Group Administrator

2 weeks ago

Ayr, Canada Simply Benefits Full time

**Group Administrator & Bilingual Client Coordinator**

**Who we are**

We’re a National Third-Party Administrator/Payor (TPA/TPP), with offices located in Kelowna BC & The Waterloo Region. Simply Benefits is improving the health benefits experience for employers, insurers and, well, everybody Our team leverages digital-focused strategies to provide members with fast, easy and thoughtful benefits experiences. To put it simply, we provide group benefits plans, but we’re a technology company first. Our team embraces autonomy, complexity and a connection between effort and reward as three qualities that foster a truly satisfying career and strive to separate ourselves from the corporate herd.

**What You’ll Do**:
Reporting to the Group Administration & Customer Service Manager, key responsibilities include but are not limited to:

- Processing enrollments, employee changes and terminations
- Ability analyze and investigate premium discrepancies.
- Processing of disability, Life, Critical illness and Out-of-Country claims
- Interpret related Benefit policies and procedures and support compliance with government and provincial regulations.
- Taking ownership and resolving client issues and concerns to the satisfaction of the client and business unit, including but not limited to interacting with customers (French / English) in a customer service capacity.
- Ability to navigate the system to efficiently answer questions (French / English) around coverage, members profiles, and where needed escalate issues to the corresponding team.
- Answer phone calls and assist members with claim/coverage inquiries when needed.
- Referring questionable/contentious claims for evaluation as needed and providing recommendations for action to help minimize fraud.
- Maintaining and updating all applicable system records.
- Contribute to the continuous improvement of business processes.

**What you need**:

- Post-secondary education and additional benefit plans courses (such as CEBS) or equivalent work experience.
- Experience working in benefits industry
- Excellent communication, problem solving and analytical skills
- Highly organized, accurate and detail oriented; well developed ability to perform complex mathematical calculations and to see beyond the numbers
- Dedicated team player with the ability to take the initiative, be independent with a positive attitude and dedication to quality and accuracy
- Must be a fast learner with a demonstrated ability to work in a self managed manner, with an exceptional ability to meet hard deadlines while able to handling multiple tasks
- Creative thinker with ideas that will drive efficiency and improve team performance
- A good understanding of personal computers and software, particularly MS Word, Excel, PowerPoint, Publisher, Outlook and G Suite

**Location**:
Ayr, ON

**Job Types**: Full-time, Permanent

Pay: $53,000.00-$57,000.00 per year

**Benefits**:

- Casual dress
- Company events
- Dental care
- Disability insurance
- Employee assistance program
- Extended health care
- Life insurance
- On-site parking
- Paid time off
- Wellness program

Schedule:

- 8 hour shift
- Day shift
- Monday to Friday

**Experience**:

- working in a group benefits environment: 1 year (required)

**Language**:

- French (required)

Work Location: In person

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