Claims Analyst
3 days ago
About Saskatchewan Blue Cross
We're a leading health and dental benefits provider in Saskatchewan, dedicated to empowering communities on their journey to whole health and wellness. Our mission is to improve the experiences of our members through investment in our people, technology, services, and products.
Job Details
We're currently recruiting for a full-time Claims Analyst (I) to join our team in the Health & Dental Claims department. This is a temporary position (for up to 12 months) with the possibility of extension. The successful candidate will be responsible for accurately and efficiently entering and adjudicating standard health and dental claims.
Key Responsibilities
- Process 'non-complex' claim documents according to department procedures and standards to ensure timely payment for our providers and members.
- Participate in the Claims Quality Assurance Program.
- Monitor individual productivity to ensure performance expectations are met.
- Suggest opportunities for improvements in workflows and processes.
- Perform outbound client contact to request or confirm additional information.
- Provide cross-functional and general administrative support.
- Consult with Claims Specialists or Team Leads for direction as required to ensure appropriate handling of any undocumented claims processing scenarios.
- Remain current with product and procedural knowledge.
Requirements
- Completion of a post-secondary diploma or certificate program in a related field accompanied by a minimum of 1 year of related administrative experience; a combination of training and experience will be considered.
- Previous experience in the assessment of health or dental claims, the insurance industry, and/or a dental or medical administration role would be definite assets.
- Analytical, problem-solving, and decision-making capabilities, as well as strong organizational skills.
- Demonstrated ability to work to deadlines and manage fluctuations in workload.
- Working knowledge of Microsoft Office 365 including Word and Excel with the ability to easily learn new software programs.
- Must possess strong written and verbal communication skills.
- Ability to work independently, as well as in a team environment.
- On occasion, must be willing to work additional hours, outside of regular operating hours, to meet the operational needs of the department.
- Legally entitled to work in Canada on an unrestricted basis.
- Criminal Record and background check satisfactory to Saskatchewan Blue Cross.
Why Choose Saskatchewan Blue Cross?
We're driven by a mission to empower communities on their journey to whole health and wellness, and have a lot of exciting things ahead of us. We're improving our members' experiences through investment in our people, technology, services, and products. When you join our team, you're joining an organization where employees are valued, recognized for their contributions, and empowered to make us stronger.
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