PIPP Benefits Administrator - Bilingual (English/French)

As the bilingual (English/French) PIPP Benefits Administrator, you will investigate, assess and administer bodily injury claim benefits, as well as respond to an enquiry line on claimant enquiries. You will work collaboratively with your team and other departments to administer dental and chiropractic claims, and calculate permanent impairment entitlements for all injury claims. This role would require the successful candidate to speak with customers in both English and French.

• →Advise customers on benefits available, coverage and file progress and direct customers to the appropriate resource if the customer’s inquiry cannot be addressed by the Benefit Administration Unit.
• →Independently process authorization and render decisions of moderate complexity for entitlements on medical expense claims.
• →Review current medical information to determine entitlement and request further information when required.
• →Contact customers, service providers, and/or Case Managers to confirm information or resolve discrepancies.
• →Enter benefit authorization and process permanent impairment payments.
• →Maintain adequate reserve and approve payments.
• →Leverage regulations, resources and processes and apply the intent to promote the most efficient, claimant appropriate resolution to the claim.
• →Work with peers and supervisors to promote a collaborative team environment.
• →Actively participate in identifying opportunities to improve departmental service quality.

• Thirty credit hours of post-secondary education in business administration, management or related discipline.

OR

• Certificate or diploma in Business Administration, Management or related discipline.

• Two years of related customer service and/or administrative office experience

• Ability to convey complex information in a concise and straightforward manner.
• Ability to provide excellent customer service while maintaining a professional balance between customer/claimant and organizational needs.
• Ability to deal with people in a manner which shows sensitivity, tact and professionalism.
• Ability to quickly and accurately analyze information, exercise sound judgment and practical thinking when determining how to handle inquiries, and use problem-solving techniques to address issues.
• Working knowledge of applicable office software, including Microsoft Word and Excel.
• Ability to work effectively in a team environment,
• Ability to work with minimal direction and exercise initiative.
• Ability to conduct simple financial calculations.
• Working knowledge of insurance principles and practices is an asset.

• Must be able to type a minimum of 40 words per minute. Testing may be required to demonstrate ability