Benefits Adjudicator- Open Until Filled

Government of Manitoba; Winnipeg; On-site; CAD 55,000 - 65,000; Full time

Job summary

A provincial government department in Manitoba is seeking a Benefits Adjudicator to evaluate complex claims from healthcare providers and Manitobans. Candidates must have customer service experience, a Pharmacy Technician certificate, and strong communication skills. The role requires independent decision-making and the ability to maintain confidentiality. Salary ranges from $55,472 to $64,777 per year, with a full-time commitment.

Qualifications

• Must provide and maintain a satisfactory Criminal Record Check.
• Must provide a satisfactory credit screening.
• Must be legally entitled to work in Canada.

Responsibilities

• Independent assessment and adjudication of complex claims.
• Interpreting legislation and determining eligibility for programs.

Skills

Customer service experience

Experience interpreting legislation

Data entry skills

Pharmacy Technician certificate

Interpersonal skills

Written communication skills

Verbal communication skills

Organizational skills

Initiative

Attention to detail

Ability to multi-task

Ability to maintain confidentiality

Education

Pharmacy Technician certificate

Job description

Overview

The Department of Health, Seniors and Long-Term Care is seeking suitably qualified candidates to join the Benefits Administration Unit as a Benefits Adjudicator.

CL4 Clerk 4, Regular/full-time, Winnipeg, MB. Salary: CL4 $55,472.00 - $64,777.00 per year. Closing Date: October 14, 2025. Employment Equity is a factor in selection; consideration will be given to Indigenous people and persons with disabilities. An eligibility list will be created for similar positions and for different locations, lasting 12 months, pending appropriate staffing approval.

Responsibilities

The Benefits Adjudicator is responsible for independent assessment, evaluation and adjudication of complex claims submitted by pharmacists and other health service providers and applications submitted by Manitobans for remuneration, in accordance with The Health Services Insurance Act (HSIA), The Prescription Drugs Cost Assistance Act, the Manitoba Drug Benefits and Interchangeability Formularies, and the Drug Program Information Network (DPIN) Pharmacy Manual.

To be considered for this competition you must submit an application form. The selection board will rely only on information provided in this form to determine whether a candidate will be invited for further assessment.

Qualifications

Essential:

• Customer service experience with an ability to communicate with the public in a professional and respectful manner.
• Experience interpreting and applying legislation, regulations and policies, and determining eligibility to various programs.
• Experience performing accurate data entry, as well as processing and verifying information.
• Pharmacy Technician certificate/diploma or experience working in a pharmacy technician role
• Excellent interpersonal skills and ability to work in a team environment.
• Excellent written communication skills.
• Excellent verbal communication skills.
• Effective organizational and time management skills.
• Ability to take initiative and make independent decisions.
• Ability to work independently while maintaining a strong attention to detail.
• Ability to multi-task and prioritize work in a fast-paced work environment.
• Ability to maintain confidentiality.

Desired:

• Experience submitting claims in Manitoba’s DPIN system

Conditions of Employment

• Must be legally entitled to work in Canada
• Must provide and maintain a satisfactory Criminal Record Check.
• Must provide a satisfactory credit screening and credit check.
• Must be able to work shifts and flexible hours.

Additional Information

Please note that applicants may be asked to submit a resume, references, or other documentation at a later point if invited for further consideration. Applicants may request reasonable accommodation related to the materials or activities used throughout the selection process. When applying to this position, please indicate the advertisement number and position title in the subject line and/or body of your email. We thank all who apply and advise that only those selected for further consideration will be contacted.