Job Description
Who we are:
We’re a Kelowna based Third Party Administrator/Payor (TPA/TPP) 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 we’re looking for
We’re looking for a dynamic Benefits Administrator with a minimum of 2 – 4 years’ experience in the Benefits industry to work as part of our Customer Support team!
What you’ll do:
The Group Benefits Administrator will provide excellent customer service to our clients. This will include but is not limited to:
Answer phone calls and assist clients with claim/coverage inquiries when needed
Answer emails and assist clients with claim/coverage inquiries when needed
Answer ticket inquiries and assist clients with claim/coverage inquiries when needed
Processing enrollments, employee changes and terminations
Ability to 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 around coverage, members profiles, and where needed escalate issues to the corresponding team.
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.
Ad-hoc duties as required
What you need
Must have previous experience of 2-4 years in an insurance company, group benefits role, or similar
Previous experience in Customer Service role.
Exceptional interpersonal skills to build positive relationships with our clients.
Excellent communication skills both verbal and written.
Attention to detail and maintaining accurate client files.
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 and to see beyond the numbers.
Strong organizational skills including the ability to prioritize and multi-task.
A good understanding of personal computers and software, particularly MS Word, Excel, Outlook and G Suite.
Bilingual in French and English preferred but not required
What we can offer
Employer Paid Group Benefits Plan including:
Accidental Death & Dismemberment
Long Term Disability (employee paid)
Critical Illness
$1000 Flex Spending account
Opportunity for Growth
Full –Time, Monday to Friday schedule
Paid Vacation and Personal time off
Work life balance
Casual dress
Employee assistance program
Schedule:
8-hour shift - 10 am EST to 6 pm EST Monday to Friday
No weekends
Location:
IN OFFICE Ayr Ontario