Senior Insurnace Claims Analyst

Senior Insurance Claims Analyst

Location: Calgary, Alberta, Canada

Location Details: Eligible to work hybrid (on/off site) within Alberta

Requisition #: ALB00439806

Salary Range: $42.34 - $51.22 per hour

Job Type: Regular Full Time

Your Opportunity:

The Senior Insurance Claims Analyst facilitates/manages AHS' Insurance claims process which includes but is not limited to interpreting moderate to complex insurance policies and processing claims under AHS' Insurance Program. The Sr Insurance Claims Analyst will liaise with external parties such as adjusters and consultants and resolve settlement issues including denials and coverage issues, pursue subrogation where applicable, and be responsible for claims records and tracking.

Duties include but are not limited to. Reviewing and investigating losses to determine coverage and liability. Interpreting moderate to complex insurance policies to understand the respective, coverage details, exclusions, or relevant endorsements. Facilitating, adjusting and processing claims for all policy lines of AHS’ insurance program, liaising with external parties (adjusters, consultants) resolving problems such as coverage denials, disputes in labour rates, materials, etc., negotiating and settling claims with insurers or other responsible parties, assessing basis for settlement, analyzing settlement proposals, determining where subrogation criteria is met and managing the subrogation process. Documenting the claim file and reporting claims in a timely manner to internal and external stakeholders. Preparing internal monthly claims reports for senior leadership. Whilst the selected Candidate will work primarily on Claims, they may from time to time, perform other administrative duties including, but not limited to, recording and updating claims bordereaux, data entry when necessary, and supporting on-going projects in the Insurance department.

Description:

As a Senior Financial Analyst, you will coordinate and/or prepare complex financial and statistical analysis and reports, along with providing interpretation of analyses and reports to support business and external requirements. Your work will be focused on budgets, forecasting, recommendations for program and/or cost efficiencies and development or enhancements to processes and controls. In addition, you will coordinate and monitor progress of financial projects, as well as coach and guide other department staff such as Financial Analysts.

Required Qualifications:

Post secondary degree specializing in accounting or related field (e.g. economics, statistics).

Additional Required Qualifications:

Post secondary degree or diplomas in Risk Management, Business Administration, Accounting, Economics, Finance, or other. Superior written and verbal communication, analytical and interpersonal skills.

Preferred Qualifications:

Minimum of 3 – 8 years’ experience in insurance claims or insurance services in an organization of significant size, complexity and diversity (health care experience an asset), Completion of CIP and CRM designations, Superior written and verbal communication, analytical, and interpersonal skills, Project management experience, Equivalent combination of education and experience may be considered.

How to Apply:

Please visit our job board to learn more and apply:

https://careers.albertahealthservices.ca/jobs/senior-financial-analyst-463937