Alberta Blue Cross

Claims Specialist

• Enter and manage dental claims and treatment plans to ensure timely payment for providers and members
• Research and compile information from various sources to resolve inquiries and claim discrepancies
• Consult with senior staff when assistance is required
• Contact providers to obtain necessary information to assess claims
• Adjudicate claims according to Dental Provider Services policies and standards
• Monitor individual production to meet claim turnaround expectations
• Suggest workflow improvements and increase efficiency
• Review and update documentation as required

Dental Claims Coordinator – Provider Services

Security Engineer

• Define and maintain the enterprise cloud and security architecture vision, principles, standards, and target state
• Translate complex architectural, technology, cloud, and security considerations into executive options, trade-offs, and recommendations
• Develop and evolve enterprise reference architectures and approved patterns for cloud platforms, identity, access, networking, security, hybrid cloud, resilience, observability, and compliance
• Establish architectural guardrails for secure and responsible use of cloud services
• Provide architectural leadership across on-premises environments, cloud platforms, cybersecurity, and integrated enterprise systems
• Guide portfolio and solution architects on major cloud and security architecture decisions
• Review significant programs, platforms, and investments for alignment with enterprise standards and target-state architecture
• Partner with cloud, cybersecurity, privacy, legal, risk, infrastructure, and operations leaders
• Assess current-state capabilities, identify fragmentation and technical debt, and recommend improvement priorities
• Support enterprise roadmaps and strategies for cloud platforms, cybersecurity, integration, resilience, observability, and modernization
• Identify enterprise-level risks and opportunities and advise leadership
• Provide architecture oversight and governance for major cloud- and security-related initiatives and investments
• Influence technology and platform investment decisions through an enterprise architecture lens

Enterprise Cloud & Security Architect – Information Technology

Analyst

• Provide technical leadership, solution design, development, operational support, and consultation for business-critical identity, authentication, authorization, security, and access management solutions
• Collaborate with business stakeholders, technical teams, project resources, and leadership on the reliability, security, and evolution of Identity Solutions
• Provide senior technical leadership and Identity domain expertise for Identity & Access Management services and related technologies
• Collaborate with Enterprise Architecture, Security, and project teams to guide solution design, support technology roadmaps, and align with enterprise standards and business priorities
• Evaluate requirements, identify risks, and recommend effective solutions
• Design, implement, enhance, and support identity and access management solutions
• Mentor and support team members through knowledge sharing, technical guidance, and collaborative problem solving
• Lead analysis, design, development, testing, implementation, and support of enterprise identity solutions
• Support BAU operations, sustainment activities, and continuous improvement initiatives
• Lead troubleshooting for complex production issues and major incidents
• Conduct root cause analysis and recommend corrective actions
• Support project delivery, business enhancements, modernization initiatives, and strategic technology investments
• Support authentication, authorization, RBAC, and identity governance processes
• Participate in vulnerability assessments, audits, access reviews, and security investigations
• Assess technical, operational, and security risks and provide recommendations
• Support compliance with organizational security, privacy, and technology standards

Senior System Analyst – Information Technology

Manager

• Manage daily activities and provide direction, support and leadership to the Eligibility Services team
• Ensure work is completed accurately and within established turnaround times
• Coordinate resolution of complex Member Administration issues across applicable departments
• Lead and participate in corporate projects and work groups
• Assess impacts of system and process changes on business processes, resources and service delivery
• Support change management and ensure timely implementation
• Communicate policy, procedural and system changes to impacted departments
• Conduct performance reviews, track team and individual metrics, and provide feedback, coaching and development opportunities
• Support performance and learning plans and develop staff toward greater autonomy and accountability
• Build and maintain effective relationships with internal and external customers, stakeholders and coworkers
• Represent Group Administration in corporate work groups, projects and cross-functional initiatives
• Identify and recommend system, process, policy and procedural improvements
• Work with Business Support and other areas to document, prioritize and implement enhancements
• Develop and execute solutions supporting department and division strategies, operational plans and customer needs
• Champion AI-enabled tools and automated workflows to improve team efficiency, service quality and continuous improvement
• Create a positive working environment encouraging productivity, collaboration, innovation and accountability
• Lead projects and initiatives through timely completion and effective implementation
• Research and analyze information to resolve complex inquiries, escalations, complaints and unique situations

Team Manager – Eligibility Services, Member Enrolment, COB

• Oversee access governance operations, including security business role design, access requests, exceptions, and segregation-of-duties risk assessment and mitigation
• Plan and run the quarterly user access review program, track completion and removals, and report results to leadership and executive committees
• Set the IAM modernization roadmap and lead requirements, selection, and implementation of an Identity Governance and Administration platform
• Automate joiner, mover, and leaver processes
• Extend controls over privileged administrator accounts with Cybersecurity and Identity Solutions
• Maintain access management standards and procedures and define and report operating measures
• Provide access-control evidence for internal audits and the annual CSAE 3416 controls examination and lead remediation of access-related findings
• Guide business managers, application analysts, and project teams on least-privilege role design and access requirements
• Lead, coach, and develop the Identity & Access Management team
• Oversee access governance across the organization’s applications, systems, and data
• Own delivery of IGA platform selection and implementation within approved budget
• Coordinate access processes with Identity Solutions, the Service Desk, Human Resources, and application teams
• Represent Identity & Access Management in IT’s multi-year transformation program
• Provide updates to the Director, IT leadership, and executive committees on access reviews, risks, and modernization progress

