Job Summary (external) : Watch our video!

As the first point of contact for our stakeholders, you’ll provide clear, courteous assistance on claims and coverage. Your ability to navigate policy nuances and resolve inquiries with ease helps injured workers and employers move forward with confidence!

Job Duties : The Claims Service Representative is responsible for creating new claim files, ensuring Workers Compensation coverage, accepting specific no time loss claims, and managing each inquiry to a resolution that provides for customer satisfaction and meets organizational standards and objectives. Uses effective listening and questioning techniques to determine each customer's need(s); identifies, evaluates and determines alternatives to problem solve. When unable to resolve an inquiry prior to the end of the call, takes steps necessary for resolution immediately following the call or arranges for an Adjudicator or Case Manager to resolve on a timely basis.

Follows established procedures to create new claim files, input data, search the database, and verify and collect information by calling for, or requesting reports from injured workers, employers and healthcare providers. Notifies the appropriate internal parties at time of reporting of a serious accident or fatality.

Follows department standards for gathering, reviewing, and assessing information to establish Workers Compensation coverage for new claims, communicating decisions to affected parties where appropriate, and referring to the Supervisor or Assessment Services in cases where further action is necessary.

Accepts no time loss claims (Complexity A) within defined parameters. Claims requiring further investigation or approval are forwarded to Adjudicators for review.

Utilizes each inquiry as an opportunity to address customer concern(s)



and anticipate future needs, reviewing outstanding or future claim file tasks when appropriate.

Identifies workers in crisis and refers to an appropriate WCB resource.

Reviews the claim file and approves medical expenses within specified guidelines and authority levels. Manages claim owner approved wage loss issues. Refers inquiries that are highly unusual, complex or above authority levels to the appropriate Adjudicator or Case Manager.

Updates claim files as part of each call; clearly documents customer communication including any information gathered, entitlement decisions made, actions taken and claim tasks created.

Provides coverage at the main reception desk.

Completes statistical coding of claims within quality and timeliness standards.

Performs other related duties as assigned.

Qualifications : Completion of a two (2) year diploma in a related discipline (Business Administration)

Typing speed of 35 w.p.m. (error rate less than 5%)

Knowledge of customer service principles and practices

Proficiency in the use of personal computers and software in a Windows setting

Excellent customer service skills including the ability to manage potentially confrontational situations with tact and diplomacy

Well-developed verbal and written communication skills to deal with internal and external stakeholders

Ability to obtain, assess and evaluate information through claim file review,



listening and/or questioning in order to problem solve and support decision making

Ability to perform detailed and accurate work in a fast paced environment

Ability to work independently and as part of a team

Customer service experience in a call centre environment including knowledge of call centre telephony and technology would be an asset

Knowledge of advanced communication skills such as active listening and de-escalation techniques would be an asset

Ability to communicate proficiently in both official languages (English & French) is an asset, but is not required

Competencies (internal only) : Essential: Client Service Orientation Interpersonal Communication Analysis/Problem Assessment Written Communication

Very Important: Judgment/Problem Solving Quality Orientation/Attention to Detail

Important: Teamwork

Additional Information (internal) : The salary is in effect March 14, 2026.

Please note that this position will begin on April 27, 2026 with a 9 week training class. Hours of work during the training period are 8:30 a.m.4:30 p.m. Participation in Compressed Work Week, Additional Day Off (ADO), or a Flexible Work Hours schedule will be suspended during a training class and no extended vacation time will be permitted.

You may be asked to demonstrate your ability through competency based interviewing and/or testing.

Additional Information (external) : Salary range: $60,844 - $78,333

Please note that this position will begin on April 27, 2026 with a 9 week training class. During the period of your training, you will not be eligible to take vacation and hours of work will be Monday to Friday, 8:30 a.m. - 4:30 p.m.

Ability to communicate proficiently in both official languages (English & Fren

📌 Claims Service Representative (7:55 A.m. - 4:30 P.m.) (Winnipeg)
🏢 WCB Manitoba
📍 Winnipeg