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Bilingual Provider Relations Representative managing provider agreements and inquiries for Express Scripts Canada. Ensuring accurate data entry and supporting provider relations tasks in Mississauga or Montreal.
About the role
- Bilingual Benefit & Disability Management Specialist for SCM Insurance Services managing benefits and disability claims. Responsibilities include customer service, record management, and stakeholder liaison in a remote role.
Responsibilities
- Facilitate incoming benefit plan calls and emails by providing excellent customer service (responding to queries, providing information, problem solving, guidance on filling out paperwork)
- Maintain records of group insurance benefits in relevant system databases
- Receive and process applications for enrollments, change in benefits, coverage for over-age dependents/disabled dependents
- Establish and maintain strong relationships with insurance providers
- Liaise with the insurance carrier representatives and other key stakeholders to provide problem-resolution for members experiencing benefit related issues, when required.
- Facilitate incoming disability (STD, LTD) calls and emails by providing excellent customer service (responding to queries, providing information, problem solving, guidance on filling out paperwork)
- Proactive management of disability claims including situations of a complex nature.
- Communicates with claimants and external partners regarding case adjudication and return to work planning
- Maintains effective working relationships with providers of short term and long-term disability products and services related to effective disability case management
- Review of internal processes and policies with a view to continuous improvement
Requirements
- Bilingual (written and spoken): English and French are required
- Minimum Grade 12 diploma, preference will be given to individuals that have a degree or certification in benefits (ie. Certified Employee Benefits Specialist (CEBS)
- Knowledge of group benefits principles and experience with group benefits administration, minimum of 3 years, ideally in a large organization
- Experience with the administration of group short term disability and long-term disability administration.
- Professionalism and confidentiality
- Initiative to manage multiple demands under pressure in a fast paced, multi-faceted environment
- Superior customer service experience
- Strong communication skills/telephone skills and experience including the ability to effectively manage conflicting or aggressive situations
- Time management / ability to meet time sensitive deadlines
- Must be proficient in Word, Excel, and Outlook
- Workday experience would be considered an asset
- Basic mathematical skills and the aptitude to work with numbers to produce accurate calculations
- Attention to detail
- Reliable and highly organized
Benefits
- Remote Work Opportunities
- E-flex Benefits Program
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