Sama Talent Group is an international recruitment company dedicated to connecting businesses with skilled professionals through remote placements and on-site workforce deployments with full visa sponsorship across multiple regions including Europe, the US, Australia, and New Zealand. Responsibilities - Provide day-to-day administrative support across different departments as needed. - Carry out general office tasks to support smooth business operations. - Assist in organizing, maintaining, and updating records, files, and basic company information. - Support coordination of internal communications and basic scheduling activities. - Help prepare simple documents, reports, or data summaries when required. - Respond to general inquiries and provide assistance to staff, clients, or stakeholders. - Assist in handling routine operational tasks assigned by supervisors or management. - Support various ad-hoc tasks depending on business needs and workload demands.

Sama Talent Group is an international recruitment company dedicated to connecting businesses with skilled professionals through remote placements and on-site workforce deployments with full visa sponsorship across multiple regions including Europe, the US, Australia, and New Zealand. Responsibilities - Provide day-to-day administrative support across different departments as needed. - Carry out general office tasks to support smooth business operations. - Assist in organizing, maintaining, and updating records, files, and basic company information. - Support coordination of internal communications and basic scheduling activities. - Help prepare simple documents, reports, or data summaries when required. - Respond to general inquiries and provide assistance to staff, clients, or stakeholders. - Assist in handling routine operational tasks assigned by supervisors or management. - Support various ad-hoc tasks depending on business needs and workload demands.

Alberta Blue Cross® is an Alberta based organization dedicated to delivering exceptional customer experience and community leadership. We’re committed to providing the best health coverage to over 1.8 million members and take an active role in promoting wellness. We believe in what we do—and place trust in our employees to deliver our vision. Working at Alberta Blue Cross® means having a career where you’ll be recognized for your contributions. We value diversity, encourage our team members to maintain a healthy work-life balance and provide opportunities for career growth. OVERVIEW: Alberta Blue Cross® has an immediate opening for a temporary 12-month, full-time AADL Coordinator in our Provider Services department. You will be an ambassador on behalf of Alberta Blue Cross® and will handle incoming provider inquiries from multiple sources along with requests from AADL policy makers. As an AADL coordinator, you will focus on submission troubleshooting and provider education relating to the Alberta Aids to Daily Living program in a contact centre environment. This is an excellent opportunity for individuals to utilize their superior judgment and logical decision-making skills to a set variety of administration tasks. The successful candidate will be highly detail oriented and passionate about providing exceptional customer experience. In this work-from-home position, you will manage inbound and outbound calls. Our contact centre is open from Monday to Friday, 8:30-5:00 pm. WHAT YOU WILL DO: - Respond to telephone and written inquiries from providers, utilizing strong listening and problem-solving skills. - Ensures claims are processed and paid in accordance with Alberta Aids to Daily Living policies - Works independently to assess and determine appropriate system entry and correspondence for select requests. - Identifies and reports any adjudication or system problems to the Management Team - Identifies necessary changes to improve overall operation of adjudication. - Reports any discrepancies or suspect claims that are not in line with contractual agreement. - Assists as liaison between other departments within Alberta Blue Cross, or external partners as required. WHAT YOU WILL HAVE: - Wired internet connection - Experience with benefits administration and coordination would be considered an asset. - Demonstrated excellence in oral communication and listening skills in the delivery of superior service to customers. - Ability to work with minimal supervision and within a team environment. - Demonstrated problem-solving and decision-making capabilities. - Demonstrated excellent organizational skills. - Proficiency with Microsoft Teams, Word, Access, Excel, and PowerPoint. - Familiarity with government and community health programs and services would be beneficial. - Related post-secondary in health administration or insurance would be considered an asset. This position will remain open until a suitable candidate is selected. Alberta Blue Cross® is an inclusive employer committed to a workplace that reflects the diversity of the communities we serve. We empower and are advocates for our team members by welcoming, respecting and valuing their unique perspectives, backgrounds, and experiences. We offer the opportunity to work in an innovative, high-energy team-focused environment. If you have the qualifications we are looking for, apply online at careers.ab.bluecross.ca

Become a part of our caring community The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs basic administrative, operational, customer support, and computational tasks working on semi-routine and patterned assignments. The UM Administration Coordinator 2 provides non-clinical support, following established procedures ensuring best treatment, care, or services for members. - Prepare and forwards authorization request to clinical review - Work within defined parameters to identify work expectations and quality standards, but has some autonomy over prioritization/timing, and works. - Must be passionate about contributing to an organization focused on improving consumer experiences. Key Responsibilities: - Complete inbound and outbound provider calls to answer UM related questions and prepare authorization request for clinical review - Document calls and attach clinical information to the member's medical record - Create out written correspondence - Collaborate with multiple roles/departments/providers/team members Use your skills to make an impact Required Qualifications - 1 or more years administrative or technical support experience - Excellent verbal and written communication skills - Working knowledge of MS Office including Word, Excel, and Outlook in a Windows-based environment and an ability to quickly learn new systems - The company must provide accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); the company recommends a speed of 10Mx1M. - Must be passionate about contributing to an organization focused on improving consumer experiences Preferred Qualifications - Proficient using electronic medical record and documentation programs - Proficient and experience with medical terminology and/or ICD-10 codes - Associate or Bachelor's Degree in Business, Finance, Healthcare or a related field - Prior member service or customer service telephone experience - Experience with Utilization Review and Prior Authorization within a managed care organization Additional Information This job is M-F with one Saturday shift per month for two hours to meet our needs. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $40,000 - $52,300 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.