Health and Funeral Benefits Unit Assessor

Role Responsibilities

The Health Benefits Unit Assessor is responsible for the assessment of applications to determine eligibility for Alberta Child Health Benefit (ACHB) and Alberta Adult Health Benefit (AAHB) programs, Alberta Funeral Benefits, Residential Accessibility Modification Program (RAMP), Safer Spaces Program, Health Benefit Exception Committee (HBEC) and Continuous Positive Airway Pressure (CPAP) Requests.  The Assessor interprets complex legislation, policies and guidelines for these programs, and in doing so, exercises considerable discretion and judgment in making decisions about eligibility.

Reporting to the Supervisor, the Assessor also performs contact center duties that involve responding to a large number of client calls in order to liaise between both internal and external stakeholders, provide updates on the status of applications, trouble shoot issues, provide interpretations of legislation and policy, and provide complex information on unit programs and services. 

You will also be responsible for the following, but not limited to:

• Determining eligibility according to program legislation and administrative procedures.
• Performing income/medical review requests as required.
• Preparing letters and emails to applicants, to delivery sites staff, physicians, and service providers regarding decisions and incomplete applications, and for collection of missing information.
• Working effectively with internal and external stakeholders including, but not limited to: Service Alberta, Alberta Health, Alberta Blue Cross, Alberta Dental Services, Assisted Living and Social Services, Labour and Immigration
• Conducting research and collecting applicable documentation from clients and/or stakeholders to ensure client eligibility.
• Applying program policies and legislation to client files to determine eligibility.
• Primary link between delivery sites and third-party medical consultant regarding CPAP requests for AISH (Assured Income for the Severely Handicapped) and Income Support (IS) programs.
• Primary link between delivery sites and clients regarding Health Benefit Exception Committee requests for Alberta Health Benefits, AISH (Assured Income for the Severely Handicapped), and Income Support (IS) programs.
• Primary link between Funeral Service Providers and clients regarding Funeral Benefit grant applications.
• Primary link between applicants, social workers, occupational therapists, physicians, and home modification service providers.
• Primary link between Health Benefit clients, health service providers, and health/dental vendors.
• Primary link between applicants who are victims of abuse and emergency protection and shelter service providers.
• Interpreting and assessing information on program legislation, regulations and policy for clients and Albertans by telephone and email.
• Providing holistic assessment and provide guidance to clients on program eligibility, application/appeal procedures and processes.

Please click on this link to view the job description for this position.

APS Competencies

Competencies are behaviors that are essential to reach our goals in serving Albertans. We encourage you to have an in depth understanding of the competencies that are required for this opportunity and to be prepared to demonstrate them during the recruitment process.

This link will assist you with understanding competencies:
https://www.alberta.ca/system/files/custom_downloaded_images/psc-alberta-public-service-competency-model.pdf.

The following competencies will support your success in this role:

• Agility
• Drive for Results
• Develop Self and Others
• Build Collaborative Environments
• Develop Networks
• Systems Thinking
• Creative Problem Solving

Qualifications

High school diploma and four years of related experience 

Equivalencies will be considered as directly related education or experience based on 1 year of education for 1 year of experience or 1 year of experience for 1 year of education.

The following are requirements for the position:

• Possess in-depth knowledge of all applicable legislation, regulations, policies, criteria, guidelines, processes and procedures for client funding and to determine eligibility and calculate assessments.
• Excellent, accurate, articulate and concise verbal, writing, and mathematical abilities.
• Be able to research, create and analyze information provided on IT systems and paper application/correspondence.
• Analytical, research, and decision-making skills, including ability to pay close attention to detail.
• Organizational and time management skills, including ability to function effectively in a high volume work environment.
• Ability to effectively manage stress and difficult situations.
• Confidence and ability to efficiently and effectively diffuse hostility and resolve conflicts.

Assets: 

• Familiarity with computers and ability to learn unfamiliar systems
• Attention to detail
• Flexibility and adaptability to rapidly changing situations
• Good recall of learned information
• Research, analysis, and critical thinking skills

Minimum recruitment standards outline the minimum education and experience required for appointment to a job classification. 
Refer to https://www.alberta.ca/alberta-public-service-minimum-recruitment-standards.

Notes

This posting is going to be used to fill permanent and temporary (2 year) full time positions in Edmonton.

Hours of work are 36.25 hours weekly. 

In your resume, please include dates (including months and years) associated with all education and work experience. Also, please indicate whether your work experience is casual, part time or full time.

Your cover letter and resume will be used as a screening tool to assess your written communication. An additional written assignment may be used as part of the screening process.

Any costs associated with obtaining the required documents/checks as noted or interview travel expenses, will be the responsibility of the candidate. Out-of-province applicants can obtain the required documents/checks from the province they currently reside in. 

Links and information on what the GoA have to offer to prospective employees.

• Working for the Alberta Public Service - https://www.alberta.ca/advantages-working-for-alberta-public-service.aspx.
• Public Service Pension Plan (PSPP) - https://www.pspp.ca.
• Alberta Public Service Benefit Information - https://www.alberta.ca/alberta-public-service-benefits.
• Professional learning and development - https://www.alberta.ca/professional-development-support-directive.
• Research Alberta Public Service Careers tool – https://researchapscareers.alberta.ca.
• Positive workplace culture and work-life balance.
• Opportunity to participate in flexible work arrangements such as working from home up to two days per week and modified work schedule agreement.
• Leadership and mentorship programs.