Drug Services Coordinator - Winnipeg, Canada - Canada Life Assurance Company

Canada Life Assurance Company

Verified Company

Winnipeg, Canada

3 weeks ago

Posted by:

Sophia Lee

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Description

Job Description:

This position is suited to an individual who works well both independently and as part of a team, in an environment that is constantly changing.

The Prior Authorization Coordinator, Drug Services is responsible for assessing coverage of drugs that require prior authorization before allowing coverage under a group drug plan.

The incumbent reviews medical information based on guidelines in place, and in consultation with the Medical Board must determine if coverage can be approved or declined.

Once the decision is made, they must communicate the results both verbally and in writing to the plan member.

What you will do:

Review medical information submitted by the patient's physician to determine if all of the necessary information has been received in order to complete the assessment. If not, must correspond with either the plan member or the physician to obtain any missing information.
Determine, based on the group plan parameters, if coverage is eligible under the group plan.
Review the medical information and determine if further investigation with the Medical Board is required or if the assessment can be made based on the information available to you.
Correspond both by phone and in writing with plan members to advise and support the decisions made.
Provide support to the Great-West Life Group Offices, Sales & Marketing Centers, Benefit Payment Offices, and Group Customer Contact Services regarding prior authorizations.

What you will bring:

Living our values of Customer View; Integrity; Partnership; and Communities
Ability to deliver high quality results with speed and accuracy in a fast paced challenging and ever changing work environment
Strong organizational, quality and time management skills
Excellent analytical, investigative and problem solving skills
Strong customer service skills
Excellent verbal and written communication skills
Experience working in Excel, Word and Access. Excellent keyboarding skills of 40wpm
At ease navigating through multiple computer programs simultaneously
Knowledge of the insurance industry and exposure to drug plans will be considered an asset
Knowledge of BEN, TOCs, TSO and Cybrary will be considered an asset
Bilingualism (English and French) is considered an required

**Be your best at Canada Life

Being a part of Canada Life means you have a voice. This is a place where your unique background, perspectives and talents are valued, and shape our future success.

You can be your best here. You're part of a diverse and inclusive workplace where your career and well-being are championed.

You'll have the opportunity to excel in your way, finding new and better ways to deliver exceptional customer and advisor experiences.

***Together, as part of a great team, you'll deliver on our shared purpose to improve the well-being of Canadians. It's our driving force. Become part of a strong and successful company that's trusted by millions of Canadians to do the right thing.

We are one of Canada's top 100 employers

Canada Life serves the financial security needs of more than 13 million people across Canada, with additional operations in Europe and the United States. As members of the Power Financial Corporation group of companies, we're one of Canada's leading insurers with interests in life insurance, health insurance, investment and retirement savings. We offer a broad portfolio of financial and benefit plan solutions for individuals, families, businesses and organizations._
We are committed to providing an inclusive, accessible environment, where all employees and customers feel valued, respected and supported. We are dedicated to building a workforce that reflects the diversity of the communities in which we live, and to creating an environment where every employee _

- has the opportunity to_
- reach their potential._

**_
Canada Life would like to thank all applicants, however only those who qualify for an interview will be contacted_