Member Services Administrator

4 weeks ago

Vaughan, Canada Ellement Consulting Group Full time

MEMBER SERVICES ADMINISTRATOR - VAUGHN
ABOUT ELLEMENT
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 Member Services Administrator to join our team in our Vaughn office.

As a Member Services Administrator, you will be part of an administration team that provides high-quality administration services to multiple clients and demonstrates outstanding and timely customer service. You will have access to and regularly work with information that is highly confidential and critical in nature. As a Member Services Administrator, you must be professional and highly organized, have excellent communication skills, with a strong work ethic, and the ability to work autonomously.

KEY ACCOUNTABILITIES AND RESPONSIBILITIES
- Answer incoming telephone calls from members and other contacts about Benefits (Health & Welfare) in a professional manner.
- Deliver accurate and comprehensive information in an efficient manner and document the contact per department procedures.
- Provide knowledgeable and comprehensive responses to benefit-related enquiries from clients and external professionals in a timely 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., as required.
- 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.

REQUIRED SKILLS & EXPERIENCE
- Fluency in English is essential. Bilingual in French would be considered an asset.
- Ability to maintain professionalism and tact while working in a dynamic team environment.
- Experience with pension plans, health benefit plans, or in the life insurance or financial services industry would be an asset.
- Attention to detail and commitment to accuracy of work.
- Excellent customer service skills, including an initiative to provide comprehensive service and information in response to inquiries.
- Good organizational skills and ability to prioritize tasks, including the ability to meet company service standards.
- Well-developed analytical, decision-making, and problem-solving skills.
- Flexible and adaptable.
- Excellent written and interpersonal communication skills and ability to work independently as well as part of a team.
- Ability to perform multiple tasks simultaneously (i.e., communicating with callers while retrieving information from systems and summarizing inquiries for call log).
- Successful completion of background check is required.

At Ellement, we believe in investing in our business and operating it as effectively as we can. One of the best ways we know is by hiring great people. 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. We offer a challenging, team-oriented work environment, competitive compensation, and benefits package, and ongoing support for your professional and personal growth.

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