Disability Overpayment & Recovery Specialist
Requisition #2417959 Job LocationCanada-British Columbia-Burnaby Job StreamAccounting Job TypeTemporary, Full-Time Contract Duration12 months Number of Positions1 Start Date of Employment ASAP Posting Date27-May-2024 Travel RequiredNot Required Educational RequirementsHigh School Languages RequiredEnglish Job Description
About Pacific Blue Cross
Pacific Blue Cross (PBC) has been British Columbia's leading benefits provider for over 80 years. We are an independent, not-for-profit society with strong roots in BC’s health care system. We provide health, dental, life, disability, and travel coverage to 1 in 3 British Columbians through employee group plans and individual plans.
We are fueled by a commitment to keep health care sustainable for all British Columbians. Through our PBC Health Foundation, we fund projects that improve health outcomes directly related to mental health and wellbeing as well as the prevention and / or management of chronic disease. We are interested in finding people who want to make a difference and who are looking to grow their career with us.
Perks
About the Position
Job Summary
Under the broad managerial direction of the Team Leader, Collections, analyzes, investigates and reconciles disability claims overpayment collections by reviewing correspondence, researching and reviewing wage loss payment history performing manual calculations, interpreting legal case precedents, and negotiating settlements. Reviews referrals for write-offs, approves within limits and refers overlimit write-offs to Team Leader, Collections. Initiates and maintains contact as required with various stakeholders to negotiate settlement amounts, collect payments, and answer inquiries. Represents PBC and its entities at Small Claims Court as required. Performs other administrative duties relating to the provision of collection services.
Job Duties
Disability Claims Overpayment Administration and Third-Party Settlements
1. Analyzes, investigates, and reconciles disability claims overpayments and recoveries by :
2. Within established limits, may write-off outstanding collections items or refer to Team Leader, Collections; for write-off if above authorized limit.
Customer, Client, and Member Service
3. Initiates and maintains contact verbally or in writing as required with claimant, policyholder, union representative, trustee, lawyer, or third-party provider (i.e., WorkSafeBC or ICBC) to initiate collections procedures. Clarifies and reinforces application of the relevant parts of the group contract, policies, terms, and conditions, as well as relevant legislation, and case law precedence.
4. Represents PBC and its entities as required at Small Claims Court settlement conferences and / or court hearings by preparing documentation and evidence; filing notice of claim or lien; and negotiating settlement and / or payment arrangement with client within parameters established with Team Leader, Collections.
5. Generates monthly reports and statements for internal and external stakeholders.
General Team and Department Support
6. Oversees maintenance of collections management system including troubleshooting issues, updating reports, and posting transactions.
7. As a subject matter expert, provides technical advice on all collection practices, procedures and tools to team members and other stakeholders. Approves close off transactions for other team members within established limits.
8. On a one-to-one basis, supports employees by demonstrating the execution of specific tasks and duties, and sharing knowledge and experience on request.
9. Using the intermediate features of word processing software, produces a variety of documents such as correspondence, forms and reports, and letters requiring mail merge functions.
10. Using the intermediate features of spreadsheet software, creates, edits and formats worksheets including entering and editing data, creating complex formulas; modifying the layout of existing worksheets and developing new spreadsheets using such features as sorting and filtering concepts; imports data from other applications.
11. Maintains up-to-date knowledge of collection best practices and other information related to the provision of collection services through continuous learning initiatives.
12. On an occasional relief basis, may perform the duties of the EHC and Dental Collections Administrator, the Third Party Collections Administrator, or the Group Collections Administrator.
13. Performs other assigned duties related to the provision of collections services and / or support which do not affect the rating of the job.
Qualifications