Health Insurance Analyst

Job Responsibility: Job Posting Title: Health Insurance Analyst Status: Regular : 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.

#LI-ENG #LI-HYBRID 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. Follow us on Instagram ! @beneva.ca