Business Specialist – Member Claims & Digital Interface

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:

Alberta Blue Cross® has an immediate opening for a results-driven self-starter who thrives in a dynamic environment and can research, start, and complete initiatives on their own, collaborate and coordinate with numerous partner departments, and provide the Team Manager, Business Specialists and Electronic Administration, with key updates and results.

This role is responsible for successfully organizing and implementing initiatives that either align with Alberta Blue Cross® corporate and departmental projects or otherwise help Alberta Blue Cross® successfully realize its goals for corporate strategy, operations, social purpose, customer experience, and wellness.The successful candidate will work under Member Claims & Digital Interface, Member Claims Administration division, and collaborate with many other departments around the organization, ensuring tasks, projects, etc. are completed in an efficient and timely manner.The Business Specialists team initiatives are typically related to enhancing our Group members experience and their benefit plans, but may also relate to individual benefits plans, government-sponsored plans, or other business or administration channels within the organization.

WHAT YOU WILL DO:

• •Lead and support various corporate projects and departmental initiatives.

• •Conduct research, implement changes, manage initiatives, and provide regular status updates.

• Identify opportunities to improve business practices, processes, user platforms and member touchpoints using “Voice of Customer” insights.

• Summarize findings and present recommendations in both written and verbal formats.

• Work closely with project teams to assess and manage the impact of system changes on business processes and resourcing.

• Support business development and product implementation initiatives across the organization.

• Analyze metrics and prepare project summary reports.

• Provide benefit insight to group members and dependents, including survivor benefits.

• Drive initiatives such as introduction of specific operational changes, operational process reviews, legislative research, reporting, and other strategic projects.

• Complete additional tasks as assigned by the Team Manager, Business Specialists & Electronic Administration, Member Claims & Digital Interface.

WHAT YOU WILL HAVE:

• Minimum of three years’ experience in a corporate environment.

• A post-secondary degree or diploma is considered an asset.

• Project Management/Coordination designation and/or experience is an asset.

• Strong knowledge of group benefits plans, contracts, systems, and processes are assets.

• Experience in benefit management.

• Experience in customer journey mapping.

• Outstanding interpersonal and communication skills—listening, written, and verbal.

• Strong attention to detail, organizational skills, and resourcefulness.

• Ability to work under pressure, meet tight deadlines, prioritize and manage multiple tasks, projects and deadlines without compromising quality.

• Strong planning and problem-solving skills.

• Self-motivated, adaptable, constructive and collaborative with a strong desire to learn.

• High proficiency with Microsoft Office.

• Strong networking and relationship skills.

This position will remain open until suitable candidates are 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