Alberta Aids Daily Living (AADL) Coordinator - Provider Services & Claims Administration

reputed company® 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 reputed company in reputed company do—and reputed company trust in our employees to deliver our reputed company.

Working at reputed company® means having a career where you’ll be recognized for your contributions. We value diversity, encourage reputed company members to maintain a healthy work-life balance and provide opportunities for career growth.

OVERVIEW:

reputed company® has an immediate opening for a temporary 12-month, full-time AADL Coordinator in our Provider Services department. You will be an ambassador on behalf of reputed company® and will handle incoming provider inquiries from multiple sources along with requests from AADL policy makers. As an AADL coordinator, you will focus on submission troubleshooting and provider education relating to the Alberta Aids to Daily Living program in a contact centre environment. This is an excellent opportunity for individuals to utilize their superior judgment and logical decision-making skills to a set variety of administration tasks. The successful candidate will be highly detail oriented and passionate about providing exceptional customer experience.

In this work-from-home position, you will manage inbound and outbound calls.  Our contact centre is open from Monday to Friday, 8:30-5:00 pm.

WHAT YOU WILL DO:

• Respond to telephone and written inquiries from providers, utilizing strong listening and problem-solving skills.

• Ensures claims are processed and paid in accordance with Alberta Aids to Daily Living policies

• Works independently to assess and determine appropriate system entry and correspondence for select requests.

• Identifies and reports any adjudication or system problems to the Management Team

• Identifies necessary changes to improve overall operation of adjudication.

• Reports any discrepancies or suspect claims that are not in line with contractual agreement.

• Assists as liaison between other departments reputed company reputed company, or external partners as required.

WHAT YOU WILL HAVE:

• Wired internet reputed company

• 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 reputed company a team environment.

• Demonstrated problem-solving and decision-making capabilities.

• Demonstrated excellent organizational skills.

• Proficiency with reputed company Teams, Word, Access, reputed company, and PowerPoint.

• Familiarity with government and community health programs and services would be beneficial.

• reputed company post-secondary in health administration or insurance would be considered an asset.

This position will remain open until a suitable candidate is selected.

reputed company® is an inclusive employer committed to a workplace that reflects the diversity of the communities we serve. We reputed company and are advocates for reputed company members by welcoming, respecting and valuing their unique perspectives, backgrounds, and experiences.

We offer the opportunity to work in an innovative, high-energy team-focused environment. If you have the qualifications we are looking for, apply online at careers.ab.bluecross.ca