Claims Adjudicator Jobs in Edmonton, AB
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Edmonton, AB
Claims Adjudicator – Life and Disability Services
Claims Adjudicator – Life and Disability Services
Invitation to Apply for Appointment as Adjudicator for the Law Society of Alberta
Invitation to Apply for Appointment as Adjudicator for the Law Society of Alberta
Claims Representative II, Property
Claims Representative II, Property
Claims Associate
Claims Associate
Claims Coordinator - Canadian Hail Agencies Inc
Claims Coordinator - Canadian Hail Agencies Inc
Alberta Regional Operations Lead
Alberta Regional Operations Lead
Claims Associate, Condominium Program
Claims Associate, Condominium Program
Home Warranty Claims Coordinator
Home Warranty Claims Coordinator
Appraiser II, Field
Appraiser II, Field
Senior Property Adjuster / Multiline Adjuster - Edmonton
Senior Property Adjuster / Multiline Adjuster - Edmonton
Claims Specialist, Liability - Calgary
Claims Specialist, Liability - Calgary
Claims Adjuster - Property
Claims Adjuster - Property
Accident Benefits Claims Advisor, Western Region
Accident Benefits Claims Advisor, Western Region
Property Claims Adjuster
Property Claims Adjuster
Bilingual Claims Specialist - Personal Lines
Bilingual Claims Specialist - Personal Lines
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Claims Adjudicator – Life and Disability Services
Top Benefits
About the role
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:
Under the direction and supervision of the Team Manager, Life and Disability Services, the Claims Adjudicator is responsible for adjudicating claims on a daily basis, in accordance with the required standards, policies and procedures of the department.
WHAT YOU WILL DO:
- Adjudicates and assess claims, ensuring that proper application of rules and regulations outlined in the group policy and the Canadian Life and Health Association (CLHIA) are followed.
- Adjudicate benefit eligibility for payment.
- Updates various databases.
- Communicates with various internal departments such Group Underwriting, Medical Underwriting, Group Administration, Group Sales, and Individual Products, among others to provide and share information regarding claim activities.
- Responsible for both verbal and written communication with various external stakeholders and customers throughout the claiming process.
WHAT YOU WILL HAVE:
- Related post-secondary education and/or work experience.
- Must possess excellent knowledge and experience with Microsoft Word, Access, Excel, and PowerPoint.
- Keen attention to detail.
- Strong analytical skills.
- Must possess excellent verbal and written communication skills.
- Must demonstrate strong organizational skills.
- Must be able to work well under pressure and be able to assess priorities in a confident manner.
- Must be flexible, innovative, and independent.
- Must work effectively with fellow employees and staff from other departments in a team focused atmosphere.
- Must demonstrate excellent interpersonal skills.
- Knowledge in life insurance and experience in life and disability claims management would be an asset.
- Experience or knowledge with Fineos is an asset.
This position will remain open until a suitable candidate is selected.
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
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About Alberta Blue Cross
We believe that people, workplaces and communities deserve to be and live well—and we can help. As a benefits provider and wellness leader, we have the opportunity to play an important role in fostering the health and well-being of our customers across their lifetimes.
We provide benefits to more than 1.8 million Albertans through group, government and individual plans. Alberta-based, not-for-profit, wellness-driven, customer committed.
Living our values Our values represent who we are, what we stand for and the culture that guides us. In all we do, we keep our values at the forefront.
Integrity and trust
We are respectful, ethical, honest and inclusive in all that we do.
Wellness and flexibility
We promote and inspire a healthy culture of support, adaptability and compassion across our workplace and our communities.
Customer committed
We are accountable and committed to our customers and passionate in the delivery of an exceptional customer experience.
Empowering potential
We support learning and growth while fostering a diverse environment that cultivates collaboration and innovation.