Benefits Claim Specialist

Mainroad Group; Cloverdale; On-site; CAD 80,000 - 100,000; Full time

Job summary

A leading organization in the insurance sector is seeking a Benefits Claim Specialist to manage workplace injury claims. This full-time position at the Corporate Office in Cloverdale involves overseeing the entire lifecycle of claims, from initial reporting to return-to-work planning. The ideal candidate will have strong injury management experience, excellent communication skills, and a commitment to professionalism and confidentiality. Competitive compensation includes benefits and performance-based bonuses.

Benefits

RRSP matching

Additional vacation

Extended benefits

Performance-based bonus

Qualifications

• Minimum 5 years of related experience in injury management.
• Excellent interpersonal, verbal, and written communication skills.
• Demonstrated accuracy in delivering timely results.

Responsibilities

• Receive and validate workplace injury claims documentation.
• Manage injury claims throughout the entire claim lifecycle.
• Act as the primary point of contact for the injured worker.

Skills

Injury management experience

Strong knowledge of SAW/RTW programs

Interpersonal communication

Organizational skills

Attention to detail

Proficiency in Microsoft Office

Adaptability

Time management

Positive attitude

Confidentiality and professionalism

Tools

Microsoft Word

Microsoft Excel

Microsoft Teams

Microsoft Outlook

Job description

Mainroad Group

Posted today

Job Description

An exciting opportunity exists at the Mainroad Group for a Benefits Claim Specialist. This is a full-time, office-based position, ideally located at our Corporate Office in Cloverdale.

The Benefits Claim Specialist is the organization's primary lead for managing workplace injury claims directly with WorkSafeBC (WSBC) and WCB-Alberta. This role oversees the full lifecycle of injury claims—from initial reporting, documentation, and eligibility review through to safe and timely return-to-work planning. The Specialist acts as the central liaison between injured employees, WorkSafeBC, internal teams, medical providers, and other external parties.

This position requires a high degree of accuracy, confidentiality, professionalism, and the ability to guide claims to successful resolution while supporting both the employee and the company.

Required Qualifications

• Minimum 5 years of related experience in injury management. Experience in a multi-union environment is an asset.
• Strong knowledge of injury management practices and Stay at Work (SAW) / Return to Work (RTW) programs.
• Excellent interpersonal, verbal, and written communication skills to explain policy, procedure, and factual information clearly.
• Strong organizational and multitasking abilities with the capacity to meet deadlines and manage shifting priorities.
• High attention to detail, exceptional record-keeping skills, and strong recall of relevant historical information.
• Proficiency with Microsoft Word, Excel, Teams, and Outlook.
• Strong learning agility with the ability to adapt to evolving claims management practices.
• Effective time management and the ability to work independently and collaboratively.
• Demonstrated accuracy in delivering timely results.
• Positive attitude, willingness to learn, and comfort asking questions.
• Commitment to maintaining the highest level of confidentiality, tact, diplomacy, and professionalism.

Key Behavioral Competencies

• Integrity & Ethical Conduct – Acts as a moral compass, maintaining confidentiality and building trust across the organization.
• Dealing with Ambiguity – Comfortable making decisions with incomplete information and adapting to change.
• Priority Setting – Quickly identifies critical tasks, removes barriers, and maintains focus.
• Interpersonal Savvy – Builds strong relationships, uses tact and diplomacy, and can de-escalate difficult interactions.
• Decision Quality – Makes sound decisions based on analysis, experience, and judgment.

Primary Responsibilities

A. Claims Administration

• Receive, review, and validate workplace injury claims, ensuring all documentation is complete and accurate (e.g., medical records, employment details).
• Enter claim information into internal systems, ensuring compliance with WSBC/WCB requirements.
• Coordinate with internal departments to resolve discrepancies and support timely processing.

B. Claims Management

• Assess injury claim information to determine eligibility and gather additional details from medical professionals or specialists as needed.
• Manage injury claims directly with WorkSafeBC and WCB-Alberta throughout the entire claim lifecycle.
• Maintain full familiarity with each claim, set priorities, and identify issues requiring immediate action.
• Ensure collective agreement provisions and benefit plan rules are correctly applied.
• Consult with HR Business Partners on complex or sensitive claims.

C. Communication & Liaison

• Act as the primary point of contact for the injured worker throughout their claim.
• Provide ongoing follow-up to ensure SAW/RTW plans are implemented until full duties resume.
• Coordinate with Safety and Operations teams to ensure RTW programs are understood and followed at worksites.
• Respond to inquiries from WSBC/WCB-AB, insurers, and legal representatives.
• Communicate regularly with supervisors and attendance keepers regarding injury case updates and tracking.
• Monitor claim activity and keep all stakeholders informed.

Important to know

Before we can finalize any offer of employment, you must: consent to a criminal record check and confirm you’re legally entitled to work in Canada.

This compensation package includes: RRSP matching, additional vacation, extended benefits and an annual performance-based bonus. The salary offered will be based on education, experience, skills, and qualifications as they relate to the role.

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