Claims Processing Specialist

🔥 9 minutes ago

🇨🇦 Canada – Remote

💵 $53k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 1%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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WCG Services

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1998

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

WCG Services is a leader in the development and delivery of employment and rehabilitation services in Canada. With over 30 years of experience, WCG is dedicated to strengthening Canada's workforce by providing innovative and community-based solutions for job seekers and employers. Part of the APM Group, WCG delivers both local and international services in employment and allied health sectors. The company is committed to empowering individuals through work, facilitating economic growth, and enhancing communities by connecting job seekers with employment opportunities and supporting employers in finding the right talent.

📋 Description

• Process client and employer financial support claims, ensuring contractual and legislative requirements are met • Perform quality assurance for claims and invoices processed by Service Provider staff • Answer staff inquiries regarding claims and administrative questions • Communicate issues regarding ineligible claims according to established processes • Provide staff support and guidance on claims processing requirements • Monitor emerging trends in claims assessment and flag them to the Claims Manager • Adjust activities according to changing requirements and business needs • Handle discrepancies appropriately and escalate issues when necessary • Refer staff to appropriate team members or internal partners • Identify and manage organizational risks and escalate non-standard, high-risk transactions or activities • Develop understanding of WCG contracts, guidelines, policies, and processes • Undertake standard and ad hoc data entry tasks • Use WCG’s Case Management System and other systems and databases effectively

🎯 Requirements

• Strong auditing background and data entry experience • Minimum 2-3 years’ experience in a similar role working in a service-oriented organization • Proficient in MS Office, especially Excel and Word • Detail oriented with a high level of accuracy • Ability to adapt to change • Understanding of the needs of a highly confidential environment • Able to maintain composure during difficult and high-pressure situations • Results driven with creative approach to idea generation and problem solving • Excellent organizational and time management skills • Ability to work in a fast-paced environment with changing workload • Bilingual English and French preferred • Knowledge of the Employment Services industry preferred

🏖️ Benefits

• Comprehensive and flexible health and dental benefits • RRSP Matching program of 2.5% base earnings • Ongoing learning and development opportunities • Generous time-off policies that promote work/life balance • Remote work from a Canadian home office • Diverse and inclusive workplace • Accessible, barrier-free recruitment and selection process • Opportunity to do work that makes a difference