Member Services Representative

People Corporation•Mississauga, ON

53d•$50,000 - $55,000

About The Position

The Member Services Representative will: Complete Application Card processing, member enrollments, eligibility updates Handle Member, Union and Employer communications and queries Process AD&D Claims, Sub Claims, Self Pays Learn and understand the applicable Collective Agreement and the benefit entitlements as per the benefit plan summary in order to accurately process member and employer information. Receives cheques and employer contribution reports on daily basis, and is responsible to ensure payments accurately match to report. Balance and audit reports. Details to check include hours, rates, calculations plus additional information. Credit employer accounts. Close analysis of employer reporting is required to ensure accuracy. Processes a large number of member status changes and updates employer information on a monthly basis. Follows up with employers regarding member status changes (eg. Sick, laid off, terminated) Monitor employer account details to identify irregularities and over or under payments. Run monthly delinquency reports to determine missing employer contributions. Follow steps to collect delinquent accounts in timely manner including telephone calls, emails, and registered letters in accordance with the BPA Delinquency Guide. Escalate appropriately to management, accounts that remain as delinquent for further investigation. Analyze member status (AMS) to update members’ eligibility for benefits. Direct funds and initiate appropriate payments for benefit fund expenses and member entitlements Daily updates with drug providers. Adhere to BPA and Trust Fund privacy policies. Other duties as may be assigned from time to time by Management Key Contacts/Relationships External and Internal: Reports directly to Administration Manager Communicates with and answers enquires from other departments. Deals directly with participating employers, benefit plan members, union representatives and staff, and internal Consultants. May be required to deal with drug card providers.

Requirements

Knowledgeable on relevant Collective Agreement and associated benefit plan.
Exposure to office administration and clerical processes particularly related to data analysis, and account reconciliation.
Minimum secondary school graduate, post secondary education preferred.
Skill in performing detailed numerical computations.
Ability to closely analyze and focus on detailed reporting and investigate discrepancies.
Ability to organize and prioritize workload.
PC proficient with strong knowledge of Microsoft Office (Excel and Word skills essential).
Excellent written and verbal communication abilities.
Strong interpersonal and customer service skills.
Ability to multi-task, work under pressure and meet deadlines.

Responsibilities

Complete Application Card processing, member enrollments, eligibility updates
Handle Member, Union and Employer communications and queries
Process AD&D Claims, Sub Claims, Self Pays
Learn and understand the applicable Collective Agreement and the benefit entitlements as per the benefit plan summary in order to accurately process member and employer information.
Receives cheques and employer contribution reports on daily basis, and is responsible to ensure payments accurately match to report.
Balance and audit reports.
Credit employer accounts.
Close analysis of employer reporting is required to ensure accuracy.
Processes a large number of member status changes and updates employer information on a monthly basis.
Follows up with employers regarding member status changes (eg. Sick, laid off, terminated)
Monitor employer account details to identify irregularities and over or under payments.
Run monthly delinquency reports to determine missing employer contributions.
Follow steps to collect delinquent accounts in timely manner including telephone calls, emails, and registered letters in accordance with the BPA Delinquency Guide.
Escalate appropriately to management, accounts that remain as delinquent for further investigation.
Analyze member status (AMS) to update members’ eligibility for benefits.
Direct funds and initiate appropriate payments for benefit fund expenses and member entitlements
Daily updates with drug providers.
Adhere to BPA and Trust Fund privacy policies.
Other duties as may be assigned from time to time by Management