Group Benefits Administrator & Customer Service Representative

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 forWe’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 GrowthFull –Time, Monday to Friday schedulePaid Vacation and Personal time offWork life balance Casual dressEmployee assistance program
Schedule:

• 8-hour shift - 10 am EST to 6 pm EST Monday to Friday
• No weekends

Location:

• IN OFFICE Ayr Ontario