Representative, Adm Claims Management
2 weeks ago
Why Fraser Health?:
Fraser Health is responsible for the delivery of hospital and community-based health services from Burnaby to Fraser Canyon on the traditional, ancestral and unceded territories of the Coast Salish and Nlaka'pamux Nations, and is home to six Métis Chartered Communities.
Our team of nearly 45,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care.
Come work with us
Fraser Health is proudly recognized as a BC Top Employer.
Joining our team offers you opportunities to work in a rapidly growing organization with health professionals who are excellent in their respective fields, career growth and advancement, a competitive compensation package (including four weeks of vacation to start, comprehensive health benefits, and pension plan), and the rewarding opportunity to make a difference every single day in health care.
Effective October 26, 2021 all staff for all positions across health care in British Columbia are required to be fully vaccinated against COVID-19 (have received a full series of a World Health Organization "WHO" approved vaccine against infection by SARS-COV-2, or a combination of approved WHO vaccines).
Fraser Health values diversity in the work force and strives to maintain an environment of Respect, Caring and Trust. Fraser Health's hiring practices aspire to ensure all individuals are treated in an inclusive, equitable, and culturally safe manner.
Connect with us
Connect with us on our Careers social channels where you'll learn about exciting opportunities, get career tips from our recruiters, and meet some of your future team members You can also visit us on Indeed and Glassdoor.
Detailed Overview:
Supporting the Vision, Values, Purpose and Commitments of Fraser Health including service delivery that is centered around patients/clients/residents and families:
Responsibilities:
- Develops ADM claims processes to ensure the effective and efficient management of Attendance Support, Direct Referral Services and LTD claims within Fraser Health.
- Provides service referral information to direct referral providers/vendors, and obtains new provider invoicing information. Manages provider invoices by confirming provision of service and requesting approval to pay from DM Client Partners, liaising with Finance to ensure payments are processed. Inputs above data into WHITE database.
- Collaborates with the Disability Management Client Partner to effectively manage ADM cases by compiling and monitoring reports on the status of Attendance Support services, Direct Referral services and LTD claims, liaising with Managers/Supervisors, Payroll and Benefits and GWL as required.
- Compiles, analyses and maintains statistical data; produces and distributes summaries and reports as required; receives correspondence from external parties such as service providers and GWL, and enters relevant information into appropriate database.
- Performs a variety of administrative duties such as preparing correspondence, reports, policies/procedures, minutes, charts and graphs using various software programs.
- Initiates and maintains efficient manual and electronic filing systems to fulfill required needs.
Qualifications:
Education and Experience
Diploma in Human Resource Management or equivalent, supplemented by word processing, database and spreadsheet courses and training in claims management plus two (2) years recent related experience in a large multi-union environment, or an equivalent combination of education,and experience.
Competencies
Demonstrates the leadership practices of the Fraser Health Leadership Framework of Clear, Caring and Courageous and creates the conditions for people to succeed.
Professional/Technical Capabilities
- Knowledge of claims and case management human resource practices and relevant collective agreements.
- Demonstrated ability to effectively deal with staff, third party providers and the general public
- Ability to type at 65 wpm
- Physical ability to perform the duties of the position
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