Group Life & Disability Claims Administration Representative - 12-month contract
OTIP
- Waterloo, ON
- Permanent
- Full-time
- Process and distributes daily incoming correspondence out to the department through the Fineos program while adhering to service level agreements. This includes reviewing, sorting, scanning and ingesting documents into the applicable claim subfolder
- Scan or upload all documents by using our physical scanning machine or the online scanner as appropriate. Ensure efficient operation of the physical scanner which includes regular cleaning and maintenance. Notify the IT Services desk when the scanner is down.
- Monitor and handle daily the team's shared email inbox. This includes responding to inquiries from members, service providers, union representatives, school board representatives and internal stakeholders. Documenting the Fineos file with all incoming emails and setting appropriate tasks.
- Set up new Notice of Prolonged Absence (NPA) documents as well as Long Term Disability (LTD) claims on Fineos after verifying coverage and investigating if previous claims existed.
- Initiate payment of all Vendor invoices and Early Intervention invoices payable to members. Verifie the accuracy and eligibility of vendor and member LTD/EI/Rehab payments by reviewing the invoice tracker. Ask for approval on invoices that are above the administration authority levels.
- Accuracy while inputting members personal banking information while setting up direct deposit banking information.
- Manage workload volume on the claim management system, monitoring task turnaround times and due dates across the admin team.
- Respond to inquiries from internal staff by handling or by directing to the appropriate team.
- Coordinate retrieval, verification and shredding of documents which includes boxing and categorizing all incoming mail for easy reference. Purging these documents regularly which includes moving heavy boxes and identifying items to be shred.
- Responsible for training peers when onboarding new staff. This includes job shadow training and being available to answer questions.
- Maintain relations with current and previous insurance carriers by providing copies of claim files that are entering litigation or arbitration.
- Book accommodations for members' independent medical exams, as requested.
- Maintain and update the territory assignment report as changes are required.
- Keep information confidential to protect operations.
- Perform other duties within competence, as assigned.
- Minimum of one years' post-secondary training in executive office administration, medical office administration or a related field.
- A minimum of 1 year experience in office administration or a related field.
- A strong attention to detail and respect to member privacy.
- Ability to work independently and part of collaborative team environment.
- Exceptional communication skills and the demonstrated ability to deal effectively with all levels of internal and external stakeholders.
- Strong analytical skills and the ability to investigate issues in order to determine where mail should belong.
- Superior time-management, project-management and organizational skills to manage competing priorities.
- Advanced knowledge of Microsoft Office Suite applications, adobe acrobat and related imaging software
- The ability to communicate in French is considered an asset.
- Defined benefit pension plan for a financially confident retirement
- 100% coverage of approved continuing education and licensing fees (including RIBO courses in Ontario)
- Access to a wealth of learning resources, including LinkedIn Learning for professional development
- Flexible work-from-home and hybrid options
- Unlock your potential with opportunities for advancement