Administrator

Topalbertadoctors; Edmonton; Hybrid; CAD 54,000 - 70,000; Full time

Job summary

The Alberta Medical Association (AMA) is seeking an Administrator to support ADIUM Insurance Services. The role focuses on administering insurance applications, reporting initial claims, and delivering related services to AMA members and their families.

The successful candidate will work in a hybrid environment, based in Edmonton or Calgary, with occasional in-office requirements. Strong MS Office skills and insurance knowledge are essential.

Qualifications

• One-year post-secondary education in office administration.
• Completion of insurance courses within one year of employment.
• Prior completion of related insurance courses will be considered in lieu of this requirement.

Responsibilities

• Process insurance applications – confirm applicant eligibility, pre-screen application, enter on system, remit to insurer, order appropriate medical requirements email/mail acknowledgement letter as appropriate.
• Email/mail exclusions and amendments as appropriate and follow-up when necessary.
• Issue approved coverage in Compass Financials (set up, billing and issue documents), assuring first that the underwriter’s decision notices and amendments are accurate and reflect coverage applied for; update application status in M-Files.
• Assemble insurance documents and mail to the insured after peer review.
• Complete New Claims Questionnaire and send out claims package to claimant – for both Death and Disability/Parental Leave (email as appropriate).
• Send initial claim information to insurer and claims consultant – provide supporting documents as requested.
• Provide support to claimant/family members as needed throughout the process.
• Liaise between the claimant and the insurer when necessary.
• Assist with business development and service initiatives by presenting ideas for discussion, providing feedback based on insight gained from contact with members, and rolling out new practices and procedures in response to changing needs and growth.
• Instructing/training new staff
• Assist with incoming phone calls and distribute to other staff as necessary
• Providing back-up coverage during unexpected absences and/or vacations

Skills

MS Office

Communication skills

Independent work

Interpersonal skills

Education

Post-secondary education in office administration

Insurance courses within 1 year

Prior related insurance courses considered

Tools

Compass Financials

M-Files

Job description

The AMA is recruiting for the position of Administrator. As a member of the ADIUM Insurance Services team, the Administrator will play a critical role in ensuring that AMA initiatives are supported by providing guidance, and ongoing support related to insurance products, claims processes, and associated services to members.

Who are we?

The AMA is the official voice of the medical profession in Alberta. The association advocates for and supports Alberta physicians, strengthening their leadership in the provision of sustainable health care. For more information on the AMA please visit our website at www.albertadoctors.org .

Why work for the AMA?

At the AMA, we know that employees are fundamental to our success as an organization. We take pride in hiring client-oriented relationship builders who embrace teamwork, personal growth and development and truly want to help us succeed. As part of our employee experience, we provide a competitive compensation package, benefits, work-life balance and development opportunities.

The AMA has a hybrid work environment. The successful candidate will be based out of our Edmonton or Calgary office and will have the opportunity to work from home but will be required to go into the office or attend in person when required.

Team Overview

ADIUM Insurance Services Inc. offers a broad range of voluntary insurance programs to AMA members, their families and clinic staff. Plans include; disability, office overhead expense, life, critical illness, accidental death & dismemberment and health and dental (AMA Health Benefits Trust Fund). ADIUM also administers the group life and disability insurance programs for the Professional Association of Residents of Alberta.

Position Overview

This position is responsible for the administration of insurance applications, initial claims reporting, and the provision of related service functions.

Key Responsibilities

• New Business
  • Process insurance applications – confirm applicant eligibility, pre-screen application, enter on system, remit to insurer, order appropriate medical requirements email/mail acknowledgement letter as appropriate
  • Email/mail exclusions and amendments as appropriate and follow-up when necessary
  • Issue approved coverage in Compass Financials (set up, billing and issue documents), assuring first that the underwriter’s decision notices and amendments are accurate and reflect coverage applied for; update application status in M-Files.
  • Assemble insurance documents and mail to the insured after peer review.
• Claims
  • Complete New Claims Questionnaire and send out claims package to claimant – for both Death and Disability/Parental Leave (email as appropriate)
  • Send initial claim information to insurer and claims consultant – provide supporting documents as requested
  • Provide support to claimant/family members as needed throughout the process
  • Liaise between the claimant and the insurer when necessary.
• Other assigned duties
  • Assist with business development and service initiatives by presenting ideas for discussion, providing feedback based on insight gained from contact with members, and rolling out new practices and procedures in response to changing needs and growth
  • Instructing/training new staff
  • Assist with incoming phone calls and distribute to other staff as necessary
  • Providing back-up coverage during unexpected absences and/or vacations

Education and Experience

• One-year post-secondary education in office administration.
• Completion of insurance courses will be required within one year of employment.
• Prior completion of related insurance courses will be considered in lieu of this requirement.

Skills

• Thorough knowledge of MS Office as well as an understanding of computer software and their applications
• Excellent communication skills, both verbal and written
• Ability to be flexible and work independently with minimal supervision and direction
• Strong interpersonal skills with the ability to manage workloads and work relationships

The salary for this role is between $54,092 - $70,319 per annum.