Claims Advisor- Telework

Since 1994, we’ve been partnering with governments and local agencies across Canada to create sustainable employment opportunities for people, businesses and communities. Location: Remote - Canadian Home Office

As a Claims Processing Specialist, you’ll be responsible processing performance-based funding alongside employment- related financial supports for clients and employer expenditures. You will work closely with the Claims Manager and Financial Quality and Support Specialist to ensure accuracy, compliance and continuous quality improvement while maintaining high level of confidentiality pertaining to client records and financial information.

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

Keep abreast of emerging trends for claims assessment and flag these to the Claims Manager.

Protect the interests of the organization – identify and manage risks, and elevate non-standard, high-risk transactions / activities as necessary

Develop a strong understanding of WCG’s contract, guidelines, policies, and process

Undertake standard and ad hoc data entry tasks

Effective use of WCG’s Case Management System and other systems and databases

Strong auditing background and data entry experience

Proficient in MS Office especially Excel and Word

Results driven with creative approach to idea generation and problem solving

Bilingual (English and French)

Competitive salary of $53,040.00 per year

Comprehensive and flexible health and dental benefits

Ongoing learning and development opportunities

Generous time-off policies that promote work/life balance

Diversity, Equity, Inclusion and Belonging Matter

WCG is strengthened by diversity. We actively work to attract, develop, and retain employees from diverse and equity-deserving backgrounds who have exceptional ability and the desire to make a difference.