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Bilingual Benefits Administrator
2 months ago
Job Summary: We are seeking a highly organized and detail-oriented Bilingual Benefits Administrator to join our team at Ellement Consulting Group Limited Partnership. As a key member of our administration team, you will provide high-quality administration services to multiple clients and demonstrate outstanding and timely customer service.
Key Responsibilities:
- Answer incoming telephone calls from members and other contacts about benefits in a professional manner.
- 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.
Requirements:
- 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.
