AADL Coordinator handling provider inquiries, claims troubleshooting, and education for Alberta Blue Cross’s health coverage programs. Work-from-home contact centre role supporting Alberta’s Aids to Daily Living program.
Responsibilities
Respond to telephone and written inquiries from providers
Handle inbound and outbound calls in a contact centre environment
Troubleshoot submissions and provide provider education relating to the Alberta Aids to Daily Living program
Ensure claims are processed and paid in accordance with Alberta Aids to Daily Living policies
Assess and determine appropriate system entry and correspondence for select requests
Identify and report adjudication or system problems to the Management Team
Identify necessary changes to improve overall adjudication operations
Report discrepancies or suspect claims that are not in line with contractual agreements
Act as liaison between Alberta Blue Cross departments and external partners as required
Requirements
Wired internet connection
Experience with benefits administration and coordination would be considered an asset
Demonstrated excellence in oral communication and listening skills in the delivery of superior service to customers
Ability to work with minimal supervision and within a team environment
Demonstrated problem-solving and decision-making capabilities
Demonstrated excellent organizational skills
Proficiency with Microsoft Teams, Word, Access, Excel, and PowerPoint
Familiarity with government and community health programs and services would be beneficial
Related post-secondary education in health administration or insurance would be considered an asset
Criminal record check satisfactory to Alberta Blue Cross required as a condition of employment following a conditional offer
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