Member Management Analyst

AGA inc.; Montreal (administrative region); On-site; CAD 42,000 - 62,000; Full time

Job summary

AGA Benefit Solutions in Montreal is seeking a detail-oriented eligibility coordinator to support member movements and administrative requests within our group insurance operations.

You will verify eligibility, gather information from group plan administrators, and process benefit claims while assisting with system testing of AGA+PLUS tools. Fluency in English and French is required, with a DEC or equivalent and at least 2 years in group insurance.

Qualifications

• DEC or equivalent required.
• Minimum 2 years' experience in group insurance.
• Bilingual English and French (spoken and written).
• Proficiency with Microsoft Office Suite.

Responsibilities

• Verify eligibility of member movements and respond to requests from group administrators.
• Review member files and obtain information from group plan administrators; make eligibility decisions.
• Prepare and send correspondence to members and group plan administrators.
• Process late enrollment requests and coordinate health declarations with insurers.
• Reconcile outstanding balances and explain billing to group plan administrators.
• Maintain administrative guides and oversee monthly administration of members and dependents.
• Process benefit claims (disability, waiver of premium, life, critical illness) and forward to insurers.
• Follow up on benefit claims and manage related tasks.

Skills

Attention to detail

Bilingual English/French

Deadline management

Independent worker

Education

DEC or equivalent

Tools

Microsoft Office Suite

Job description

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 being responsible for verifying the eligibility of member movements and answering the requests received from group administrators. Read onto learn about the skills and qualifications required to thrive at AGA!

Your main tasks will include:

• Validate and process the eligibility of member transactions received through portals and email, in accordance with group insurance rules and established procedures;
• Review member files, obtain required information from group plan administrators, make appropriate eligibility decisions, and consult insurers regarding exceptions when necessary;
• Prepare and send correspondence to members and/or group plan administrators;
• Manage late enrollment requests, including sending and following up on health declarations and receiving insurers' decisions;
• Reconcile outstanding balances and provide billing explanations to group plan administrators upon request;
• Maintain administrative guides for specially managed groups and oversee the monthly administration of members and dependents in accordance with contractual provisions;
• Process benefit claims (short- and long-term disability, waiver of premium, life insurance, and critical illness insurance), prepare confirmations, and forward claim files to insurers;
• Perform the required follow-up on benefit claims, including return-to-work cases, the start and end of premium waivers, missing information, and other related matters;
• Provide support to the Membership Administration Clerk, as needed;
• Participate in testing during the implementation or enhancement of AGA +PLUS service tools and software;
• Deliver excellent internal and external customer service;
• Perform any other related duties as assigned by the immediate supervisor.

Required Qualifications:

• College diploma (DEC) or equivalent;
• Minimum of 2 years' experience in group insurance;
• Strong attention to detail and accuracy;
• Ability to meet deadlines and effectively manage priorities;
• Sound judgment, integrity, and honesty;
• Versatility, resourcefulness and ability to work independently;
• Very good command of English and French, both spoken and written (bilingualism is required, as administrative transactions are processed in both languages and involve detailed analysis and a thorough understanding of contractual administrative information related to insurance enrollments and changes, ensuring error-free processing) ;
• Proficiency with Microsoft Office Suite.

Are you inquisitive, self-reliant and unafraid of the unknown?

*AGA welcomes and encourages applications from people with disabilities. Accommodations are available on request for candidates taking part in all aspects of the selection process.

**At AGA, no artificial intelligence or automated systems are used to pre-screen, assess, or select applications. All applications are reviewed by our Employee Experience team . In addition, candidates who have participated in an interview will be notified of the hiring decision within a maximum of 45 days following their final interview . AGA is committed to maintaining a transparent, fair, and legally compliant recruitment process.