Case Management Coordinator – Life & Disability Operations

🔥 15 hours ago

🇨🇦 Canada – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

👻 Ghost score 10%

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Logo of Alberta Blue Cross

Alberta Blue Cross

1001 - 5000 employees

Founded 1940

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Alberta Blue Cross is a non-profit organization dedicated to providing comprehensive health benefits and wellness programs to the residents of Alberta. As a leader in preventative health care, Alberta Blue Cross serves over 1. 8 million people through group, government, and individual plans. The company is committed to promoting wellness, offering modern work environments, and supporting community health initiatives. It aims to empower Albertans to live healthy and fulfilling lives by addressing physical, mental, social, and financial well-being.

📋 Description

• Ensure all intake forms are filed accurately and maintained confidentially • Validate member information, census data, salary, and eligibility for accurate claim processing • Coordinate with Group Administration to enroll members in their benefits • Create claim intakes in designated claim and reporting systems while maintaining processing standards • Set up required tasks supporting claim intake and ongoing maintenance • Respond to telephone inquiries from plan members, beneficiaries, and plan administrators • Contact and follow up with plan members, beneficiaries, plan administrators, and treating health care providers to obtain required information • Update claims throughout their lifecycle, including timely uploading of documentation and correspondence from mail, email, fax, and online channels • Gather and prepare confidential documentation for members, administrators, physicians, treatment providers, lawyers, and other stakeholders • Communicate with internal departments regarding claims, eligibility, and financial transactions • Collaborate with Case Managers, Adjudicators, and Payment Specialists on CPPD recoveries, including initial packages, follow-ups, and letters

🎯 Requirements

• Related post-secondary education • Excellent knowledge and experience with Microsoft Word, Access, Excel, and PowerPoint • Keen attention to detail • Strong analytical skills • Excellent verbal and written communication skills • Strong organizational skills • Ability to work well under pressure and assess priorities confidently • Flexibility, innovation, and independence • Ability to work effectively with fellow employees and staff from other departments in a team-focused atmosphere • Excellent interpersonal skills • Experience with database management is an advantage • Criminal record check satisfactory to Alberta Blue Cross required as a condition of employment following a conditional offer

🏖️ Benefits

• Healthy work-life balance • Opportunities for career growth • Innovative, high-energy team-focused environment • Inclusive workplace that welcomes, respects and values diverse perspectives, backgrounds, and experiences

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