Manager, Identity & Access Management – Information Technology

• Enter and manage claims to ensure timely payment for providers and members
• Research and compile information from various sources to resolve inquiries and claim discrepancies
• Consult with senior staff when assistance is required
• Respond to internal customer inquiries regarding benefits and claims assessment
• Follow through to resolve inquiries effectively and efficiently
• Contact providers and members to obtain information needed to assess claims
• Adjudicate claims according to unit procedures and Claim Services standards
• Monitor individual production to meet claim turnaround and volume expectations
• Suggest improvements to workflows and processes

Claims Coordinator – Claim Services

Collections

• Conduct recovery collection activities
• Manage fraud tips
• Prepare reports supporting business decisions and departmental objectives
• Perform administrative duties as required
• Communicate with members, providers, and internal stakeholders about outstanding balances and repayment arrangements
• Maintain accurate recovery and reporting records
• Assess and coordinate fraud tips
• Support investigations, audits, recovery efforts, and continuous process improvement initiatives
• Work independently and collaboratively to ensure information is accurate, organized, and actionable

Collections, Reporting, Investigation Officer – Claims Audit, Investigations Services

Director

• Lead, coach and develop the Investigation Services and Claims Audit team
• Develop and execute a multi-year strategy for claims audit, investigations, fraud risk management, prevention and education
• Oversee risk-based claims audit and investigation programs focused on member, provider and plan compliance
• Build relationships with internal teams and external stakeholders, including providers, plan sponsors, regulators and law enforcement
• Develop understanding of benefit programs, claims processes and controls, and recommend actions to reduce risk and strengthen program integrity
• Advance the use of data analytics, artificial intelligence and other technology to identify emerging risks and improve investigative effectiveness
• Establish performance measures and provide reporting and advice to senior leadership and Board committees
• Continuously improve claims audit and investigation methods, operating practices and service delivery
• Provide leadership in sensitive and complex matters while balancing fairness, customer experience, confidentiality and reporting
• Champion prevention, awareness and education to strengthen compliance

Director, Claims Audit – Investigation Services

• Adjudicate Short-Term Disability and Long-Term Disability claims
• Apply rules and regulations outlined in the Group Policy and CLHIA guidelines
• Plan, implement and evaluate case management principles
• Issue correct benefit payments
• Communicate professionally and accurately with stakeholders
• Manage assigned portfolio and become subject matter expert on assigned groups
• Develop and monitor treatment plans
• Plan return-to-work and rehabilitation programs
• Build relationships with involved parties
• Provide expert advice to internal and external customers
• Communicate with Medical Underwriting, Group Underwriting, Sales, Group Administration and Accounting regarding claims activities, eligibility and financial transactions

Case Manager – Life & Disability Services

Administration

• Greet and assist customers, visitors, and vendors
• Manage daily office operations and workplace services
• Manage courier, mail, outgoing deliveries, office supplies, and kitchen supplies
• Coordinate IT equipment distribution, pickups, and returns
• Coordinate conference and meeting room bookings, room setup, and post-meeting cleanup
• Coordinate office maintenance, furniture repairs, and facility-related service requests
• Administer employee security access cards, office floor and building access, and visitor sign-in procedures
• Manage workplace health, safety, and emergency protocols
• Coordinate inspections, maintenance, and reporting
• Replenish first aid supplies and safety notices
• Act as Floor Warden during evacuations and participate in Blue Watch Committee workplace safety and emergency preparedness activities
• Manage secure document disposal bins and oversee pickups
• Support records handling requirements in accordance with records management policy
• Upload, organize, and maintain electronic documents in a centralized document management system
• Coordinate with internal employees, Edmonton-based departments, building management, service vendors, and support teams

Office Administrator – Facilities and Corporate Services

Human Resources

• Manage the end-to-end processing of bi-weekly payroll, including data entry, validation, calculations, balancing, transmission, and employee-related payments
• Prepare payroll reconciliations, statutory filings, working papers, and supporting documentation for regulatory reporting, financial reporting, and audits
• Ensure payroll activities comply with applicable legislation, company policies, internal controls, and reporting requirements
• Serve as the primary contact for payroll-related inquiries from employees, leaders, and Human Resources
• Support Workday Payroll reporting, data validation, testing, upgrades, system enhancements, and new functionality implementation
• Administer pension-related payroll activities, including deductions, contributions, earnings, service reporting, adjustments, and remittances
• Identify and implement payroll process improvements through automation, workflow enhancements, system optimization, and continuous improvement initiatives
• Maintain accurate and confidential payroll records
• Support cross-training, special projects, and other team priorities as required

Payroll Specialist – Human Resources

Representative

• Welcome and onboard new health and dental clients by explaining coverage, benefits, claims processes, and Alberta Blue Cross tools and resources
• Build trusted relationships through proactive outreach and meaningful client conversations throughout the life of each plan
• Review client needs, benefit utilization, and engagement patterns to provide personalized insights and recommendations
• Educate clients on maximizing benefit value and navigating coverage confidently
• Identify opportunities for plan modifications or additional insurance solutions
• Resolve client questions and concerns with timely, thoughtful, personalized solutions
• Collaborate with internal teams to advocate for clients and improve the overall client experience
• Share client insights and feedback to support continuous improvement across products, services, and processes
• Reduce cancellations and increase leads through client recommendations
• Monitor client satisfaction, onboarding completion, monthly client contacts, recommendations, and opportunities for plan enhancements or additional coverage