Grant Processing Advisor/Claims Specialist - Remote / Telecommute

Requirement/Must Have

• High School Diploma or GED.
• Ability to establish and maintain effective working relationships with team members and management.
• Ability to learn quickly, problem solve, and work independently and in a team.
• Advanced Excel skills including pivot tables and lookup functions.
• Experience using Microsoft Office applications.
• Experience working in a team environment and managing others.
• Strong analytical, decision-making, and organizational skills.
• Experience prioritizing multiple tasks with high attention to detail and accuracy.
• Proven ability to show initiative and exercise sound business judgment in a fast-paced environment.

• Experience using advanced Excel tools.
• Experience using Microsoft Office applications.
• Experience working in a team environment and managing workloads.
• Experience in roles requiring strong analytical and organizational skills.

• Coordinate and complete pre-payment quality assurance and post-payment verification for claims.
• Investigate and resolve complex customer service and technical issues related to claims, payments, and adjustments.
• Monitor quality assurance reports prior to claim release and coordinate post-payment verification.
• Identify and report potential errors, risks, or fraud in claim submissions.
• Prepare reports on claims activity and business information needs.
• Maintain and monitor grant recovery activities including tracking, follow-ups, and reporting.
• Draft and issue repayment requests and escalate complex issues as required.
• Support information system improvements, testing scripts, and coordination of testing activities.
• Provide input to policy, training, and communication materials.
• Supervise, train, and support claim payment coordinators when assigned.
• Build and maintain relationships with internal teams and external childcare providers.

• Ability to learn quickly and solve problems in a team environment.
• Availability to attend onsite meetings in Edmonton if required.
• Experience using analytical and problem-solving skills to design solutions.

• Advanced Excel and data analysis.
• Reporting and documentation.
• Quality assurance and verification.
• Customer service and issue resolution.
• Process improvement.
• Team leadership and supervision.
• Communication and stakeholder management.

• High School Diploma or GED.