D.a. Townley

Pacific Blue Cross has been British Columbia's leading benefits provider for 80 years. We are an independent, not-for-profit society with strong roots in BC’s health care system. Together with our subsidiary BC Life, we provide health, dental, life, disability and travel coverage for approximately 1.5 million British Columbians through employee group plans and through individual plans for those who do not have coverage with their employers.

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We are fueled by a commitment to keep health care sustainable for all British Columbians. Through our Community Connection Health Foundation, we also provide funding to community organizations with a focus on alleviating mental illness and chronic disease. We're interested in finding people who want to make a difference and who will take advantage of every opportunity to build a career with us.

Pacific Blue Cross offers an attractive compensation and benefits package, fitness programs, and an onsite gym and cafeteria. Our workplace culture values health and wellness, continuing education, environmental sustainability and giving back to the community.

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We are currently recruiting for a Plan Administrator to join our D.A. Townley team This is a temporary (up to 18 months), full-time role, and will require working from both, office and home (hybrid).

**Job Summary**

Under the general supervision of the Team Leader and on an assigned basis, performs Plan Administrator functions in one, some or all of the following areas of operation:
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**Hour Bank Benefit Plans Administration**

Provides a wide range of administrative services to PBC clients, members, trustees, custodians and unions for hour bank plans designed to provide continuing benefit plans coverage based on accumulated hours worked for single or multiple employers on a month by month basis.

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**Non-Hour Benefit Plans Administration**

Provides a wide range of administrative services to PBC clients, members, employers and unions for non-hour benefit plans designed to provide benefit plans coverage for salaried groups with continuing employment.

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**Disability and Life Claims Administration**

Administers incoming weekly indemnity/wage loss claims to process and expedite payment for claims meeting qualifying criteria, initiates long-term disability claims for selected plans where short-term wage loss claims are reaching maximum coverage, confirms death or life waiver benefits and coordinates payment with carriers.

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**Pension Plan Administration**

Administers one or more assigned pension plans to ensure clients, members, trustees, custodians and other stakeholders receive contracted services in accordance with established standards of service quality, accuracy and turnaround time.

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All Plan Administrators provides a variety of accounting administrative support services to health benefit plans clients for hour bank, non-hour benefit plans and special fund plans to ensure timely and accurate production of monthly bank reconciliations, and synoptics, financial statements, billings and accounts payable. Maintains and update health benefit plan system data sources when plan changes are made by trustees and adds new groups and employers to a variety of technology platforms. Provide a variety of customer service and team support activities. May perform the primary TMSS Scheduler role for the department.

**Job Duties**

On an assigned basis, performs Plan Administrator functions in one, some or all of the following areas of operation:
**_Hour Bank Benefit Plans Administration_**.

Provides a wide range of administrative services to Pacific Blue Cross clients, members, trustees, custodians and unions for hour bank plans designed to provide continuing benefit plans coverage based on accumulated hours worked for single or multiple employers on a month by month basis by:

- receiving employer submissions of hours worked for new employees and those already qualified for coverage, keying hours into PBC’s online systems, tracking hours, determining eligibility for benefits coverage based on each plan’s business rules and policy requirements and processing claims for all types of benefit coverage;
- seeking direction from plan custodians for administering exceptions to plan provisions such as new employees not signed up with the applicable union, employees working on special projects with “no money hours” or requests for wage loss benefits prior to accumulating sufficient qualifying hours;
- enrolling new and reinstated employees on hour bank plans and on individual components of the plan including accessing the provincial MSP system when plan criteria has been met;
- preparing and distributing information packages and enrolment forms to new members and processing upon return;
- issuing enrolment and drug cards;
- keying status changes and terminations in online systems;
- monitoring status of self-pay plans and advising member of available options for continuing coverage;
- entering,