Disability Overpayment Recovery Specialist

Job Responsibility: About Pacific Blue Cross Pacific Blue Cross (PBC) has been British Columbia's leading benefits provider for over 80 years. We are an independent, not-for-profit society with strong roots in BC's health care system. We provide health, dental, life, disability, and travel coverage to 1 in 3 British Columbians through employee group plans and individual plans. We are fueled by a commitment to keep health care sustainable for all British Columbians. Through our PBC Health Foundation, we fund projects that improve health outcomes directly related to mental health and wellbeing as well as the prevention and/or management of chronic disease. We are interested in finding people who want to make a difference and who are looking to grow their career with us. Perks

• Work-life balance with flexible working hours of 7 hours per day, Monday to Friday (i.e., 35 hours per week).
• Paid vacation starts at 3 weeks per year, and increases with years of service.
• Hybrid work environment (i.e., a combination of work from office and work from home days).
• Generous benefits, including extended health, dental, and life insurance; these benefit premiums are 100% paid by PBC.
• Education allowance up to $1,000 per calendar year.
• Onsite gym, cafeteria, and access to virtual doctors/counsellors 24/7 via our Employee Family Assistance Program!

About the Position

• We are searching for 1 Temporary up to 12 months Disability Overpayment & Recovery Specialist to join our Finance team.
• This position is unionized and part of the CUPE 1816 Bargaining Unit. This position is paid at hourly rates and receives wage increases in accordance with the Collective Agreement. The starting wage for this position is: $33.09 per hour.

Job Summary Under the broad managerial direction of the Team Leader, Collections, analyzes, investigates and reconciles disability claims overpayment collections by reviewing correspondence, researching and reviewing wage loss payment history performing manual calculations, interpreting legal case precedents, and negotiating settlements. Reviews referrals for write-offs, approves within limits and refers overlimit write-offs to Team Leader, Collections. Initiates and maintains contact as required with various stakeholders to negotiate settlement amounts, collect payments, and answer inquiries. Represents PBC and its entities at Small Claims Court as required. Performs other administrative duties relating to the provision of collection services. Job Duties Disability Claims Overpayment Administration and Third-Party Settlements 1. Analyzes, investigates, and reconciles disability claims overpayments and recoveries by:

• Reviewing disability claims overpayment correspondence received; researching and reviewing disability benefit payment history to determine which wage loss claims may be reimbursed through a third-party settlement;
• Manually entering relevant group, member, and financial data such as potential recovery quotes, invoices, and payments into systems including collecting and matching payments in accordance with accounting and internal control standards, as well as opening a file and following up;

- Calculating pre- and post-legal settlement of overpayment on ICBC, WorkSafeBC, and Canadian Pension Plan (CPP) approval;

• Interpreting legal case precedents and relevant legislation that may impact on PBC and its entities;
• Administering recoveries and/or reduction of wage loss;
• Recommending process changes to Team Leader, Collections;
• Negotiating settlement amounts with lawyers and payment arrangement schedules with clients or members in accordance with established practice and parameters.
• Conducting skip tracing as required;
• Processing payments into the system by entering the received amount in order to update the claimant's or group's history and experience;

2. Within established limits, may write-off outstanding collections items or refer to Team Leader, Collections; for write-off if above authorized limit. Customer, Client, and Member Service 3. Initiates and maintains contact verbally or in writing as required with claimant, policyholder, union representative, trustee, lawyer, or third-party provider (i.e., WorkSafeBC or ICBC) to initiate collections procedures. Clarifies and reinforces application of the relevant parts of the group contract, policies, terms, and conditions, as well as relevant legislation, and case law precedence. 4. Represents PBC and its entities as required at Small Claims Court settlement conferences and/or court hearings by preparing documentation and evidence; filing notice of claim or lien; and negotiating settlement and/or payment arrangement with client within parameters established with Team Leader, Collections. 5. Generates monthly reports and statements for internal and external stakeholders. General Team and Department Support 6. Oversees maintenance of collections management system including troubleshooting issues, updating reports, and posting transactions. 7. As a subject matter expert, provides technical advice on all collection practices, procedures and tools to team members and other stakeholders. Approves close off transactions for other team members within established limits. 8. On a one-to-one basis, supports employees by demonstrating the execution of specific tasks and duties, and sharing knowledge and experience on request. 9. Using the intermediate features of word processing software, produces a variety of documents such as correspondence, forms and reports, and letters requiring mail merge functions. 10. Using the intermediate features of spreadsheet software, creates, edits and formats worksheets including entering and editing data, creating complex formulas; modifying the layout of existing worksheets and developing new spreadsheets using such features as sorting and filtering concepts; imports data from other applications. 11. Maintains up-to-date knowledge of collection best practices and other information related to the provision of collection services through continuous learning initiatives. 12. On an occasional relief basis, may perform the duties of the EHC and Dental Collections Administrator, the Third Party Collections Administrator, or the Group Collections Administrator. 13. Performs other assigned duties related to the provision of collections services and/or support which do not affect the rating of the job. Qualifications

• High school graduation or equivalent
• 3 years previous related experience in collections administration including demonstrated experience in disability insurance claims collections, or equivalent experience
• Completion of a Financial Accounting course (36 hours) or equivalent
• Completion of a Business Law course (36 hours) or equivalent
• Completion of a Business Communications course (36 hours) or equivalent
• Completion of an Intermediate Excel course (18 hours) or equivalent
• Completion of an Intermediate Word course (18 hours) or equivalent
• Demonstrated proficiency with Intermediate Word and Intermediate Excel, typing 40 wpm, keystroking 10,000 ksph, and math

If you're excited about taking on this opportunity, we invite you to apply today and start the conversation with us about this position. Please apply via our website this week at While we thank all applicants for their interest, only short-listed candidates will be contacted. Diversity, Equity, and Inclusion PBC is an Indigenous Works employer of choice, an Insurance Business Canada Diversity, Equity, and Inclusion award winner, one of Canada's Greenest employers, a Canadian Centre for Diversity and Inclusion (CCDI) employer partner, and a Pride at Work partner. We strive to create a workplace where everyone feels valued and employees feel empowered to freely participate and contribute regardless of race, ethnicity, gender, sexual orientation, religion, ability, education level, parental status, or socioeconomic status. We are an equal opportunity employer and welcome applications from all qualified candidates. To request an accommodation in completing this job application, testing, interviewing, or otherwise participating in the employee selection process, please direct your inquiries to View email address on ca.edajobs.com . These accommodation requests will be reviewed confidentially and, on a case-by-case basis by Human Resources.