Group Benefits Specialist; Specialized Markets

Group Benefits Specialist (Specialized Markets)
Markham Office

3 positions currently vacant

37.5 h/week

Remote work 3 days/5 following the training.

Permanent Position

Minimum 2 years of experience

Bilingualism an asset

With its expanding activities, AGA Benefit Solutions offers new employment prospects for professionals with high career aspirations. If you are seeking flexibility, freedom and challenges, this position is made for you!

Our firm is committed to its employees and welcomes all new candidates in a respectful manner consistent with an excellent work environment. Discover why working at AGA Benefit Solutions is so rewarding by visiting our Career page .

Your mandate will consist in:
Your mandate will consist of supporting the administration of complex group benefits plans for plan sponsors and plan members, ensuring the accuracy, integrity, and timely processing of plan and member information. You will work closely with data, investigate discrepancies, resolve issues, and help maintain the highest standards of accuracy in plan administration. Your responsibilities will span benefits administration, eligibility management, data analysis, billing reconciliation, auditing, and member support, all within a dynamic, fast-paced, and collaborative environment.

Does this sound like the right opportunity for you? Read on to discover the skills and qualifications you'll need to succeed and thrive at AGA!

Your main tasks will include:
Benefits Administration & Eligibility Management

Administer member enrolments, terminations, beneficiary changes, dependent updates, and other eligibility-related transactions;

Review and validate plan member information to ensure accurate and up-to-date records;

Support annual benefit enrolment activities and benefit selection changes;

Assist members with over-age dependent verification, required documentation, and eligibility requirements;

Prepare, validate, and transmit member eligibility and benefits files to insurance carriers;

Maintain member records in accordance with privacy and confidentiality requirements.

Analyze member, eligibility, and billing data to identify discrepancies, and required actions;

Compare, validate, and reconcile data files received from multiple sources;

Conduct regular data audits to ensure the integrity and accuracy of member and plan information;

Investigate and resolve eligibility, coverage, billing, and administrative discrepancies;

Process and reconcile member payments and billing information;

Gather and analyze data required for monthly billing activities and reporting;

Prepare reports and supporting documentation for review and decision-making.

Serve as a key point of contact for plan sponsors and plan members;

Respond to inquiries related to group benefits, eligibility, coverage, claims, plan options, flex plans, and premiums;

Assist members with questions related to disability benefits, Employment Insurance (EI), and Workplace Safety and Insurance Board (WSIB/WCB) claims;

Support members in navigating online member portals and insurance carrier platforms;

Investigate and resolve member and client concerns in a professional and timely manner;

Respond to telephone and email inquiries within established service standards.

Operational Support

Generate correspondence, member communications, mail merges, and other required documentation;

Assist with the preparation and administration of T4A tax slips, as required;

Participate in team meetings and contribute to process improvements and operational efficiencies;

Support special projects and perform other related duties as assigned.

Required qualifications:

A minimum of 2–3 years of experience in benefits administration, insurance, pension administration, payroll, human resources, finance, data management, or a related field;

Strong analytical and problem-solving skills, with the ability to identify issues and develop effective solutions;

Proven ability to review, reconcile, and validate data with a high degree of accuracy;

Excellent attention to detail, organizational skills, and a commitment to quality;

Strong written and verbal communication skills;

Proficiency in Microsoft Excel and other Microsoft Office applications;

Ability to manage multiple priorities effectively while meeting deadlines.

Preferred Qualifications

Previous experience in group benefits plan administration;

Experience working in a third-party administrator (TPA), Employee Life and Health Trust (ELHT), insurance company, brokerage, pension administration, payroll, or employee…