Temp Claims Coordinator — Adjudication & Resolution

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 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