Claims Adjuster handling the investigation and evaluation of insurance claims for Sedgwick. Ensuring accurate coverage and validity while maintaining company standards for quality and service.
About the role
- Claims Coordinator managing dental claims for Alberta Blue Cross. Ensures payments are timely, maintains strong customer relationships, and suggests process improvements in a remote setting.
Responsibilities
- Enter and manage dental claims and treatment plans to ensure timely payment for our providers and members.
- Research and compile information from various sources to resolve inquiries and claim discrepancies.
- Contact providers to obtain necessary information to assess claims.
- Adjudicate claims in accordance with Dental Provider Services policies and standards with a high degree of accuracy and efficiency.
- Monitor individual production to ensure that claim turnaround expectations are met.
- Make suggestions to improve workflows, increase efficiency and be innovative.
- Review current documentation and complete any required updates or enhancements as needed.
Requirements
- Knowledge of dental terminology and nomenclature is a definite asset.
- Demonstrated commitment in delivering superior customer service, including establishing and maintaining effective working relationships with internal and external stakeholders.
- The ability to work with minimal supervision, with a strong sense of accountability.
- Strong problem-solving abilities and attention to detail are critical.
- Excellent organizational and time management skills with the ability to prioritize tasks, manage a heavy workload, and meet tight timelines.
- Proficiency with Microsoft Office Suite is required, and knowledge of Teams and SharePoint is an asset.
Benefits
- Flexible remote work style
- Opportunities for career growth
- Commitment to diversity and inclusion
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
No Education Requirement
Location requirements
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