Disability Claims Clerk

Pacific Blue Cross has been British Columbia's leading benefits provider for 80 years. We are an independent, not-for-profit society with strong roots in BC’s health care system. Together with our subsidiary BC Life, we provide health, dental, life, disability and travel coverage for approximately 1.5 million British Columbians through employee group plans and through individual plans for those who do not have coverage with their employers.

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We are fueled by a commitment to keep health care sustainable for all British Columbians. Through our Community Connection Health Foundation, we also provide funding to community organizations with a focus on alleviating mental illness and chronic disease. We're interested in finding people who want to make a difference and who will take advantage of every opportunity to build a career with us.

Pacific Blue Cross offers an attractive compensation and benefits package, fitness programs, and an onsite gym and cafeteria. Our workplace culture values health and wellness, continuing education, environmental sustainability and giving back to the community.

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We are currently recruiting for a Disability Claims Clerk to join our Work and Wellness team This is a full-time role, and will require working from both, our head office in Burnaby, and home (hybrid).

**Job Summary**

Under the close supervision of the Team Leader and on a rotational basis, performs a variety of administrative support functions for BC Life groups and clients, and contributes to the smooth and effective operation of the department by receiving and preparing BC Life claims for review and assessment, processing incoming mail and maintaining department files and records. Supports the team through the provision of basic clerical and word processing services.

**Job Duties**

**_BC Life Claims Processing_**
- Receives and prepares new BC Life claims for review and assessment in accordance with established deadlines and service level objectives by assembling claims documentation, opening new claims in PBC’s online system (ACES), verifying accuracy and completeness of claims information, identifying matches between claims and their respective policies, divisions and classes including those which are self-administered or submitted by third party administrators, generating Group Sheets, flagging priority order of claims and retrieving files. Sets up electronic funds transfers in ACES from banking information provided by claimants. Generates acknowledgement letters for stand-alone long term disability applicants. Creates related client ROCs (Repository of Client unique identifiers) for third party providers, estates and assignees.
- Retrieves ACES-generated cheque enclosure reports and mailroom delivery reports, identifies documentation to accompany outgoing claims cheques and prepares cheques and overlimit cheques for approval and mailing. Locates and retrieves cheques to be mailed to alternative addresses or returned to adjudicators. Refers cheques for claims not entered in ACES to Team Leader for investigation and follow up. Receives and logs garnishee orders, and reviews regularly to identify matches between garnishee orders and claims cheques.

**_Mail Processing_**
- Receives, sorts, stamps, prepares, enters, and distributes a variety of incoming BC Life and Medical Underwriting mail and correspondence. Records mail received for individuals without registered claims and forwards Not In System mail to Disability Claims Administrators for follow up. Matches correspondence to claims and identifies claims types. Redirects mail to other departments.
- Prepares documents for outgoing courier delivery.
- Conducts regular and unscheduled mail runs for pickup and delivery within PBC.

**_Manual File Administration_**
- Maintains a variety of department files and records by filing department materials such as claims documentation, correspondence, mail and/or client information. Retrieves filed material on request. Boxes archived material for off-site storage

**_General Team and Department Support_**
- Runs, prints, assembles and distributes a variety of standard reports and graphs.
- Photocopies, collates and assembles materials for individual or group use. Faxes outgoing documents.
- Using the basic features of word processing software, may produce a variety of documents from standard templates and established formats. Converts documents into PDF format. Enters and edits data in existing or templated spreadsheets.
- Orders and maintains department inventory of supplies and stationery in accordance with established stock levels.
- Maintains photocopies, printers and fax machines in working order. Arranges for vendor servicing for maintenance purposes and in the event of equipment failure.
- On a one to one basis, supports new employees by demonstrating the execution of specific tasks and duties, and sharing knowledge and experience on request.
- Performs other assigned duties related to the provision o