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
- Strong 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 energetic environment of Alberta Blue Cross.

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