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
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