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 Perks, and missing information. Accuracy, judgment, organization, and qualified 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
Solid 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 St James Industrial (Canada)
🏢 Manitoba Blue Cross
📍 Canada