Group Benefits Specialist
- Markham, ON, Canada
Full-time
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Job details
- Job type
- Full-time
- Apply by
- Experience
- Minimum 2-3 years of experience in benefits administration, insurance, pension administration, payroll, HR administration, finance, data administration, or a related field
- Posting language
- English
- Posted
Original job description
Reporting to the Assistant Director, Specialized Markets, the Group Benefits Specialist will be supporting the administration of complex group benefit plans for plan sponsors and members, ensuring the accuracy, integrity, and timely processing of member and plan information.
The successful candidate enjoys working with data, investigating discrepancies, solving problems, and ensuring a high level of accuracy in plan administration. This role combines benefits administration, eligibility management, data analysis, billing reconciliation, auditing, and member support within a collaborative and fast-paced environment.
Key Responsibilities
Benefits Administration & Eligibility Management
The ideal candidate will have the following qualifications :
The successful candidate enjoys working with data, investigating discrepancies, solving problems, and ensuring a high level of accuracy in plan administration. This role combines benefits administration, eligibility management, data analysis, billing reconciliation, auditing, and member support within a collaborative and fast-paced environment.
Key Responsibilities
Benefits Administration & Eligibility Management
- Administer member enrolments, terminations, beneficiary changes, dependent updates, and other eligibility-related transactions
- Review and validate plan member information to ensure accurate and up-to-date records
- Support annual benefit enrolment activities and benefit selection changes
- Assist members with over-age dependent verification, required documentation, and eligibility requirements
- Prepare, validate, and transmit member eligibility and benefits files to insurance carriers
- Maintain member records in accordance with privacy and confidentiality requirements
- Analyze member, eligibility, and billing data to identify discrepancies, and required actions
- Compare, validate, and reconcile data files received from multiple sources
- Conduct regular data audits to ensure the integrity and accuracy of member and plan information
- Investigate and resolve eligibility, coverage, billing, and administrative discrepancies
- Process and reconcile member payments and billing information
- Gather and analyze data required for monthly billing activities and reporting
- Prepare reports and supporting documentation for review and decision-making
- Serve as a key point of contact for plan sponsors and plan members
- Respond to inquiries related to group benefits, eligibility, coverage, claims, plan options, flex plans, and premiums
- Assist members with questions related to disability benefits, Employment Insurance (EI), and Workplace Safety and Insurance Board (WSIB/WCB) claims
- Support members in navigating online member portals and insurance carrier platforms
- Investigate and resolve member and client concerns in a professional and timely manner
- Respond to telephone and email inquiries within established service standards
- Generate correspondence, member communications, mail merges, and other required documentation
- Assist with the preparation and administration of T4A tax slips, as required
- Participate in team meetings and contribute to process improvements and operational efficiencies
- Support special projects and perform other related duties as assigned
The ideal candidate will have the following qualifications :
- Minimum 2-3 years of experience in benefits administration, insurance, pension administration, payroll, HR administration, finance, data administration, or a related field
- Strong analytical and problem-solving skills
- Demonstrated ability to review, reconcile, and validate data with a high degree of accuracy
- Excellent attention to detail and organizational skills
- Strong verbal and written communication skills
- Proficiency with Microsoft Excel and Microsoft Office applications
- Ability to manage competing priorities and meet deadlines
- Experience administering group benefit plans
- Experience working within a TPA, ELHT, insurer, brokerage, pension, payroll, or employee benefits environment
- Knowledge of eligibility administration, billing reconciliation, claims processes, and group benefits operations
- Experience working with multiple data systems and large datasets
- Naturally curious and enjoy investigating issues to determine root causes
- Comfortable working with data and identifying discrepancies
- Highly organized, detail-oriented, and accurate
- Able to balance analytical work with member and client support responsibilities
- Committed to delivering exceptional service while maintaining data integrity and compliance
More about this job
Responsibilities
Administer group benefit plan transactions and maintain accurate member eligibility and plan records, including preparing and reconciling data, billing, and reports. Support plan members and sponsors with benefit and claims inquiries, resolve discrepancies, and contribute to operational improvements and related administrative work.
Requirements
Requires 2–3 years of experience in benefits administration or a related field, strong analytical and problem-solving abilities, and demonstrated accuracy in reviewing and reconciling data. Candidates should have excellent organization and communication skills, proficiency with Excel and Microsoft Office, and the ability to manage competing priorities; group benefits experience is preferred.
Skills
- Benefits Administration
- Eligibility Management
- Data Analysis
- Data Auditing
- Billing Reconciliation
- Data Validation
- Problem-Solving
- Microsoft Excel
- Microsoft Office
- Member Support
- Client Service
- Claims Support
- Reporting
- Attention To Detail
- Communication
- Time Management
Visa sponsorship
Not detected in the job text
Categories
- Human Resources
- Finance & Accounting
- Customer Service & Support
- Data & Analytics
- Administrative
Keywords
- Group Benefits
- Benefits Administration
- Eligibility Administration
- Member Enrolment
- Beneficiary Changes
- Dependent Verification
- Insurance Carriers
- Data Analysis
- Data Auditing
- Data Reconciliation
- Billing Reconciliation
- Member Payments
- Claims Processes
- Disability Benefits
- Employment Insurance
- Workplace Safety And Insurance Board
- Flex Plans
- Premiums
- Microsoft Excel
- Microsoft Office
- Member Portals
- T4A Tax Slips
- Privacy And Confidentiality
- Reporting
- Process Improvement