Member Management Analyst

Are you analytical, exceptionally organized, and detail-oriented? Do you enjoy analyzing files, finding solutions, and delivering excellent customer service? This opportunity could be for you!

At AGA, we are looking for a detail-oriented, organized, and analytical individual who can manage multiple priorities while maintaining a high level of accuracy. Do you enjoy understanding complex situations, analyzing information, and finding solutions, while also building positive relationships with clients and supporting them with their requests? If so, this role could be a great fit for you!

You will also benefit from a hybrid work arrangement (working remotely 9 days out of 10) and group insurance coverage fully paid by the employer.

Responsibilities

Reporting to the Assistant Director, Member Administration, within the AGA+PLUS department, the Member Administration Analyst will be primarily responsible for verifying the eligibility of member transactions and responding to various requests received from group administrators.

Your responsibilities will include:

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  Verify the eligibility of transactions received through member or administrator portals, regular mail, or email, analyze and process them in the various administrative systems, while complying with group insurance rules and established procedures;

  
  
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  Request additional information from group administrators, when necessary, to properly assess files and make informed decisions following the analysis of requests;

  
  
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  In exceptional cases, consult with the insurer to obtain approval regarding a member's file;

  
  
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  Prepare and send correspondence to members and/or group administrators, depending on the situation;

  
  
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  Manage late enrollment requests, including sending and following up on health declarations, as well as receiving and processing the insurer's decisions following file reviews;

  
  
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  Upon request, reconcile outstanding balances or provide billing explanations to group administrators;

  
  
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  Mail insurance certificates and various documents, such as travel insurance cards;

  
  
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  For certain special groups, manage contributions and member files, and send notices regarding insufficient contributions;

  
  
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  Ensure administrative guides for groups requiring special handling are kept up to date;

  
  
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  Perform monthly reviews of members and their dependents in accordance with contractual provisions related to insured individuals' ages;

  
  
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  Provide support to administrative clerks with member administration tasks, as needed;

  
  
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  Participate in testing new tools and software implemented within the AGA+PLUS department, or improvements to existing systems, when requested;

  
  
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  Provide internal and external customer service;

  
  
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  Perform any other related duties as requested by the immediate supervisor.

  
  
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The ideal candidate has the following qualifications:

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  College diploma;

  
  
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  Strong attention to detail and accuracy;

  
  
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  Ability to meet deadlines and effectively manage priorities;

  
  
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  Sound judgment, integrity, and honesty;

  
  
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  Versatility, resourcefulness, and autonomy;

  
  
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  Strong customer service skills;

  
  
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  Two (2) years of experience in group insurance (an asset);

  
  
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  Excellent command of French and English, both spoken and written (bilingualism is required, as administrative transactions are processed in both languages and require detailed analysis and a thorough understanding of contractual administrative information related to insurance enrollments and changes to ensure accuracy);

  
  
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  Good proficiency in Microsoft Office Suite.

  
  
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AGA welcomes and encourages applications from individuals with disabilities. Accommodations are available upon request to candidates throughout all stages of the selection process.