Job Details
Description
Who we’re looking for
Claims Processing Specialist
Program : Employment Ontario
Status : Permanent Full-Time
Location : Remote - Canada
Like WCG, you believe in the power of work to transform lives. As a Claims Processing Specialist, you’ll be responsible for auditing and processing financial claims as part of WCG’s Quality Improvement Framework and WCG’s Funding Model Guidelines.
They will work closely with the Lead, Claims Management and Quality and Support Manager to ensure accuracy, compliance, and continuous quality improvement.
This position requires a high level of confidentiality pertaining to client records and financial information.
What you’ll do
- Process client and employer financial support claims and ensuring contractual and legislative requirements are met
- Ensure quality assurance for claims / invoices processed by Service Provider staff
- Answer inquiries from staff regarding claims and other administrative questions
- Communicate any issues regarding ineligible claims in line with processes
- Provide support and guidance to staff regarding claims processing in line with contractual and guideline requirements
- Ensure discrepancies are handled appropriately and escalating issues when necessary; refer staff to appropriate team members or internal partners as appropriate
- Protect the interests of the organization identify and manage risks, and escalate non-standard, high-risk transactions / activities as necessary
- Develop a strong understanding of WCG’s contract, guidelines, policies, and process
What you bring
What we offer
- Competitive salary of $,. - $,. per year
- Comprehensive and flexible health and dental benefits
- Ongoing learning and development opportunities
- Generous time off policy to encourage work / life balance
- A diverse and inclusive workplace with a track record of high employee engagement and teamwork
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