Claims Processing Specialist ( Fixed Term)

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
Keep abreast of emerging trends for claims assessment and flag these to the Claims Manager.
Demonstrate flexibility to be able to change activities based on changing requirements and business needs '
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
Undertake standard and ad hoc data entry tasks
Effective use of WCG’s Case Management System and other systems and databases

Qualifications
What you bring

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 working in fast paced environment with changing workload