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Group Life & Disability Claims Administrative Representative - Jobs in Waterloo, Ontario

Job LocationWaterloo, Ontario
EducationNot Mentioned
SalaryNot Mentioned
IndustryNot Mentioned
Functional AreaNot Mentioned
Job TypeContract

Job Description

Job Description

  • Processes 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
  • Scans all documents by using our physical scanning machine or the online scanner as appropriate. Ensures efficient operation of the physical scanner which includes regular cleaning and maintenance. Notifies the IT Services desk when scanner is down.
  • Monitoring and handling daily the teams shared email inbox. This includes responding to inquiries from member, service providers, union representatives, school board representatives and internal stakeholders. Documenting the Fineos file with all incoming emails and setting appropriate tasks.
  • Sets 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.
  • Initiates payment of all Vendor invoices and Early Intervention invoices payable to members. Verifies the accuracy and eligibility of vendor and member LTD/EI/Rehab payments by reviewing the invoice tracker. Asking 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.
  • Managing workload volume on the claim management system, monitoring task turnaround times and due dates across the admin team.
  • Responds to inquiries from internal staff by handling or by directing to the appropriate team.
  • Coordinates 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.
  • Maintains relations with current and previous insurance carriers by providing copies of claim files that are entering litigation or arbitration.
  • Books accommodations for members’ independent medical exams, as requested.
  • Maintains and updates the territory assignment report as changes are required.
  • Maintains supplies inventory and printing of LTD claims kits. This includes checking stock to determine inventory levels, anticipating needed supplies, placing orders for supplies, verifying receipt of supplies, and distributing orders upon receipt.
  • Keeps information confidential to protect operations.

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