Group Administrator & Bilingual Client Coordinator
Top Benefits
About the role
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:
Kelowna BC
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
- 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
About Simply Benefits
Simply Benefits is a Third-Party Payor (TPP) specializing in delivering fully digital Employee Health Benefits solutions through our network of Canadian Advisor partners. Our mission is to streamline the employee benefits experience for Advisors, Employers, and Employees by addressing common pain points such as paper applications, lengthy 30-day onboarding processes, and disjointed employee experiences.
Group Administrator & Bilingual Client Coordinator
Top Benefits
About the role
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:
Kelowna BC
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
- 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
About Simply Benefits
Simply Benefits is a Third-Party Payor (TPP) specializing in delivering fully digital Employee Health Benefits solutions through our network of Canadian Advisor partners. Our mission is to streamline the employee benefits experience for Advisors, Employers, and Employees by addressing common pain points such as paper applications, lengthy 30-day onboarding processes, and disjointed employee experiences.