Claims Associate

**Claims Associate** Union Benefits is Canada's only third-party administration company-owned and built by the union trust funds we work for. For 38 years, Union Benefits has been leading the way when it comes to supporting multi-employer union trusts in Canada. We deliver innovative and market-leading member pension, health benefit, vacation pay, supplementary unemployment benefit, and productivity bonus plans programs and services on an "at-cost" basis for our clients. We believe our purpose is to support the health and wellness of our union members and their families. Our Claims Associate’s work as part of a closely knit team to perform the daily activities required to maintain a high level of member satisfaction with a timely, accurate claims adjudication and payment experience. **Primary Responsibilities** - Adjudication of day-to-day Member claims including extended health care (paramedical, vision etc.) and dental claims / pre-determinations received in the mail and electronically using our automated claim administration system; ensure timely processing and payment of claims. - Day-to-day claims administration support, including preparation of daily claim reports; filing; mailing claim payments and statement of benefits; input member updates, etc. - Print cheques/create EFT file once adjudication has been completed for upload to the bank and insurance carriers. - Contact service professionals when required, e.g., dental offices for any additional information required, etc. - Work collaboratively with other departments at the Company’s main Waterloo office to ensure member or client issues are openly communicated and addressed in a timely fashion. - Other duties as may be assigned from time to time **Experience, Skills, and Education**: - Minimum 2 years Group Insurance claims adjudication experience. - College Diploma or University Degree or equivalent background and experience - **Fluent in French**: - Experience working directly with benefit plan members and service providers (e.g., dental office staff) to answer questions, gather additional information or manage issues with confidence. - Strong analytical skills with ability to handle problem solving with perseverance and accuracy. - You will be required to learn to work within our claim’s adjudication software program (Telus Adjudicare) for daily claims processing. A good working knowledge of Microsoft Office is also needed. - A self-starter with the ability to work independently and prioritize competing tasks in an ever-changing workflow environment. - A team player with a positive attitude who recognizes the need to work collaboratively within the claim’s team as well as other areas of the Company to ensure our clients are best served. If you want to work in a positive, challenging, and safe environment where your contributions are valued, please send us your resume Please note that our employees are currently working from home. Once we have returned to the office, work will take place in a hybrid format. Union Benefits is committed to creating an accessible environment for our employees and potential employees; we will attempt to make appropriate accommodations throughout the entire recruitment process. If you require accommodation, please advise us. **Job Types**: Full-time, Permanent **Salary**: From $1.00 per hour Additional pay: - Bonus pay **Benefits**: - Casual dress - Company events - Company pension - Dental care - Disability insurance - Employee assistance program - Extended health care - Life insurance - On-site parking - Paid time off - RRSP match - Vision care - Work from home Schedule: - Day shift - Monday to Friday COVID-19 considerations: Following all public health precautions Ability to commute/relocate: - Waterloo, ON N2V 2C9: reliably commute or plan to relocate before starting work (preferred) **Experience**: - Claims Adjudication: 2 years (preferred) - Group Insurance: 2 years (preferred) **Language**: - French (required)