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Job Summary:
Calculates and issues initial, ongoing and priority wage loss payments for workers, employers and dependents. Reviews and calculates regular and complex payments for the life of the claim. Obtains wage base and other payment related information and calculates payments based on the Act, Policies and Procedures. Issues out of pocket medical and travel expenses and various allowances to clients and third parties for the life of the claim. Recalculates and enters data for underpayments and overpayments. Updates claim file information as received. Responds to telephone inquiries regarding regular and complex claims from clients, employers, dependents and their representatives regarding payment issues.
Qualifications:
Two (2) years successfully completed post secondary education in business, health care, education or social sciences.
Plus one (1) year of successful experience providing direct customer service demonstrating the ability to do the following:
-Apply knowledge of policies and related procedures in decision-making
-Organize work efficiently
-Set priorities appropriately
-Complete work within established time frames
-Utilize mathematical skills with a high degree of accuracy in order to make payment-related calculations
-Effectively communicate orally and in writing
-Problem solve
-Make sound decisions with minimal supervision