Insight Manager managing quantitative, qualitative, and community research projects with minimal direction from seniors. Collaborating across departments and presenting insights to clients.
About the role
- Case Manager managing Short-Term and Long-Term Disability claims at Alberta Blue Cross®. Building relationships with parties and providing expert advice on claims management.
Responsibilities
- 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.
Requirements
- 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.
Benefits
- Flexible work arrangements
- Opportunities for career growth
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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