Claims Audit Administrator

Manitoba Public Insurance; Winnipeg; On-site; CAD 55,000 - 65,000; Full time

Job summary

A public insurance organization in Winnipeg seeks a Claims Audit Administrator responsible for processing and auditing glass and physical damage claims. The role requires strong customer service skills and a high school diploma. Responsibilities include interactions with customers and processing payments, while ensuring accuracy in claims management. Suitable candidates should have experience in administrative roles and a willingness to complete relevant training programs. Benefits include health plans, professional development, and a supportive workplace culture.

Benefits

Flexible health, dental and vision plans

Registered pension plan

Vacation entitlement

Discounted gym memberships

Qualifications

• Three years of administrative experience in a customer service environment.
• Six months experience in a claims processing environment.

Responsibilities

• Process and audit glass and physical damage claim payment requests.
• Interact with customers and perform auditing duties.
• Check all repair accounts for changes to the original estimate.

Skills

Working knowledge of MS Office software including Word

Strong customer service skills

Education

High school diploma or equivalent

I-CAR Moveable and Stationary Glass Programs 1 and 2 (or willingness to complete)

Job description

Overview

As a Claims Audit Administrator you are responsible for accurate processing and auditing of glass and physical damage claim payment requests and post payments through both estimating and glass systems.

You will interacts with customers, performs a variety of auditing duties ranging from minor to moderately complex, and processes payments, financial recoveries, Auto Loss of Use (ALOU) transactions and other related duties. This position requires thorough technical knowledge and an extensive understanding of the policies and procedures related to both estimating and glass repair and replacement processes.

You are responsible for providing service to customers, business partners in glass and automotive repair facilities, and the automotive trade, and contributes to glass claim cost containment. The Claims Audit Administrator has the authority to make decisions on customers’ insurance policies and deductibles as well as business partners’ accounts within approved guidelines.

Responsibilities

• Completes administrative responsibilities within WorkCentre, including but not limited to preparing Virtual Claim File (VCF) estimates, reviewing notes, uploading documents, and completing corrections, recalculations, recoveries, payments and transfers.
• Provides support for business partners, including body shops and repair facilities on systems, account submissions and amendments.
• Reviews journal notes and repair facility communications and responds accordingly.
• Investigates outstanding payments and provides detailed instructions to the repair facility on what is required to process the payment and when to expect it.
• Checks all repair accounts for changes to the original estimate.
• Reviews supplement payment requests from Transitional or Legacy repair facilities.
• Verifies related approved changes and liaises with repair facilities and Estimators as required.
• Provides thorough interpretation and explanation on all aspects of MPI’s glass claim policies and procedures to glass claim customers, registered repair facilities and out of province vendors.
• Provides system training and technical support to eGlass enabled vendors.
• Enters glass claim payment information into the appropriate systems in accordance with the related procedures and business rules.
• Ensures accuracy of the vendor databases for repair facility accreditation statuses and location.
• Liaises with other corporate departments regarding contentious and non-contentious glass issues and procedures, and enquiries related to glass-only claims.
• Determines whether a claim is contentious or non-contentious, directing customers and repair facilities appropriately.

Qualifications

Education:

• High school diploma or equivalent
• I-CAR Moveable and Stationary Glass Programs 1 and 2, or willingness to complete.

Experience:

• Three years of administrative experience in a customer service environment, including six months experience in a claims processing environment.

Technical Knowledge and Skills:

• Working knowledge of MS Office software including Word, and Excel applications.

Employee Benefits

Health benefits

We offer a comprehensive health benefits program that includes:

• flexible health, dental and vision plans
• health spending account
• travel health coverage
• other extended health benefits such as ambulance, massage and physiotherapy

Financial security

In an effort to support financial security, we offer:

• registered pension plan
• group, dependent, and optional life insurance coverage
• critical illness insurance
• sick leave to cover short-term disability
• long-term disability

Wellness

We offer programs that focus on how to better achieve a balance between work and personal commitments, as well as maintain a healthy workplace culture. This includes:

• vacation entitlement
• flexible work arrangement for eligible positions
• maternity, parental and adoptive leaves
• bereavement and family responsibility leaves
• employee and family assistance program
• mental-health programming
• lunch-and-learn offerings
• discounted gym memberships and wellness account

Diversity and inclusion

Manitoba Public Insurance believes that diversity and inclusion strengthens us. We consider ourselves to be a barrier-free organization where individual values, beliefs and practices are respected and appreciated for the diversity they bring to our work life.

Employee recognition

It’s important to recognize our employees for their contributions. Not only do we recognize employees as they achieve milestone years in their careers, we also have several outlets for leaders and peers to reward each other for work well done.

Professional development

We want our employees to grow, which is why we offer support in keeping their skills up-to-date. We offer in-house training, professional development and an educational assistance program.

Safety and health

In an effort to encourage a safe and healthy work environment, we offer various safety, health and workplace policies and programs along with technical expertise and assistance to support employee activities in safety and health.