Claims Processing Specialist – Fixed Term

🕒 August 5

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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 • Ensure quality assurance for claims and invoices processed by Service Provider staff • Answer staff inquiries regarding claims and administrative questions • Communicate issues regarding ineligible claims in line with processes • Provide staff support and guidance regarding claims processing and contractual and guideline requirements • Monitor emerging trends in claims assessment and flag them to the Claims Manager • Adapt activities based on 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 risks and escalate non-standard, high-risk transactions or activities • Develop a strong understanding of WCG’s 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 • Work closely with the Claims Manager and Financial Quality and Support Specialist to ensure accuracy, compliance, confidentiality, and continuous quality improvement

🎯 Requirements

• Strong auditing background • Data entry experience • Minimum 2–3 years’ experience in a similar role working in a service-oriented organization • Proficiency in Microsoft Office, especially Excel and Word • High attention to detail and accuracy • Ability to adapt to change • Ability to work in a highly confidential environment • Ability to maintain composure during difficult and high-pressure situations • Results-driven approach with creative problem-solving skills • Excellent organizational and time-management skills • Ability to work in a fast-paced environment with changing workloads • Bilingual English and French preferred • Knowledge of the Employment Services industry preferred

🏖️ Benefits

• Competitive salary of $53,040 per year • Ongoing learning and development opportunities • Generous time off policy to encourage work/life balance • Diverse and inclusive workplace • Accessible, barrier-free recruitment and selection process • Accommodation support during recruitment and selection when required