Hiring

Group Service & Adjudicator Representative - Kelowna

We’re looking for a dynamic Group Service and Adjudicator Representative with a minimum of 2 years experience in the Benefits industry. They are responsible for handling group admin inquiries and processing of claims in a timely and efficient way. They will be knowledgeable enough to walk clients through enrolment process, plan designs and invoicing inquiries as well as providing claims processing assistance to the Support team!

What will you be doing:

The Group Service an Adjudicator Representative will provide excellent customer service to our clients. This will include but is not limited to:

• Processing enrollments, employee changes and terminations
• Ability to analyze and investigate premium discrepancies and to see beyond the numbers
• Interpret related Benefit policies and procedures and support compliance with government and provincial regulations
• Process claims and predeterminations accurately in a timely manner within established service standards
• Answer phone calls and assist members and providers with claim/coverage inquiries
• Contribute to the continuous improvement of business processes
• Additional basic tasks within Support Team as required

What you need:

• Must have a minimum of 2 years in an insurance company, group benefits role
• Exceptional interpersonal skills to build positive relationships with our clients
• Attention to detail and maintaining accurate client files
• Capable of interpreting and applying claim guidelines while working through ambiguous situations
• Dedicated team player with the ability to take the initiative, be independent with a positive attitude and dedication to quality and accuracy
• Highly organized, accurate and detail oriented; well developed ability to perform complex mathematical calculations
• Strong organizational skills including the ability to prioritize and multi-task
• Certification: None required although GBA or Group Benefits Certification would be considered an asset
• Bilingual (English /French) – no required but would be considered an asset
• A good understanding of personal computers and software, particularly MS Word, Excel, Outlook and G Suite

What we can offer:

• Group Benefits Plan
• Growth Opportunities
• Competitive Salary
• Job Type: Full-time, Permanent

Benefits:

• Group Benefits Plan
• Growth Opportunities
• Competitive Salary
• Full Time - Permanent 

Schedule:

• 8 hour shift
• Monday to Friday
• No weekends
  
  View the complete job details and apply through our posting on Indeed or send your resume to careers@simplybenefits.ca.