Data Management and Administration Support

4 weeks ago

Vaughan ON, Canada Ellement Consulting Group Full time

Multi Employer Benefit Administration
Ellement Consulting Group Limited Partnership (Ellement) is a privately-owned actuarial consulting firm that has been providing actuarial, administration, software programming, and consulting solutions for pension, benefits, and investment programs for individuals, corporations, unions, associations, and governments for programs based in Canada since 1996. Our mission is to design, implement, and manage employee benefit programs for individuals and institutions to provide economic security at a reasonable and affordable cost.
We currently have a great opportunity for a Multi Employer Benefit Administration to join our team in our Vaughn office .
As a Multi Employer Benefit Administration, you will be part of an administration team that provides high-quality administration services to multiple clients and demonstrates outstanding and timely customer service. As a Multi Employer Benefit Administration, you must be professional and highly organized, have excellent communication skills, with a strong work ethic, and the ability to work autonomously.
Answer incoming telephone calls from members and other contacts about Benefits (Health & Welfare) in a professional manner.
Correspond with members of benefit funds, pensioners, local union officials, Trustees, consultants, actuaries, auditors, and legal counsel as required.
Make adjusting entries to the benefit eligibility database as necessary.
Adjudicate health and dental claims fully, within client service standards, verifying claim information for accuracy and eligibility in relation to the terms and conditions of the applicable plan.
Review and follow up on claims on hold daily with internal departments or external contacts as required.
Contact health care providers, insurance carriers, or claimants to verify claims-related information.
Review and correct daily quality assurance follow-up items, as assigned by Senior Claims Administrators.
Collect information requested by members and health service providers, and coordinate mail-out with Reception.
Thoroughly and accurately compile and summarize details about claim adjustments, claim appeals, and pension-related issues.
Provide general administrative support, such as typing, data entry, photocopying, filing, scanning, etc., Contribute to the team's effort by completing other administrative tasks or projects, as assigned.
Perform any other duties necessary to help drive our Vision, fulfill our Mission, and abide by our Organization's Values.

Fluency in English is essential. Bilingual in French would be considered an asset.
Experience with pension plans, health benefit plans, or in the life insurance or financial services industry would be an asset.
Flexible and adaptable.
We also know that by investing in our employees and encouraging ongoing education, upgrading, and training, we’re building an environment where staff feel supported, involved, and engaged.

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