Service Centre Representative (Winkler, MB)

Manitoba Blue Cross•Winkler, MB

4d•Onsite

About The Position

Manitoba Blue Cross is a not-for-profit health benefits provider based in Manitoba, aiming to be the trusted health and wellness partner for all Manitobans. Profits are reinvested into infrastructure, people, and the province to improve member care, community impact, and healthcare knowledge. They are recognized as a Manitoba Top Employer, fostering a culture that prioritizes employee satisfaction, development, diversity, and growth. The company emphasizes a 'Culture of Caring,' celebrating successes and rewarding employees. They are committed to a diverse and respectful workplace that promotes work-life balance and career advancement. This role is for individuals residing in Winkler, MB and surrounding areas with valid work authorization. The Service Centre Representative provides administrative and customer direction for counselling services, including in-person client engagement, counsellor support, claims processing, administrative tasks, lead generation for new business, and delivering exceptional customer service.

Requirements

Dedicated to the principles of exceptional service; committed to responding to, anticipating, and addressing customer needs, for both internal and external customers.
Minimum Grade 12 education. Preference given to applicants who have completed post-secondary education, or an equivalent combination of education and experience in a related field.
Ability to obtain a Provincial Accident and Sickness Insurance Agent License is required.
Strong interpersonal skills, with the ability to adjust personal style to different personalities and situations.
Able to demonstrate strong verbal and written communication skills.
Exercises sound judgement, tact, and discretion.
Excellent organizational skills with the ability to manage and prioritize several activities on an ongoing basis.
Self-directed, reliable, punctual, and able to work with minimum supervision.
Skilled at using business tools including MS Word, Excel, and Outlook.
Ability to learn and use Manitoba Blue Cross applications.
Previous experience in a customer service role.
Knowledge of Provincial and clinical privacy and confidentiality regulations.
Understanding of the sales process.

Nice To Haves

Knowledge of Employee Assistance Programs or clinical practices is an asset.

Responsibilities

Greets, identifies and directs clients to designated counselling rooms.
Performs administrative and clerical duties, which include answering the phone, photocopying, filing, claims related storage, and clerical work.
Responds to customer inquiries relating to eligibility, coverage information, claims procedures and payments, new business and interest in Manitoba Blue Cross products, and general inquiries, in person, via email, and by phone.
Monitors client appointments for the counselling centre. Greets and directs clients to designating counselling rooms, protects and respects client rights and confidentiality.
Responsible for the screening and organization of all received claims mail and correspondences.
Adjudicates and processes claims for prescription drugs, vision, dental, extended health, ambulance and hospital, EAP, and health spending accounts.
Communicates with members and providers during the claims assessment process, returning claims for completeness of information, and following up for additional information as necessary.
Assembles clinical form packages for counsellor use, answers inquiries, and provides support as necessary.
Promotes and sells travel health products.
Acts as a liaison between clients and all internal departments.
Inspects and cleans counselling rooms after each use, as well as common areas (kitchen, boardroom, etc). Ensures counselling rooms have required inventory of EAP forms and other supplies.
Maintains office supplies.
Performs other duties as assigned.