Job Description

For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada\xe2\x80\x99s most pressing health care challenges. We are one of Canada\'s Most Admired Corporate Cultures, one of Canada\xe2\x80\x99s Top 100 Employers, Canada\xe2\x80\x99s Life & Health Insurer of the Year for 2021 and an Imagine Canada Caring Company.

Our 2,400 professionals work across six provinces, united by our shared values of being caring, accountable, responsible, innovative and community-minded. We\xe2\x80\x99re committed to ensuring our employees thrive in our award-winning, collaborative culture focused on ensuring health, wellness, and personal and professional growth through a variety of programs and support across our organization.

Together with Medavie Health Services, we are part of Medavie \xe2\x80\x94 a national health solutions partner with over 7,200 employees. Our mission is to improve the wellbeing of Canadians.





Job Title:
Claims Analyst


Department:
Operations


Competition:
85475


Internal/External:
Both


Employment Type:
Full Time, 12 Months term


Location:
Remote NB-NS-PEI-NF


Salary:
Competitive Salary




Reports To:
Starting date :


Team leader
February 13th




Role Summary:


As a member of the Member Claims team, the Claims Analyst\xe2\x80\x99s main responsibilities include data entry, processing, and analyzing health and dental claims. The Claims Analyst is required to maintain current knowledge with respect to process and procedure changes.


As a Claims Analyst, your key responsibilities will include to:

• Receiving and assessing claims through a scanned image/paperless environment;
• Processing health and dental claims
• Ensuring all details have been provided to accurately process and approve claims;
• Asking questions to determine and clarify details on claim submissions; and
• Organizing work and information to ensure claims are paid accurately and efficiently.
• Provide excellent customer service when calling providers or members.

As the ideal candidate, you possess the following qualifications:

• Education: Post-secondary education in a related field.
• Work Experience: Minimum six months work experience in an office and customer service environment.
• Other Qualifications: Experience with data entry, knowledge of claims processing, eligibility and claims systems, and medical terminology is considered an asset.
• Computer Skills: Experience working with Microsoft Office Suite and Lotus Notes.
• Language Skills: Bilingualism in English and French is considered an asset.

You also demonstrate the following core competencies:

• Knowledge: Has the functional and technical knowledge and skills to do the job at a high level of accomplishment.
• Analytical Thinking: Makes decisions in a timely manner, sometimes with incomplete information and under tight deadlines and pressure and is able to make a quick decision.
• Communication Skills: Practises attentive and active listening and has the patience to hear people out and can accurately restate the opinions of others even when he/she disagrees.
• Customer Orientation: Is dedicated to meeting the expectations and requirements of internal and external customers. Gets first-hand customer information and uses it for improvements in products and services. Acts with customers in mind and establishes and maintains effective relationships with customers and gains their trust and respect.
• Execution and Organizational Skills: Enjoys working hard; is action oriented and full of energy for the things he/ she sees as challenging. Is not fearful of acting with minimum planning and seizes opportunities more than others.
• Team Work Skills: Can quickly find common ground and solve problems for the good of all; can represent his/her own interests and yet be fair to other groups. Can solve problems with peers with a minimum of noise and is seen as a team player and is cooperative. Easily gains trust and support of peers; encourages collaboration and can be candid with peers.

#CBM1
We are an Equal Opportunity Employer.


Medavie Blue Cross strives to foster a culture where everyone is enabled to achieve their full potential - a culture of diversity, equity and inclusion (DEI) where we live our values every day in the way we treat each other, our members and the communities we serve. Accessibility is a top priority.


For applicants with disabilities, we provide accommodations throughout the recruitment, selection and/or assessment process. If selected to participate in the recruitment, selection and/or assessment process, please inform Medavie Blue Cross Human Resources staff of the nature of any accommodation(s) that you may require in respect of any materials or processes used to ensure your equal participation. All personal information is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act.


We would like to thank all candidates for expressing interest. Please note only those selected for interviews will be contacted.

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