Claims Analyst I
21 hours ago
Job Details
Saskatchewan Blue Cross is seeking a 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. This position offers the flexibility to be in-office or participate in hybrid options in our Saskatoon or Regina office.
Job Function
We are looking for a reliable self-starter who thrives in fast-paced and high-volume environments, and prides themselves on having robust time management capabilities. The successful candidate will be responsible for accurately and efficiently entering and adjudicating standard health and dental claims. Our ongoing training and commitment to staff development helps ensure a thorough understanding of products and systems and the development of your skills and knowledge as a professional in the insurance industry.
Why Choose Saskatchewan Blue Cross?
We are 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 are improving our members' experiences through investment in our people, technology, services, and products. When you join our team, you are joining an organization where employees are valued, recognized for their contributions, and empowered to make us stronger. The wellbeing of our employees, our members, our partners, and our communities is at the heart of our operations.
Duties & Responsibilities
- Accurately and efficiently 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
- Perform other duties as required
Qualifications & Skills
- 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
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