Posted:
8/21/2024, 1:37:17 PM
Location(s):
Ontario, Canada ⋅ Toronto, Ontario, Canada
Experience Level(s):
Junior ⋅ Mid Level ⋅ Senior
Field(s):
Customer Success & Support
Official Internal Job Title:
Health Insurance AnalystStatus:
RegularJob Description:
Reporting to the Director, the Group Health and Dental Insurance Analyst analyzes specific problems and situations related to the management of Pan-Canadian Group Health and Dental Insurance plans; develops strategies intended to respond to our customers needs; provides the necessary support and guidance to the administration of group insurance plans and to adapt our claims procedures accordingly; has a strong knowledge of the Pan-Canadian group insurance market and of the different Provincial healthcare programs related to the Health and Dental sectors; participates with our Toronto office team in meetings with clients, group or third party administrators, suppliers, to represent the Company.
JOB DUTIES
To analyze problems and situations related to Group Health and Dental insurance and to propose and develop solutions based on solid information gathering and that are adapted to the client needs.
To provide to our Health and Dental claims processing team all the necessary information about health and dental public plans in each provinces and territories.
To participate in the revision of documents, intended to members, group administrators, suppliers, third party administrators.
To put in place mechanisms allowing to collect complaints and comments from customers or third party administrators; to identify customers or third party administrators’ needs; to propose the necessary changes or modifications.
To identify market requirements and how the Company can deliver on these requirements.
To work closely with our providers (ESI, Claim Secure, etc.) to make sure processes are being followed.
To provide support to our Toronto Customer Service team and to our Claims processing team on the resolution of claim issues.
To provide input regarding tools, systems and information available to our Toronto Customer Service.
To represent the Company at occasional Finalist Presentation and quarterly review meetings for large clients.
To provide or request, by telephone, interviews or by writing, information pertaining to departmental activities (suppliers, external clients, pharmacies, TPA’s, etc.).
To work with the Systems Development team and analysts, running interactive systems tests and participating in the acceptance of functional requirements.
To participate in group work organized within the Claims Processing Department.
To perform any other required tasks or duties.
RESPONSIBILITIES
To find effective solutions based on solid information gathering, followed by rigorous and logical analysis of such.
To effectively contact and deal with people, displaying an open communication style and honesty, while respecting the opinions of others.
To constantly strive for quality and excellence in the work methods, services provided and products being sold.
To be aware of early-warning signs of changes to come.
To ask appropriate questions that will help bring about the best possible results in the most cost-effective fashion.
To be able to work unsupervised, to follow independent lines and to carry out projects or activities self-sufficiently.
To back up ideas, projects, and goals with concrete actions.
To decide which messages to convey using appropriate language, drafted using clear and precise language.
To share ideas and projects for change, while ensuring that these are carried out.
REQUIRED SKILLS AND KNOWLEDGE
Education
Bachelor’s degree in Business Administration or in a relevant discipline
Experience
7 years of experience in group health and dental insurance in the Canadian market
Requirements
Strong verbal skills.
Excellent command of spoken and written English.
Be familiar with software such as Excel, Word and Power Point.
Strong knowledge of the Provincial Healthcare Programs.
Functional French.
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Beneva is an equal opportunity employer, so we encourage all Women, persons with disabilities, Indigenous people as well as visible and ethnic minorities to apply.
Purpose : True to its purpose, Beneva places people at the heart of its actions and contributes to the well-being of the community. It accompanies its clients in all stages of their lives, both for their insurance and for their financial services.
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Website: https://beneva.ca/
Headquarter Location: Quebec, Quebec, Canada
Employee Count: 5001-10000
Year Founded: 1941
IPO Status: Private
Industries: Financial Services ⋅ Insurance