Who we are: We’re a Kelowna based Third Party Administrator/Payor (TPA/TPP) 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 we’re looking forWe’re looking for a dynamic Benefits Administrator with a minimum of 2 – 4 years’ experience in the Benefits industry to work as part of our Customer Support team!
What you’ll do:The Group Benefits Administrator will provide excellent customer service to our clients. This will include but is not limited to:
- Answer phone calls and assist clients with claim/coverage inquiries when needed
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Answer emails and assist clients with claim/coverage inquiries when needed
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Answer ticket inquiries and assist clients with claim/coverage inquiries when needed
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Processing enrollments, employee changes and terminations
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Ability to analyze and investigate premium discrepancies.
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Processing of disability, Life, Critical illness and Out-of-Country claims
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Interpret related Benefit policies and procedures and support compliance with government and provincial regulations.
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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.
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Ability to navigate the system to efficiently answer questions around coverage, members profiles, and where needed escalate issues to the corresponding team.
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Referring questionable/contentious claims for evaluation as needed and providing recommendations for action to help minimize fraud.
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Maintaining and updating all applicable system records.
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Contribute to the continuous improvement of business processes.
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Ad-hoc duties as required
What you need
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Must have previous experience of 2-4 years in an insurance company, group benefits role, or similar
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Previous experience in Customer Service role.
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Exceptional interpersonal skills to build positive relationships with our clients.
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Excellent communication skills both verbal and written.
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Attention to detail and maintaining accurate client files.
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Dedicated team player with the ability to take the initiative, be independent with a positive attitude and dedication to quality and accuracy.
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Highly organized, accurate and detail oriented; well-developed ability to perform complex mathematical calculations and to see beyond the numbers.
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Strong organizational skills including the ability to prioritize and multi-task.
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A good understanding of personal computers and software, particularly MS Word, Excel, Outlook and G Suite.
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Bilingual in French and English preferred but not required
What we can offer Employer Paid Group Benefits Plan including:
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Accidental Death & Dismemberment
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Long Term Disability (employee paid)
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Critical Illness
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$1000 Flex Spending account
Opportunity for GrowthFull –Time, Monday to Friday schedulePaid Vacation and Personal time offWork life balance Casual dressEmployee assistance program
Schedule:
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8-hour shift - 9 am PST to 5 pm PST - Monday to Friday
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No weekends
Location:
