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Case Management Coordinator (Cmc) – Life & Disability Services
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Payment Specialist – Life & Disability Services

Company

Alberta Blue Cross

Address Canada
Employment type FULL_TIME
Salary
Category Insurance
Expires 2023-06-08
Posted at 1 year ago
Job Description
Alberta Blue Cross® is an Alberta based organization dedicated to delivering exceptional customer experience and community leadership. We’re committed to providing the best health coverage to over 1.8 million members and take an active role in promoting wellness. We believe in what we do—and place trust in our employees to deliver our vision.
Working at Alberta Blue Cross® means having a career where you’ll be recognized for your contributions. We value diversity, encourage our employees to maintain a healthy work-life balance and provide opportunities for career growth.
OVERVIEW:
The Payment Specialist is primarily responsible for calculating and processing Short Term Disability, Long Term Disability and Life payments based on the terms of the contract, including the application of appropriate adjustments such as CPP, offsets for other earnings, and interest adjustments.
The Payment Specialist is responsible for ensuring that Life and Disability payments have been assessed, approved, and documented by the authorized Case Manager or other approver prior to the release of payments. Payment processing includes lump sum payments, recurring disability payments and updates to these payments.
In addition, the Payment Specialist is responsible for managing overpayments and other financial reporting and financial balancing duties within the department.
WHAT YOU WILL DO:
  • Manage sensitive, and confidential customer information, maintaining confidentiality of this information.
  • Maintain high level of accuracy in calculation and management of benefit payments.
  • Prioritize and maintain workload to meet turnaround standards and ensure a positive customer experience.
Payment Calculation & Processing:
  • Accurately document, calculate and process lump sum and ongoing benefit payments based on the approval dates provided by an authorized Case Manager, including adjusting for any offsets or modifications that may apply.
  • Identify appropriate direct deposit information for Disability claim payments is on file, and address related concerns and errors as needed.
  • Validate accuracy of pre-disability salary amounts.
  • Respond to payment amount questions as appropriate to claimant and plan sponsor/broker.
  • Validate that the appropriate internal approval limits are documented on the claim.
  • Accurately process and release Life Claim cheque payments.
Other Payment Management Duties:
  • Assist with balancing yearend financial information for the production of the T4A’s.
  • Apply voids, adjustments or overpayment amounts.
  • Review and update COLA and tax adjustments at year end.
  • Prepare and review T4 and T4A reports at year end; complete other year-end tax-related processes as needed.
  • Act as a designated contact between Alberta Blue Cross® and Service Canada for Canada Pension Plan Disability Benefits.
  • Develop and maintain overpayment tracking spreadsheet.
  • Forward incoming funds to our Accounting department.
  • Follow up on outstanding accounts as necessary.
  • Assist with balancing monthly discrepancies as identified by Blue Cross Life.
  • Manage communication with claimant with respect to overpayment settlements, escalating issues as appropriate.
  • Track and manage overpayment of benefits including:
WHAT YOU WILL HAVE:
  • Demonstrates commitment and passion to excel in the delivery of a superior customer experience.
  • Excellent written and verbal communication, listening and interpersonal skills.
  • Possesses strong organizational, problem solving and decision-making skills.
  • Strong attention to detail and accuracy.
  • Possesses a high level of personal accountability and professionalism.
  • Proven ability to use technology tools and to easily learn new software applications to enhance productivity, proficiency with Microsoft Word, Excel, Outlook, and Internet search tools.
  • Demonstrates ability to deal effectively with the public, peers, coworkers and in a team environment.
  • Completion of a post-secondary diploma or certificate program in a related field which may include payroll or disability payment calculation, and a minimum of 2 years relevant work experience.
  • Demonstrates ability to manage changing priorities, maintain confidentiality, work independently with minimal supervision, and meet deadlines.
This position will remain open until suitable candidates are selected.
Alberta Blue Cross® is an inclusive employer committed to a workplace that reflects the diversity of the communities we serve. We empower and are advocates for our employees by welcoming, respecting and valuing their unique perspectives, backgrounds, and experiences.
We offer a competitive salary and benefits package and the opportunity to work in an innovative, high-energy team-focused environment. If you have the qualifications we are looking for, please apply.