Claims Analyst - 3 Month Term

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’s most pressing health care challenges. We are one of Canada's Most Admired Corporate Cultures, one of Canada’s Top 100 Employers, Canada’s 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’re 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 — a national health solutions partner with over 7,200 employees. Our mission is to improve the wellbeing of Canadians.

Job Title:

Claims Analyst - 3 month term

Department:

Government

Competition:

87539

Internal/External:

Both

Employment Type:

Full Time Term

Location:

PEI/NB/NS/NL - Remote work or In-Office available

Salary:

Competitive Compensation

Reports To:

Team Leader

Apply By:

October 25, 2024

The FAP (Federal Administered Programs) Unit specializes in the payment of Federal benefits related to health needs such as Ambulance Services, Medical Supplies, Hospital Beds, etc. As a member of the Federal Claims team, the incumbent will adjudicate claims received from Providers and clients and, if necessary, will communicate with the providers to clarify information.

Work Arrangement:

This is a 37.5 hours/week, 3 month term role, the hours are daytime, Monday to Friday. We also offer flexibility in work location if you reside in New Brunswick, Nova Scotia, Prince Edward Island or Newfoundland and would like to work remotely (from home office). We also have office locations in Moncton, Charlottetown, Dartmouth, St. John's, if you would like to work in office, or a hybrid of both. Start date is between November/December/January with potential to be extended.

We also offer:

1. Monday to Friday daytime, no weekends
2. Extensive virtual paid training program, ensuring you are prepared for your new career
3. Opportunities for extension or permanent work from this term
4. Necessary equipment provided to get started!
5. A diverse team of colleagues with multiple fields of expertise

Key Responsibilities:

1. Reviews, analyzes, investigates and authorizes payment of health and dental claims within set guidelines;
2. Corresponds with claimants or agents; Providers and/or customers when required
3. Handles and processes claims transactions accurately and efficiently (speed and accuracy);
4. Uses business knowledge and experience to solve routine problems, with the support of senior staff;
5. Produces clear and effective written materials.

Qualifications:

1. Education: Post-secondary education in a related field is an asset (Health Information Technology, Medical Billing and Coding, Medical Office or Business Administration).
2. Work Experience: Minimum 6 months work experience in an office environment.
3. Other Qualifications: Knowledge of claims processing, eligibility and claims systems, as well as medical terminology is considered an asset.
4. Computer Skills: Experience working with the Microsoft Office Suite and Lotus Notes.
5. Language Skills: Proficient in English; being bilingual is a strong asset.

Security Clearance:

In conjunction with our contract with the Federal Government, you will be required to have Reliability Status Clearance (Enhanced Level B) through the Public Works and Government Services Canada Department prior to your first day. This includes: Fingerprinting, Criminal Record Check and Credit Check.

Working Conditions and Work from Home requirements:

1. Private working area that has a locked door, secure locked perimeter doors (patio doors require a locking bar or pin), an approved locking file cabinet and a locked office space in a controllable environment.
2. Connection to reliable high-speed internet and an approved home network (we would either provide or specify the acceptable routers/connectivity equipment).
3. Your work area must be private and free of household noise and it must mitigate any risk to privacy (e.g., information on your monitor can only be viewed by you).
4. If your home is shared with others, you’ll need to use a privacy screen on your monitor.
5. Your workspace must always be secured before walking away.
6. You’ll need to use a headset when taking calls and not use a speaker phone to ensure others cannot hear the details of your call.
7. You may be subject to internal physical site inspections.

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.