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Grant Processing Advisor/Claims Specialist - Remote/Telecommute
Remote / Online - Candidates ideally in
Edmonton, Metcalfe County, Kentucky, 42129, USA
Listed on 2026-01-22
Edmonton, Metcalfe County, Kentucky, 42129, USA
Listing for:
Jobs via Dice
Remote/Work from Home
position Listed on 2026-01-22
Job specializations:
-
Healthcare
Healthcare Administration
Job Description & How to Apply Below
Location: Edmonton
Job Title
Grant Processing Advisor/Claims Specialist - Remote / Telecommute
Job LocationEdmonton, AB
Job TypeContract
Responsibilities- 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 elevate 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.
- High School Diploma or GED.
- Experience using advanced Excel tools and functions including pivot tables and lookup functions.
- Experience with Microsoft Office applications.
- Experience working in a team environment and managing workloads.
- Experience in roles requiring strong analytical and organizational skills.
- 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.
- 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.
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