WHO WE ARE
When it comes to health, we’re always looking for ways to push for better. It’s why we were founded in the first place. In 1957, our founder, pharmacist William Wilkinson, witnessed a mother sacrifice her health by forgoing her own medicine to pay for her sick daughter’s prescription. He knew there had to be a better way. So, he introduced North America’s first prepaid drug plan, and GreenShield was born as a not-for-profit with a mission to support better health for all Canadians.
We aren’t just a health and benefits company. We’re the only not-for-profit social enterprise that brings worlds of coverage and care together, all in one place.
We’re noble challengers, purposefully building a better way and we need the best people to help us create a more holistic approach that takes care of the mind and body.
Our mission is to create better health for all Canadians, and we know that starts with our employees.
THE ROLE IN A NUTSHELL
Base Salary: CAD $51,383.00 - 79,261.00
The Plan Build Specialist reports to the Supervisor, Plan Build Services and is primarily responsible for set up including structure, plan design set up, plan changes and plan amendments for new and existing customers. This role supports all LOBs, including Insurance, Administration and Health, and provides a specialized service.
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Participate in RFP reviews when required, review sale documents to gain understanding of what was sold, review and interpret previous carrier documents.
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Develop and map plan design on the Plan Design Template (includes details on benefit coverage, structure and billing requirements)
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Client Meeting facilitation – gather requirements, review documentation and obtain sign off.
- Enter client’s structure and plan design into the Administrative System.
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Collaborate with Client Administration on enrolment requirements, PSOS for rules attachments, Underwriting for financial information and IT for large implementation requirements.
- Interpret and process plan changes and plan amendments, complete plan design analysis, respond to inquiries and manage issue resolution.
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Review of detailed history reports, complete accumulator mapping template and collaborate with Implementation Services and IT Support.
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Manage multiple projects with varying degrees of complexity, meeting established timeline to complete projects and coordinate with internal stakeholders as required.
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Peer review work to confirm accuracy and ensure that supporting material is retained.
RESPONSABILITÉS
Le ou la spécialiste en conception de régimes relève du ou de la responsable, Services de conception de régimes, et est principalement responsable de la mise en place de la structure, de la conception des régimes, ainsi que des changements et des modifications aux régimes pour les clients nouveaux et existants, entre autres. Le ou la titulaire de ce poste appuie l’ensemble des secteurs d’activité, notamment ceux de l’assurance, de l’administration et des soins de santé, et fournit un service spécialisé.
- Participation à l’examen des appels d'offres lorsque nécessaire, à l'analyse des documents de vente pour mieux comprendre ce qui a été vendu, ainsi qu'à l'examen et l'interprétation des documents de l’assureur précédent.
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Élaboration et schématisation de la conception de régimes dans le modèle de conception du régime (comprend des exigences concernant les renseignements sur le régime d’assurance, la structure et la facturation).
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Animation des réunions avec les clients – collecte des exigences, examen de la documentation et obtention de l’approbation.
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Entrée de la structure et de la conception du régime du client dans le système d’administration.
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Collaboration avec l’équipe Administration des clients concernant les exigences en matière d’adhésion, l’équipe de Services aux preneurs de contrats pour les exigences liées aux règles, l’équipe Tarification pour les renseignements financiers et l’équipe des TI pour les exigences liées aux implantations d’envergure.
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Interprétation et traitement des changements et des modifications au régime, analyse de la conception du régime, réponse aux demandes de renseignements et gestion de la résolution des problèmes.
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Examen des rapports d’historique détaillés, remplissage du modèle d’identification des accumulateurs et collaboration avec les Services d’implantation et le Soutien informatique.
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Gestion de plusieurs projets dont la complexité varie, respect de l’échéancier établi pour mener à bien les projets et coordination avec les intervenants internes, au besoin.
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Examen par les pairs pour confirmer l’exactitude et s’assurer que les documents à l’appui sont conservés.
WHO WE'RE LOOKING FOR
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Post-secondary degree or diploma in business, administration or related discipline.
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3 - 5 years of experience in benefits and / or related industries.
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Proficient in benefit administration issues, claims processes, and group contracts / booklets.
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Excellent issue resolution, decision-making, communication meeting facilitation, and project management skills.
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Experience training and mentoring peers.
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Exhibits consistent attention to detail.
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Strong administrative, reporting, and analytical skills using MS Office tools.
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Ability to multi-task, manage and interpret large amounts of data, work under pressure, and work independently.
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Positive attitude and a willingness to learn new tasks.
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Customer and solutions oriented.
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Continuous improvement mindset.
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Demonstrates / models GSC behaviors.
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Bilingualism (English/French)
QUALITÉS RECHERCHÉES
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Diplôme d’études postsecondaires ou diplôme en affaires, en administration ou dans une discipline connexe.
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Minimum de trois à cinq ans d’expérience dans le domaine des avantages sociaux ou dans des secteurs connexes.
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Maîtrise des questions liées à l’administration des régimes d’assurance, des processus de réclamation et des contrats/brochures d’assurance collective.
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Excellentes aptitudes pour la résolution de problèmes, la prise de décisions, la facilitation des réunions de communication et la gestion de projets.
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Expérience dans la formation et le mentorat des pairs.
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Souci constant du détail.
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Solides compétences en matière d’administration, de production de rapports et d’analyse à l’aide des outils MS Office.
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Capacité à mener plusieurs tâches de front, à gérer et à interpréter de grandes quantités de données, à travailler sous pression et à travailler de façon autonome.
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Attitude positive et volonté d’apprendre de nouvelles tâches.
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Approche axée sur les clients et sur les solutions.
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Esprit axé sur l’amélioration continue.
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Adoption/modélisation des comportements de GreenShield.
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Bilinguisme (anglais et français).
THE CULTURE
We believe a career should be meaningful. Not just a means to earn a living. Our culture is one where everyone's voice is heard and valued. Because that’s what it takes to create better health for all. We dare to challenge the status quo. And we’re driven by people who have challenged theirs. We believe that your workplace should empower you to be the best version of yourself. That’s why we provide a place where you can be inspired, challenged, and rewarded.
Where your growth means our growth.
Where your voice is heard and valued.
Where your work has purpose. And purpose matters.
We believe our people are critical to our overall success. Inclusivity makes us a stronger, smarter and more informed organization. Being intentionally inclusive of diverse backgrounds, perspectives and experiences will enhance our company culture to positively impact how we support our communities. A career at GreenShield isn’t just about personal achievements, it's about making a
difference together.
Here’s to Better Health for All!
A FEW MORE DETAILS
Proficiency in English is required for this position. As part of this role, you will be required to communicate with colleagues or customers who use English as their primary language. By requiring English proficiency for this position, we aim to ensure that our employees can excel in their roles, collaborate, and communicate effectively, and contribute to the success of our organization.
GS supports diversity, equity and inclusion in our teams and communities, and we value the unique contributions made by all. Even if your experience doesn’t align perfectly to every requirement, we invite you to apply. We encourage applications from all candidates and will accommodate needs under human rights legislation throughout all stages of the recruitment and selection process. Please let us know of any accommodation through [email protected]. Information received relating to accommodation will be addressed confidentially.
Providing this information gives GS consent to use your personal information to assess your suitability for specific positions, future opportunities or for your personnel file. Your résumé will be held in strict confidence and will be viewed only by the Organization. Information may be stored outside of Canada and could be used for aggregate statistical purposes (which uses no personal identification).
AI Usage - GreenShield leverages AI to help produce Job Descriptions, and ideate on interview questions. We also leverage AI for interview transcription support.
