Policy Implementation Specialist - Ottawa, Canada - Cowan Insurance Group
Description
You're able to balanceattention to detail and
efficiency within a fast-paced environment.
You're a
communicator - strong communication skills both verbally and in writing.
You're
self-motivated - able to work independently and as a team.
If you are nodding yes, this Policy Implementation Specialist role in our Third-Party Administration - Claims department at Cowan Insurance Group may be perfect for you
What's the ask?
Reporting to the Supervisor, Policy Implementation, the Policy Implementation Specialist is responsible for accurately implementing policy changes for various client groups.
Key Responsibilities:
- Accurately coding and implementing group policy specifications in the claims and billing systems
- Setting up new clients, processing policy changes, implementing rates according to the group benefits policy, amendments and renewals
- Updating the internal claims system as well as the ESI system for drug, EHC and/or dental benefits
- Verifying system set ups, providing feedback and final approval on review of ESI and internal system specifications
- Assisting in claims inquiries or complaints by identifying the source of problem and by processing modifications, if needed
- Updating systems in the event of a legislation change
- Liaising with ESI (external claims system provider)
- Updating system with new fee guide changes
- Preparing reports based on insurer/departmental request as required.
- Attending ESI meetings as required
- Coordinating projects and onboarding of new clients in collaboration with other departments
What does it take?
- Postsecondary degree preferred
- 35 years of experience in group benefits insurance
- Knowledge of ESI system i an asset
- Extensive knowledge of all aspects of dental coding, fee guides, treatment and practice rules and adjudication and/or
- Extensive knowledge of all aspects of EHC benefits, R&C's, paramedical provider services, complex health claims and adjudication
- Excellent understanding and knowledge of plan design and policy provisions
- Ability to learn different systems
- Excellent policy interpretation skills
- Prior experience in system set up (an asset)
- Excellent analytical skills
- Excellent problem solving skills
- Superior comprehension, reading and writing skills in English
- Bilingual in both official languages
- Ability to work under high pressure able to organize and prioritize own work
- Detail oriented
Who we are
Canadian-owned and operated, Cowan Insurance Group is a leading independent insurance brokerage and consulting operation, providing real value to our clients.
With over 500 employees operating out of 8 locations across Canada, we're proud to have been named one of Canada's Best Managed Companies since 2012.
We partner with leading national and international insurance companies to:- deliver insurance and risk management solutions to businesses, organizations and individuals
We also offer wealth and asset management as well as financial and succession planning services to individuals, and specialize in property, casualty and credit insurance.
What sets us apart?
Be in good company
***Integrity matters. It drives our award-winning workplace culture and fuels our collective desire to help our clients, employees, and communities thrive.
Challenge your thinking
***You're valued for your passion, drive and creativity. The pace is fast but the work is meaningful, interesting, and complex, just the way you like it.
Grow together
We believe in your potential. If you're looking to develop your expertise with learning opportunities and mentoring, we'll make that happen.
Benefits and perks
- Competitive salary
- Participate in our comprehensive benefits plan on day one — no waiting period
- Companymatched Retirement Savings Plan
- Companypaid training and development courses
- Community involvement
- Hybrid work environment
Are you interested?
Send your cover letter and resume and share your unique story with us.
While we appreciate the interest of all applicants, we will contact only those selected for interviews.
If you are an applicant with disabilities and require accommodations, please let us know at the time of our contact so that we may arrange for their provision.
**#LI-HybridMore jobs from Cowan Insurance Group
-
Bilingual Principal Consultant, National Benefits
Ottawa, Canada - 3 weeks ago
-
Commercial Program Coordinator
Cambridge, Canada - 1 week ago
-
Commercial Account Representative
Cambridge, Canada - 2 weeks ago
-
Business Development Representative
Cambridge, Canada - 2 weeks ago
-
Disability Training and Claims Specialist
Brantford, Canada - 2 weeks ago
-
Human Resources Generalist
Cambridge, Canada - 3 weeks ago