Health and Dental Claims Manager

Comma Recruitment are looking for a Health and Dental Claims Manager to work with a Canadian firm that provides third-party group benefits administration, payments and consulting services.

We provide solutions that streamline the administration of an organization’s pension and health benefits programs to deliver the highest value to our clients.  A significant part of that undertaking is the administration of Health and Dental Claims.

We are looking for a strong technologically adept Health and Dental Claims Manager to join our close-knit and growing team.

Reporting to the Director, the successful candidate will be responsible for the following:

• Partner with business leaders, IT and digital claim submission partners to increase the percentage of digitally received claims.
• Partner with the Director to develop an organizational structure and processes with the client experience in mind.
• Develop strong business relationships with internal sales and service partners that depend on the delivery of a “best in class” claims experience.
• Build a team of Health & Dental Claims Experts that participate in the process of identifying possible special investigation cases.

A great fit for this role will have skills and experience that resonate with the following statements:

1. An expert with a deep understanding of the health and dental claims facet of the group benefits industry.
2. A track record of developing technology and process to drive efficiency, accuracy and improve the client experience.
3. Develops a culture that positively impact the client experience that the team buys in to. Exemplifies the mindset in the day to day.
4. Data driven decision maker. If the data doesn’t exist, knows how to create it.
5. Focused on achieving service and quality targets and standards.

Qualifications

• Post-secondary degree or diploma in a business-related field
• 8 plus years progressive experience in the group benefits industry, focus on health & dental claims and applicable regulatory standards and best practices
• Minimum 5 years of leadership experience with at least 1 year of experience leading people managers
• Industry designation in employee benefits (e.g. CEBS) is an asset

Please forward resume to [email protected]   

Pension Specialist – GTA

Pension Specialists ( One Bilingual role and one non-bilingual role)

 Comma Recruitment are looking for Pension Specialists, who are highly motivated individuals with a mathematical aptitude, and flare for providing excellent client service.

We  offer great training to individuals with previous experience working in a client service role, using an in-house custom administration system, growth and development opportunities and a superb working environment.

As a Pension Specialist and reporting to the Pension Supervisor, you will be part of a team of pension administrative staff focused on delivering exceptional service to all our Pension Clients and their members alike. In this role you would be responsible for the following:

• Processing Pension Benefit Calculations (i.e. Retirement, Termination, pre-post retirement death calculations) in compliance with pension plan rules and relevant pension legislation based on the jurisdiction of the Pension Plan and their members.
• Processing Pension Benefit Elections – finalizing benefit amounts, and payment instructions for processing by Pension Plan custodian.
• Responding in both written and oral form to inquiries from pension plan clients and their members alike – ensuring any issues are quickly resolved, and/or appropriately escalated for resolution.
• As required, participate in project work.

Qualifications:

• Pension administration experience
• Two to Five years of working experience in a client service role in an administrative setting with demonstrated experience working with an in-house custom administration system
• Previous pension administrative experience with experience processing retirement, termination and pre/post retirement death claims
• Strong written and verbal communication skills
• High proficiency with Microsoft Office
• Industry designation in employee benefits (e.g. PPAC and/or CEBS) is an asset
• **Bilingual English/French – oral and written is required for the bilingual role.

A great fit for this role will have skills and experience that resonate with the following statements:

1. Excellent oral and written communication skills.
2. Excellent customer service skills.
3. Work experience in a service-oriented environment working in an administrative setting.
4. Organizational skills, with the ability to handle multiple tasks simultaneously.
5. Ability to remain poised, patient, empathetic, tactful, and composed while handling plan participants.
6. Ability to work effectively independently and in a team environment.
7. Ability to work from home (dedicated space that allows for viewing and discussion of confidential private information).
8. Bilingual English/French – oral and written for the bilingual position
9. Previous Pension Benefit experience is a great asset

Please forward resume to [email protected]