Job Description
Who we are
We’re a National Third-Party Administrator/Payor (TPA/TPP), with offices located in Kelowna BC & The Waterloo Region. Simply Benefits is improving the health benefits experience for employers, insurers and, well, everybody! Our team leverages digital-focused strategies to provide members with fast, easy and thoughtful benefits experiences. To put it simply, we provide group benefits plans, but we’re a technology company first. Our team embraces autonomy, complexity and a connection between effort and reward as three qualities that foster a truly satisfying career and strive to separate ourselves from the corporate herd.
What You’ll Do
Reporting to the Group Administration & Customer Service Manager, key responsibilities include but are not limited to:
Processing enrollments, employee changes and terminations
Ability analyze and investigate premium discrepancies.
Processing of disability, Life, Critical illness and Out-of-Country claims
Interpret related Benefit policies and procedures and support compliance with government and provincial regulations.
Taking ownership and resolving client issues and concerns to the satisfaction of the client and business unit, including but not limited to interacting with customers (French / English) in a customer service capacity.
Ability to navigate the system to efficiently answer questions (French / English) around coverage, members profiles, and where needed escalate issues to the corresponding team.
Answer phone calls and assist members with claim/coverage inquiries when needed.
Referring questionable/contentious claims for evaluation as needed and providing recommendations for action to help minimize fraud.
Maintaining and updating all applicable system records.
Contribute to the continuous improvement of business processes.
What you need
Post-secondary education and additional benefit plans courses (such as CEBS) or equivalent work experience.
Experience working in benefits industry
Excellent communication, problem solving and analytical skills
Highly organized, accurate and detail oriented; well developed ability to perform complex mathematical calculations and to see beyond the numbers
Dedicated team player with the ability to take the initiative, be independent with a positive attitude and dedication to quality and accuracy
Must be a fast learner with a demonstrated ability to work in a self managed manner, with an exceptional ability to meet hard deadlines while able to handling multiple tasks
Creative thinker with ideas that will drive efficiency and improve team performance
A good understanding of personal computers and software, particularly MS Word, Excel, PowerPoint, Publisher, Outlook and G Suite
Benefits
Casual dress
Dental care
Employee Assistance Program
Extended Health Care
Life insurance
Paid time off
Vision care
Wellness program
Schedule
8 hour shift
Day shift
Monday to Friday
Location
Ayr, ON
Job Types: Full-time, Permanent
Pay: $53,000.00-$57,000.00 per year
Experience:
Working in a group benefits environment: 1 year (preferred)
Language:
French (required)
Schedule:
8 hour shift
Monday to Friday
Work Location: In person