Job Description & How to Apply Below
WHO WE ARE Green Shieldis a proudly Canadian, national non-profit health care and insurance organization, driven by our mission of Better Health for All.
We believe health care is aright, not a privilege, and we are committed to improving health outcomes,advancing health equity, and building a future where every Canadian can reach their full health and well-being potential.
Through our unique integrated payer-provider ("payvider") model, we offer insurance, administer benefits, and pay claims as a ‘payer’ while offering health care services such as mental health, pharmacy, telemedicine, and chronic disease management as a ‘provider’. As a non-profit social enterprise without shareholders, we reinvest our excess earnings to directly support underserved communities. Through Green Shield Cares , we positively impacted the health and well-being of over one million
Canadians between 2020 and 2025. What’s driving us now is the commitment to measurably impact an additional three million Canadians by 2030 – across mental health, essential medicines,and chronic disease management – through scalable initiatives that deliver meaningful change in pursuit of our mission of Better Health for All.
At Green Shield , our culture is where purpose meets passion and performance. Our teams work as one to deliver meaningful, measurable impact for the people and communities we serve.
THEROLE IN A NUTSHELL Base Salary: CAD $51,383.
The Plan Build Specialist reports to the Manager, Client Onboarding and is primarily responsible for set up including structure, plan design set up, plan changes and plan amendments for new and existing customers. This role primarily supports the Group and Individual lines of business and provides a specialized service.
Participate in RFP reviews when required, review sale documents to gain understanding of what was sold, review and interpret previous carrier documents
Develop and map plan design on the Plan Design Template (includes details on benefit coverage, structure and billing requirements)
Client Meeting facilitation – gather requirements, review documentation and obtain sign off
Enter client’s structure and plan design into the Administrative System
Collaborate with Client Administration on enrolment requirements, PSOS for rules attachments, Underwriting for financial information and IT for large implementation requirements
Interpret and process plan changes and plan amendments, complete plan design analysis, respond to inquiries and manage issue resolution.
Review of detailed history reports, complete accumulator mapping template and collaborate with Implementation
Services and IT Support
Manage multiple projects with varying degrees of complexity, meeting established timeline to complete projects and coordinate with internal stakeholders as required.
Peer review work to confirm accuracy and ensure that supporting material is retained.
WHO WE'RE LOOKING FOR Post-secondary degree or diploma in business, administration or related discipline.
3 - 5 years of experience in benefits and / or related industries.
Proficient in benefit administration issues, claims processes, and group contracts / booklets
Excellent issue resolution, decision-making, communication meeting facilitation, and project management skills
Experience training and mentoring peers
Exhibits consistent attention to detail
Strong administrative, reporting, and analytical skills using MS Office tools
Ability to multi-task, manage and interpret large amounts of data, work under pressure, and work independently
Positive attitude and a willingness to learn new tasks
Customer and solutions oriented
Continuous improvement mindset
Demonstrates / models GSC behaviours
NICE TO HAVE Bilingualism (English/French)
THE CULTURE We believe a career…
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