Apply claims adjudication and analytical skills with Manitoba Blue Cross in Winnipeg and surrounding areas. Help members understand coverage and resolve claim issues.

As a Member Services Representative, you will process Ambulance/Hospital, Extended Health, Dental, and spending account claims. You will also address inquiries, pre-authorizations, Coordination of Advantages, and missing information. Accuracy, judgment, organization, and professional communication are central to this work.

Key Responsibilities:

- Process claims and pre-authorizations according to performance standards
- Manage pended claims and service-level agreement requirements
- Review processed claims and complete corrective actions
- Return incomplete claims and obtain required additional information




- Complete inquiry tickets, forms, memos, and document management tasks

Requirements:

- Business Administration education or equivalent relevant experience
- Robust problem-solving, analytical, and numerical skills
- Accurate data entry and documentation abilities
- Organizational skills for multiple priorities and deadlines
- Health benefits or healthcare experience considered an asset

Use careful analysis, claims expertise, and member communication to deliver accurate service through Manitoba Blue Cross.

📌 Member Services Claims Adjudicator (Canada)
🏢 Manitoba Blue Cross
📍 Canada