Claims Coordinator – Claim Services

Alberta Blue Cross; Edmonton; On-site; CAD 45,000 - 65,000; Full time

Job summary

Alberta Blue Cross® is an Alberta based organization focused on delivering exceptional customer experience and community leadership. The role involves entering and adjudicating health claims to ensure timely payments for providers and members.

This temporary 12-month position requires a detail-oriented and customer-focused individual. The ideal candidate will handle inquiries, research information from multiple sources, and ensure accurate processing in a fast-paced team environment during

Qualifications

• Demonstrated excellence in verbal communication and listening skills in delivering superior service.
• Demonstrated accuracy and ability to multi-task under tight time frames and heavy workload.
• Ability to work with minimal supervision and within a team environment.
• Strong problem-solving and decision-making capabilities and organizational skills.
• High attention to detail with a desire for continuous learning.

Responsibilities

• Enter and manage claims to ensure timely payment for providers and members.
• Research and compile information from various sources to resolve inquiries and claim discrepancies, consulting with senior staff when needed.
• Respond to inquiries from internal customers regarding benefits and claims assessment.
• Follow through to ensure effective and efficient resolution of inquiries.
• Contact providers and members to obtain information to assess claims.
• Adjudicate claims per unit procedures and standards with accuracy and efficiency.
• Monitor production to meet claim turnaround and volume expectations.
• Suggest improvements to workflows and processes.

Skills

Verbal communication

Accuracy

Multi-tasking

Teamwork

Problem solving

Organizational skills

Microsoft Office

Shift flexibility

Overtime willingness

Tools

Microsoft Office Suite

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 team members to maintain a healthy work-life balance and provide opportunities for career growth.

OVERVIEW:

The overall responsibility in this position is to ensure that the claims we receive are appropriately managed. This involves accurate and efficient entry and adjudication of claims. This is a temporary 12-month position.

WHAT YOU WILL DO:

• Enter and manage claims to ensure timely payment for our providers and members.
• Research and compile information from various sources to resolve inquiries and claim discrepancies, consulting with senior staff if assistance is required.
• Respond to inquiries from internal customers regarding all aspects of benefits and claims assessment.
• Follow through to ensure effective and efficient resolution of all inquiries.
• Contact providers and members to obtain the necessary information to assess claims.
• Adjudicate claims in accordance with unit procedures and Claim Services standards with a high degree of accuracy and efficiency.
• Monitor individual production to ensure that claim turnaround and volume expectations are met.
• Make suggestions to improve workflows and processes.

WHAT YOU WILL HAVE:

• Demonstrated excellence in verbal communication and listening skills in the delivery of superior service to customers in previous roles.
• Demonstrated excellence in accuracy and multi-tasking under tight time frames and heavy workload.
• Demonstrated ability to work with minimal supervision and within a team environment.
• Demonstrated problem-solving and decision-making capabilities as well as strong organizational skills.
• Strong attention to detail and a desire for continuous learning.
• Proficiency with Microsoft Office Suite is required.
• Willingness to work scheduled shifts within business hours of 8:00 a.m. and 5:00 p.m.
• Willingness to work extra hours and overtime hours as needed.

This position will remain open until October 9, 2026.

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 team members by welcoming, respecting and valuing their unique perspectives, backgrounds, and experiences.

A criminal record check satisfactory to Alberta Blue Cross will be required as a condition of employment, following a conditional offer.