Drive superior customer service and efficient pharmacy claim processing at Alberta Blue Cross. This flexible role is perfect for detail-oriented professionals striving for excellence in claims administration.

As a member of the Provider Services & Claims Administration team, you will process manual and complex drug claims while enhancing relationships with pharmacy providers. Your problem-solving skills and ability to manage heavy workloads will be key to achieving departmental objectives. Under the guidance of a supportive manager, ensure timely and accurate claim adjudication, contributing to a leading health coverage organization.

Key Responsibilities:



• Process and adjust high-cost pharmacy claims accurately • Conduct quality assurance checks on claims adjudication • Educate pharmacy providers on submissions and reversals • Provide research support for complex inquiries • Monitor production output to meet deadlines

Requirements: • Commitment to excellent customer service • Solid judgment and problem-solving abilities • Demonstrated organizational skills and accountability • Computer proficiency with Microsoft tools • Knowledge of pharmacy claim adjudication standards

Utilize your analytical skills and passion for customer service in the dynamic environment of Alberta Blue Cross. #J-18808-Ljbffr

📌 Claims Administration Analyst Alberta Blue Cross (Winnipeg)
🏢 Abc Benefits
📍 Winnipeg