Jen Dean

General duties including: non regulated claims, post claim verification, post claim cancellation, receipts in progress, health spending account claims, complex and simple adjustments, pend reports, written orders, mailbox inquiries, cross training for health spending accounts, assist other areas as needed.

General duties including: complex and simple adjustments, provider reversal requests, mailbox inquiries for extended health benefits, health spending accounts, and dental, assist other areas as needed.

General duties including: building standard and non standard plans, updating current plans, documenting all stages of builds, creating notifications, attaching notifications, maintaining yearly fee guides, assist other areas as needed.

General duties including: random sampling of Alberta Blue Cross, National Blue Cross, Federal Veteran Affairs Canada claims to ensure accuracy, sampling provider phone calls, various reports, reporting to various areas regarding accuracy, cheque returns, refund cheques, SIGMA report, SIGMA adjustments, maintaining EFT records, provider and member collections, subrogations, creating spreadsheets, responding to various areas regarding complex adjustments in both BlueExpress and SIGMA, cross training between health and dental quality assurance

General duties including: communicate with dental offices regarding member claims and plans, processing dental claims and predeterminations while maintaining accuracy, manage electronic claims