New job Claims Officer in Alberta

Job Information

Job Requisition ID: 4857

Ministry: Health

Location: Edmonton

Full or Part-Time: Full Time

Hours of Work: 36.25 hours per week

Regular/Temporary: Regular

Scope: Open Competition

Closing Date: June 17, 2021

Classification: Program Services 2

About Us

The Ministry of Health leads work in the areas of Alberta health insurance and benefits, doctors, hospitals and facilities, and other healthcare supports and information. For more information on the work Alberta Health does, visit this link:

The Third Party Liability Unit is part of the Financial and Corporate Services Division, Corporate Services Branch, of the Ministry of Health. For more information on the Third Party Liability Unit, visit the attached link:

Role

The Third Party Liability (TPL) Unit of the Ministry of Health is looking for a strong professional and team player to assist in recovering the Crown’s health care costs related to personal injury matters.

As a Claims Officer, you act on behalf of the Government of Alberta in recovering personal injury costs. Specifically, you work under the authority of the Crown’s Right of Recovery Act and assist in recovering the costs for health care that were the result of injuries suffered due to the wrongful act or omission of a third party.

Building off your knowledge of insurance claims, personal injury, and/or law and legal processes surrounding this work, you receive notification of personal injury claims (including slips and falls, assaults, medical negligence, and product liability etc) from lawyers and insurance companies and assess the file in accordance with the Crown’s Right of Recovery Act. Your understanding of medical terminology, mechanisms of injury, and cause and effects or traumatic and non-traumatic medical conditions supports your review of health services and medical records. You make assessments regarding the injuries related to the incident, determine if the Crown has a claim, and determine which health costs were incurred due to the injury.

Knowledge of the legal system, navigating communication with legal professionals, and directly related laws enhances your ability to achieve results with respect to maximizing the recoveries of health care costs incurred by the Government of Alberta on behalf of recipients injured due to the wrongdoing of third parties. Your role helps to ensure fiscal accountability and responsibility with respect to ensuring that public funds are recovered from the responsible wrongdoer.

Your communication is key to support the outcomes of your files. Your ability to communicate, influence, and negotiate with lawyers and insurance companies is a large part of your skill set. Your ability to develop networks allows you to ensure that legal counsel is retained to represent the file on behalf of the Crown and act in the Crown’s best interests. And your ability to build collaborative environments with stakeholders (including lawyers, insurance companies and other government departments) ensures that the interests of the Crown are represented and stakeholders are working together to reach desired results.

Your agility allows you to manage and prioritize approximately 450 cases, while meeting the demands for tight timelines and urgent priority work. Your ability to demonstrate systems thinking allows you to navigate the complexity of the legal system and personal injury field, taking into consideration the understanding that each file is part of a larger integrated and inter-related environment. You understand the implications of legal precedents and are aware of the impacts certain actions/outcomes in one file can have on the larger legal system.

Overall, you are a team player and willing to dig into files, investigate cases, and support files through the entire litigation process. Your attention to detail ensures that claims are concluded and the payment of appropriate amounts, legal releases, and court documents are filed on behalf of the Crown. Furthermore, you help find ways to improve policies and processes to help streamline the way work is done, always looking for ways to improve.

Qualifications

University graduation in a related field is required. Education in the related areas of insurance, law, medical claims is ideal.

Some related working experience is required. Directly related experience in personal injury claims processing and/or litigation is required.

Preference will be given to candidates that have directly related experience.

Experience with the following are considered assets:

• third party liability, and/or
• applicable legislation including
  • Crown’s Right of Recovery Act,
  • Contributory Negligence Act,
  • Limitations Act,
  • Insurance Act,
  • Health Information Act, and/or
  • Freedom of Information and Protection of Privacy Act
  
  

The following equivalencies will be considered:

• Related one-year post-secondary certificate and 3 or more years of related experience; and
• Related two-year post-secondary diploma and 2 or more years of related experience

A cover letter outlining how your experience relates to the qualifications of this role is required.

APS Competencies

Competencies are behaviors that are essential to reach our goals in serving Albertans. We encourage you to have an in depth understanding of the competencies that are required for this opportunity and to be prepared to demonstrate them during the recruitment process.
The link below will assist you with understanding competencies:

Salary

$2,281.95 to $2,993.39 bi-weekly

Notes

Hours of Work

• 36.25 hours per week (full time)

This position may be used to fill future vacancies across the Government of Alberta, at equal or lower classification and salary.

Other information:

• A cover letter outlining how your experience relates to the qualifications of this role is required
• Written assessment may be used as part of the screening/selection process.
• Top candidates will be required to undergo security screening.

For more information on the Government of Alberta hiring process, view this link:

How To Apply

If you are not currently an employee with the Government of Alberta, the first step in applying for a job is creating your candidate profile within our online application system,

Existing employees should access the Career tile in 1GX to submit their application in order to be recognized as an internal applicant.

Once you have created your candidate profile, visit the Alberta Public Service job site to apply for jobs at

Tips for applicants:

It is recommended that applicants who have obtained educational credentials from outside of Canada and have not had them previously assessed, obtain an evaluation of their credentials from the International Qualifications Assessment Service (IQAS)

Closing Statement

This competition may be used to fill future vacancies, across the Government of Alberta, at the same or lower classification level.

We thank all applicants for their interest. All applications will be reviewed to determine which candidates' qualifications most closely match the advertised requirements. Only individuals selected for interviews will be contacted.

If you require any further information on this job posting or a copy of the role profile, please contact Jagreet Uppal, Talent Acquisition Services Administrator at [email protected].

If this competition is closed as per the closing date noted above, please continue to check