Analyste technique de régimes - poste bilingue / Bilingual Client Benefits Technical Analyst – [...]

Express Scripts by Evernorth; Montreal; On-site; CAD 60,000 - 80,000; Full time

Job summary

Une entreprise de services de santé recherche un Analyste technique de régimes bilingue pour agir comme point de contact clé pour les demandes des clients. Le candidat idéal aura une formation universitaire, sera bilingue en français et en anglais, et possédera des compétences en service à la clientèle et en analyse. Ce rôle implique de travailler en étroite collaboration avec les clients et les équipes internes pour résoudre les problèmes et fournir un soutien technique sur les régimes d'avantages sociaux.

Benefits

Salaire compétitif

Avantages sociaux

Environnement de travail positif

Qualifications

• Diplôme universitaire ou expérience équivalente.
• Bilingue en français et anglais requis.
• Expérience en assurance de groupe, pharmacie ou plans de santé.

Responsibilities

• Agir comme point de contact pour les demandes liées aux avantages santé.
• Fournir une expertise technique sur les questions de réclamation.
• Former les clients et partenaires internes sur diverses applications.

Skills

Service à la clientèle

Analyse critique

Résolution de problèmes

Initiative

Multitâche

Communication verbale

Communication écrite

Education

Diplôme universitaire ou diplôme collégial

Tools

MS Office

Job description

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The primary function of the Client Benefit Technical Analyst is to act as a key point of contact for all Health Benefit inquiries and issues for our customers – insurance companies and third party administrators (TPAs). The Client Benefit Technical Analyst will ensure that relationships with our customers are effectively maintained. The Customer Services team provides support to customers on Pharmacy, Dental and Health plans coverage. The team also provides customer support on various database, IT, adjudication inquiries, and coordinating with other departments to fully support customers.

Essential Functions

1. Provide technical expertise on Drug, Dental & Extended Health Benefits related issues as requested by customers, such as claim adjudication and payment questions.
2. Support ESC Clinical team with the implementation of new and existing clinical programs, formularies, and new business development products.
3. Provide support to Account Managers on various strategic initiatives, communications and promotion of Express Scripts Canada’s products to the marketplace.
4. Support customers with impact analysis as needed.
5. Act as the liaison between the customer and other Express Scripts Canada departments and work closely alongside these internal operational representatives to identify and resolve customer needs.
6. Facilitate and attend various meetings with customers and internal partners.
7. Train customers and internal partners on various applications.
8. Provide back up to Customer Support Specialist (Call Centre).

Qualifications

1. University Degree, College Diploma or Equivalent experience
2. Bilingual in French and English written and verbal is a must
3. Experience in the field of Group Insurance, Pharmacy, Dental or Health Benefits Plans
4. Pharmacy technician background and / or knowledge of government drug programs (Ontario Drug Benefits, Provincial Formularies, RAMQ) is an asset
5. Excellent Customer Service capabilities
6. Demonstrates strong analytical, critical thinking and problem solving skills
7. Shows initiative
8. Ability to multitask and prioritize based on urgency
9. Able to work effectively with both internal / external customers and internal / external contacts
10. Excellent verbal and written communication skills
11. Proficient with computer applications (MS Office)

About the company

Express Scripts Canada is a subsidiary of Express Scripts, a Cigna company. Cigna Corporation (NYSE : CI) is a global health service company dedicated to improving the health, wellbeing and peace of mind of those we serve. Cigna offers an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioural health, pharmacy, vision, supplemental benefits, and other related products.

It will be a condition of employment that the successful candidate obtains an Enhanced Reliability Clearance from the Federal Government. The candidate will be required to provide supporting documentation to receive clearance if required.

We offer a competitive salary and benefits package, along with a positive work environment built on solid corporate values, integrity, mutual respect, collaboration, passion, service and alignment.

We are an equal opportunity employer that promotes a diverse, inclusive and accessible workplace. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.

We are committed to creating a working environment that is barrier-free and we are prepared to provide accommodation for people with disabilities.

If you require accommodation in completing the online application process, please email: [e-mail]. Do not email [e-mail] for an update on your application or to provide your resume as you will not receive a response.