct staff to the relevant team members or internal partners.

• Identify and manage risks, escalating non-standard or high-risk transactions or activities.

• Develop a comprehensive understanding of WCG’s contracts, guidelines, policies, and processes.

• Perform standard and ad hoc data entry tasks as needed.

• Utilize WCG’s Case Management System along with other systems and databases effectively.

• Collaborate closely with the Claims Manager and Financial Quality and Support Specialist to ensure accuracy, compliance, confidentiality, and ongoing quality improvement.

⛳️ Requirements

• Strong background in auditing.

• Experience in data entry.

• At least 2–3 years of experience in a similar role within a service-oriented organization.

• Proficiency in Microsoft Office, particularly Excel and Word.

• High attention to detail and accuracy.

• Ability to adapt to changing circumstances.

• Capacity to work in a highly confidential environment.

• Ability to maintain composure in challenging and high-pressure situations.

• Results-oriented mindset with innovative problem-solving abilities.

• Excellent organizational and time-management capabilities.

• Ability to thrive in a fast-paced environment with fluctuating workloads.

• Bilingual proficiency in English and French is preferred.

• Knowledge of the Employment Services industry is preferred.

🏝️ Benefits

• Competitive annual salary of $53,040.

• Continuous learning and development opportunities.

• Generous time-off policy to promote work/life balance.

• A diverse and inclusive workplace environment.

• Accessible and barrier-free recruitment and selection process.

• Accommodation support during recruitment and selection when necessary.