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Multi-Employer Benefits Coordinator
3 months ago
Multi-Employer Benefits Administration
ABOUT ELLEMENT
Ellement Consulting Group Limited Partnership (Ellement) is a leading actuarial consulting firm that has been delivering actuarial, administrative, software development, and advisory solutions for pension, benefits, and investment programs for various stakeholders, including individuals, corporations, unions, associations, and governmental entities across Canada since 1996. Our objective is to create, implement, and oversee employee benefit programs that ensure economic security at a fair and manageable cost.
POSITION SUMMARY
In the role of Multi-Employer Benefits Administrator, you will be an integral part of an administration team dedicated to providing exceptional administrative services to a diverse client base while exemplifying outstanding and timely customer support. You will frequently handle sensitive and confidential information that is crucial to our operations. As a Multi-Employer Benefits Administrator, professionalism, strong organizational skills, and excellent communication abilities are essential, along with a robust work ethic and the capacity to operate independently.
KEY ACCOUNTABILITIES AND RESPONSIBILITIES
- Professionally manage incoming calls from members and other stakeholders regarding Benefits (Health & Welfare).
- Provide accurate and thorough information efficiently while documenting interactions according to departmental protocols.
- Respond to voicemails and emails in alignment with client service standards, conducting necessary investigations and seeking assistance when required.
- Deliver knowledgeable and comprehensive answers to benefit-related inquiries from clients and external professionals promptly. Communicate with members of benefit funds, pensioners, local union representatives, Trustees, consultants, actuaries, auditors, and legal advisors as needed.
- Make necessary adjustments to the benefit eligibility database.
- Adjudicate health and dental claims thoroughly, ensuring accuracy and eligibility in accordance with the applicable plan's terms and conditions.
- Review and follow up on claims pending resolution daily with internal departments or external contacts as necessary.
- Contact healthcare providers, insurance companies, or claimants to verify claims-related information.
- Review and rectify daily quality assurance follow-up items as assigned by Senior Claims Administrators.
- Gather information requested by members and healthcare providers, coordinating mail-outs as needed.
- Accurately compile and summarize details regarding claim adjustments, appeals, and pension-related matters.
- Provide general administrative support, including typing, data entry, photocopying, filing, and scanning as required.
- Contribute to the team's objectives by completing additional administrative tasks or projects as assigned.
- Perform any other duties necessary to advance our Vision, fulfill our Mission, and uphold our Organization's Values.
Requirements
- Fluency in English is essential; bilingualism in French is an asset.
- Ability to maintain professionalism and tact in a dynamic team environment.
- Experience with pension plans, health benefit plans, or within the life insurance or financial services sectors is advantageous.
- Strong attention to detail and a commitment to accuracy in work.
- Excellent customer service skills, demonstrating initiative in providing comprehensive service and information in response to inquiries.
- Good organizational skills with the ability to prioritize tasks and meet service standards.
- Well-developed analytical, decision-making, and problem-solving capabilities.
- Flexibility and adaptability in a changing environment.
- Exceptional written and interpersonal communication skills, with the ability to work independently as well as collaboratively.
- Capability to manage multiple tasks simultaneously (e.g., communicating with callers while retrieving information from systems and summarizing inquiries for documentation).
- Successful completion of a background check is required.
Benefits
At Ellement, we prioritize investing in our business and ensuring effective operations. One of the key strategies we employ is hiring exceptional individuals. We believe that by investing in our employees and promoting continuous education, training, and development, we foster an environment where staff feel supported, engaged, and involved. We offer a challenging, collaborative work environment, competitive compensation, a comprehensive benefits package, and ongoing support for your professional and personal development.
We appreciate all candidates who express interest; however, only those selected for an interview will be contacted.
