Bilingual Policy Analyst

For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada’s most pressing health care challenges. We are one of Canada's Most Admired Corporate Cultures, one of Canada’s Top 100 Employers, Canada’s Life & Health Insurer of the Year for 2021 and an Imagine Canada Caring Company. 
 
Our 2,400 professionals work across six provinces, united by our shared values of being caring, accountable, responsible, innovative and community-minded. We’re committed to ensuring our employees thrive in our award-winning, collaborative culture focused on ensuring health, wellness, and personal and professional growth through a variety of programs and support across our organization.
 
Together with Medavie Health Services, we are part of Medavie — a national health solutions partner with over 8,250 employees. Our mission is to improve the wellbeing of Canadians.

 

Job Title: Bilingual Policy Analyst Department: Information Services – Operations Competition: 87262 Internal/External: Both Employment Type: Full Time Permanent Location: Remote - Atlantic Canada Salary: Comprehensive Compensation Reports To: Team Leader    

 

What’s in it for you?

An incredible opportunity to learn in the fields of benefits administration and insurance. This is a challenging long-term career path or a steppingstone to the diverse opportunities the benefits and insurance industry can offer.

What makes us a different kind of employer? Our award-winning culture, team leaders who really care, unmatched training and support are all dedicated to ensuring you are set up for success.

 

Delivery and collaboration on one of our most important core business processes is what our team is all about, we offer:

• A diverse team of colleagues with multiple fields of expertise
• A stimulating and flexible working environment
• Comprehensive health and dental plan that is 100% employer paid effective on your first day
• Emphasis on work life balance, providing wellness benefits, health resources and fitness center discounts
• An organization where we encourage personal learning and growth
• As a not-for profit organization we are dedicated to our purpose, we are focused on health outcomes, not profit, both in our everyday work and we contribute the community.

 
Your Everyday with us:

ThePolicy Analystprovides coverage information and/or technical assistance through a database or via telephone to internal and external clients. They are responsible for keeping up-to-date information on member files and all correspondence. They are also responsible for the application of eligibility standards. They will proceed with data entry into the administrative systems.   In carrying out their duties, the Policy Analyst will communicate directly with Group Administrators and with various Medavie Blue Cross stakeholders. 

 

Key responsibilities

• Provide technical support for the various administrative outputs (bills, reports. Etc.), through email database or by phone to our internal and external clients.
• Ensure quality at the source of information captured in computer systems
• Enter data on change requests, verify report outputs (validation reports) and make necessary corrections/actions. 
• Follow up and provide customer service, when required, in assigned files.
• Ensure compliance with administrative rules and accepted standards for quality and deadlines.
• Regularly use tools for tracking applications and/or production.
• Inform the manager of any delays or anomalies that may disrupt regular operations or affect the quality of outputs.
• Suggest changes in our IT systems and procedures to improve service quality and timelines.
• Analyze membership applications, ensure that all necessary information has been provided and obtained via telephone or written communication.
• Receive change requests (division change, salary change, change of beneficiary, cancellation, reinstatement, various changes).  Ensure that all necessary information has been provided and obtained via telephone or written communication.
• Process change requests according to established procedures while applying insurability standards (time to re-enforce, deadline for dependent membership, etc.) and submit files to underwriting as required.
• Write and adapt all written communications to respond adequately to customer requests.
• Perform any other task of the same nature or general nature required by their duties or required by his superior.

 
What you need to