Multi-Employer Benefit Administration

at  Ellement Consulting

POSITION SUMMARY

As a Multi Employer Benefit Administration, you will be part of an administration team that provides high-quality administration services to multiple clients and demonstrates outstanding and timely customer service. You will have access to and regularly work with information that is highly confidential and critical in nature. As a Multi Employer Benefit Administration, you must be professional and highly organized, have excellent communication skills, with a strong work ethic, and the ability to work autonomously.

REQUIREMENTS

• Fluency in English is essential. Bilingual in French would be considered an asset.
• Ability to maintain professionalism and tact while working in a dynamic team environment.
• Experience with pension plans, health benefit plans, or in the life insurance or financial services industry would be an asset.
• Attention to detail and commitment to accuracy of work.
• Excellent customer service skills, including an initiative to provide comprehensive service and information in response to inquiries.
• Good organizational skills and ability to prioritize tasks, including the ability to meet company service standards.
• Well-developed analytical, decision-making, and problem-solving skills.
• Flexible and adaptable.
• Excellent written and interpersonal communication skills and ability to work independently as well as part of a team.
• Ability to perform multiple tasks simultaneously (i.e., communicating with callers while retrieving information from systems and summarizing inquiries for call log).
• Successful completion of background check is required.

• Answer incoming telephone calls from members and other contacts about Benefits (Health & Welfare) in a professional manner.
• Deliver accurate and comprehensive information in an efficient manner and document the contact per department procedures.
• Respond to voicemails and emails within client service standards, investigating details and requesting assistance when necessary.
• Provide knowledgeable and comprehensive responses to benefit-related enquiries from clients and external professionals in a timely manner. Correspond with members of benefit funds, pensioners, local union officials, Trustees, consultants, actuaries, auditors, and legal counsel as required.
• 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., as required.
• Contribute to the team’s effort by completing other administrative tasks or projects, as assigned.
• Perform any other duties necessary to help drive our Vision, fulfill our Mission, and abide by our Organization’s Values.