MidFull TimeEN
Alberta Blue Cross® 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 believe in what we do—and place trust in our employees to deliver our vision.
Working at Alberta Blue Cross® means having a career where you’ll be recognized for your contributions. We value diversity, encourage our team members to maintain a healthy work-life balance and provide opportunities for career growth.
OVERVIEW:
We are continuing to grow our team and are looking for additional Case Managers. Working in a flexible work style arrangement, our Case Managers are responsible for managing Short-Term Disability and Long-Term Disability claims. You will manage the initial decision making on the claim as well as ongoing management including developing and monitoring treatment plans, return to work planning and rehabilitation programs. As a Case Manager, you will develop relationships with involved parties and provides expert advice to internal and external customers on a daily basis.
WHAT YOU WILL DO:
Adjudicate Short-Term Disability and Long-Term Disability claims.
Ensure proper application of rules and regulations as outlined in the Group Policy and in accordance with the Canadian Life and Health Association (CLHIA) guidelines.
Plan, implement and evaluate sound case management principles.
Responsible for the issuance of correct benefit payment.
Responsible for professional and accurate verbal and written communication with all stakeholders.
Manage assigned portfolio and become subject matter expert on assigned groups.
Communicate with other Alberta Blue Cross® departments including Medical Underwriting, Group Underwriting, Sales, Group Administration, and Accounting to provide and exchange information regarding claims activities, eligibility and financial transactions.
WHAT YOU WILL HAVE:
Degree or diploma in a health-related field such as in Nursing, Kinesiology, Rehabilitation Medicine or Social Work is an asset.
Experience related to disability claims management.
Mental Health claims management experience is considered an asset. Knowledge of the insurance benefit industry is considered an asset.
Strong analytical skills, detail orientation and organizational skills.
Demonstrated excellence in the decision-making process especially when under pressure.
Strong team-player skills and cooperative attitude.
Excellent written and verbal communication skills.
Proven strength in the areas of flexibility, innovation and independence.
Ability to deal effectively with external stakeholders and coworkers.
Proficiency with Microsoft Word and Excel is required.
Certified Disability Management Professional (CDMP) would be an asset. Enrollment in LOMA or other industry related courses would be an asset.
Alberta Blue Cross® is an inclusive employer committed to a workplace that reflects the diversity of the communities we serve. We empower and are advocates for our team 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
A criminal record check satisfactory to Alberta Blue Cross will be required as a condition of employment, following a conditional offer.
