Payment Specialist

Saskatchewan Workers' Compensation Board•Regina, SK

22h•Onsite

About The Position

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.

Requirements

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

Responsibilities

Proactively contacts and responds to parties to expedite the receipt of payment related information. Determines appropriate initial & ongoing wage bases from information on file and/or obtained from workers and employers and will decide wage base information to be used to meet service standards in accordance with Policies, Procedures and Legislation on a daily basis.
Calculates and issues payments by collecting or verifying information such as return to work earnings, time lost for medical appointments, etc. & entering the data on the payment system. Approves and generates payments & provides secondary approval within authority levels for: Bi-weekly benefits, Time Loss for Medical Appointments, Vocational Services expenses, Long Term Earnings Replacement Benefits, Dependent Benefits, Permanent Functional Impairment entitlement, Out of pocket expenses (travel, prescriptions, Adhoc), Allowances (Independence Allowance, Personal Care, Clothing Allowance, etc), Old Act Payments, Third Party Vendors, Third Party Demands (CRA, Maintenance Enforcement, etc), Quick Cheques.
Responds to telephone and written inquiries from clients, employers, dependents and their representatives regarding payments, how compensation rates are determined, how to fill out forms properly and any payment related inquiries. Also responds to inquiries regarding the Act and WCB policies and procedures.
Provides written and verbal explanation regarding payments, underpayments, overpayments etc., for the clients. Assists members of the Operations team & other WCB departments with Operations Payment related questions.
Calculates underpayments and overpayments by obtaining information from worker, employer or dependent, determining overpayment/underpayment amount. Documents recalculation details on file. Sends letters to worker, employer or dependent outlining calculation details.
Documents, for the file, information received over the phone or by email that may affect entitlement. Brings such information to the attention of appropriate team member when applicable. This may include client demographic information, time loss information, or other changes.
Performs annual reviews of claims to ensure payment calculations, rates and documentation are accurate and reflect the current customer profile. Also manages year end rate changes for impacted customer groups.
Prioritizes work based on need of injured workers, employers and team members.
Participates in payment meetings, CPI initiatives and works with people and processes to continuously improve the customer experience.
Ensures consistency of Payment processes for all customers.