Job Description
Claims Specialist
Job Category: Client Service
Requisition Number: CLAIM001816
Posting Details
- Full-Time
- LocationsCanada – Home Office
Toronto, ON, CAN
Job Details
Description
Program: RSVP
Location: Remote – Canada
Who we’re looking for
Claims Specialist
Like WCG, you believe in the power of work to transform lives. As Claims Specialist, you’ll be responsible for answering client telephone inquiries about their claims, processing claims, and invoicing Veterans Affairs Canada. This is a customer service and clerical role that will suit a detail-oriented individual who is willing to learn. This position requires a high level of confidentiality pertaining to client records and financial information.
What you’ll do
- Works with the User Support Team to resolve participant claim issues by responding to questions and resolving tickets in our ticketing system
- Provides back up for User Support Team as needed – answering calls from participants and service delivery staff
- Processes client claims and service provider invoices in case management system accurately and ensures contractual and legislative requirements are met
- Reviews, processes, and invoices all RSVP services to the contractual standard as needed
- Provide quality assurance for claims/invoices processed by other Claims Specialists
- Answer inquiries from field staff regarding claims and other administrative questions via phone and secure message
- Prepares cheques and EFT payments
- Filing, mailing, scanning and other administrative tasks
What you bring
- Proficient in MS Excel and Word
- Ability to prioritize and problem solve
- Ability to work independently and in a team environment
- Willingness to learn and enhance skills
- Strong interpersonal skills
- Detail oriented in a fast-paced continually changing environment
- Previous experience in claims processing or financial services environment
- High level of confidentiality; employment contingent on Security Clearance – Reliability Status
- Bilingual (English/French) would be an asset