WCG Services

Claims Specialist

• Work with the User Support Team to resolve participant claim issues by responding to questions and resolving tickets in our ticketing system
• Provide back up for User Support Team as needed – answering calls from participants and service delivery staff
• Process client claims and service provider invoices in case management system accurately and ensures contractual and legislative requirements are met
• Review, process, and invoice 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
• Prepare cheques and EFT payments
• Filing, mailing, scanning and other administrative tasks

Claims Specialist – 12 Month Fixed Term

Customer Support

• Respond to inquiries ranging from claims questions to first tier technical issues from users via phone and Secure Message
• Liaise with claims team to resolve claims related issues
• Engage in active listening with callers and confirm or clarify information
• Document participant claims inquiries
• Triage Secure Messages, create ticket for Claims Team and maintain tracking spreadsheet to ensure all messages are responded to and tickets resolved
• Identify and troubleshoot technical difficulties
• Password resets
• Log issues in ticketing system

Claims Specialist – 12 Month Fixed Term

Bilingual User Support Representative – Temporary 5 Month Fixed Term