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Group Administration Specialist

2 months ago

Kitchener, Ontario, Canada Equitable Full time
Group Administration Specialist

Join our team at Equitable, a leading insurance company in Waterloo, ON, Canada, where you'll have the opportunity to grow and reach your full potential in a friendly and collaborative work environment.

**Job Summary:**

We're seeking a highly motivated and detail-oriented Group Administration Specialist to provide exceptional client service and administrative support to our plan administrators and advisors. As a key member of our team, you'll be responsible for ensuring the smooth operation of our group claims and administration management department.

**Key Responsibilities:**

  • Provide excellent client service via phone and written correspondence, ensuring timely and accurate responses to inquiries and requests.
  • Update and validate plan member and plan sponsor information, ensuring accuracy and compliance with regulatory requirements.
  • Assist plan members and plan sponsors with account activations, terminations, and reinstatements, ensuring seamless transitions and minimal disruption to services.
  • Administer pay direct drug cards, including problem-solving and utilizing provider software to resolve issues efficiently.
  • Terminate and reinstate plan members, divisions, and group contracts, ensuring only eligible claims are paid and compliance with regulatory requirements.
  • Provide support to other applicable Group departments by assessing and confirming member eligibility, ensuring accurate and timely processing of claims.
  • Request medical evidence of insurability when necessary, ensuring compliance with regulatory requirements and accurate processing of claims.
  • Interpret system audit reports and take corrective action when required, ensuring data integrity and accuracy.

**What You'll Bring:**

  • Excellent client service skills, with the ability to provide timely and accurate responses to inquiries and requests.
  • Strong administrative skills, with attention to detail and ability to maintain accurate records.
  • Ability to work independently and as part of a team, with excellent communication and interpersonal skills.
  • Proven problem-solving skills, with the ability to analyze issues and develop effective solutions.
  • Knowledge of group claims and administration management principles and practices, with the ability to apply this knowledge in a fast-paced environment.

**What's in it for You:**

  • A healthy work-life balance with employee wellness top of mind.
  • Annual bonus program, annual vacation allowance, and company-paid benefits program.
  • An additional paid volunteer day each year, allowing you to give back to the community.
  • Immediate enrollment in the company's pension program with employer matching.
  • Employee resource groups that support an inclusive work environment.
  • Tuition support and specialized program assistance.
  • An onsite full-service cafeteria with a variety of daily options.
  • Discounts on company products and services, and access to exclusive employee perks.
  • Regular EQ Together events focused on company togetherness and collaboration.