Short Term Claims Adjudicator – Life And Disability Services

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:
Under the direction and supervision of the Team Manager, Life and Disability Services, the Claims Adjudicator is responsible for adjudicating Short Term Disability claims on a daily basis, in accordance with the required standards, policies and procedures of the department.
WHAT YOU WILL DO:

• Adjudicates and assess Short Term Disability claims, ensuring that proper application of rules and regulations outlined in the group policy and the Canadian Life and Health Association (CLHIA) are followed.
• Responsible for the issuance of correct benefit payment.
• Responsible for professional and accurate verbal and written communication with all stakeholders.
• Communicates with various internal departments such Group Underwriting, Medical Underwriting, Group Administration, Group Sales, and Individual Products, among others to provide and share information regarding claim activities when required.
• Communicates and prepares correspondence for employers, claimants, physicians and other treatment/care providers, lawyers, etc. as required.
• Build relationships with claimants and employers and assist with intake process.
• Plan, implement and evaluate sound case management principles.

WHAT YOU WILL HAVE:

• Must be able to work well under pressure and be able to assess priorities in a confident manner.
• Must possess excellent verbal and written communication skills.
• Strong analytical skills.
• Certified Disability Management Professional (CDMP) would be an asset Enrollment in LOMA or other industry related courses would be an asset.
• Must possess excellent knowledge and experience with Microsoft Word, Access, Excel, and PowerPoint.
• Knowledge of the insurance benefit industry is considered an asset.
• Must be flexible, innovative, and independent.
• Must demonstrate strong organizational skills.
• Degree or diploma in a health-related field such as in Nursing, Kinesiology, Rehabilitation Medicine, or Social Work is an asset.
• Knowledge in life insurance and experience in life and disability claims management would be an asset.
• Must work effectively with fellow employees and staff from other departments in a team focused atmosphere.
• Keen attention to detail.
• Experience or knowledge with Fineos is an asset.
• Must demonstrate excellent interpersonal skills.
• Experience related to disability claims management is preferred.

This position will remain open until a suitable candidate is 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.