Mississauga, ONThe primary function of the Client Benefit 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 successful incumbent 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:
Provide expertise on Drug, Dental & Extended Health Benefits related issues as requested by customers, such as claim adjudication and payment questions.
Support ESC Clinical team with the implementation of new and existing clinical programs, formularies, and new business development products.
Provide support to Account Managers on various strategic initiatives, communications and promotion of ESI Canada’s products to the marketplace.
Prepare standard scheduled reports and Ad-hoc custom report requests and analyses for customers to meet specialized reporting needs of the customer.
Act as the liaison between the customer and other Express Scripts Canada departments which include; Drug Plan Management, DIN Database, Provider Audit, Information Systems, Claims Processing, Finance and Provider Call Centre. Work closely alongside these internal operational representatives to identify and resolve customer needs.
Handle communications to the customer which includes; performance statistics, release information and Information Systems improvements, and other Express Scripts Canada updates
Participate in User Acceptance testing.
Facilitate and attend various meetings with customers and internal partners.
Train customers and internal partners on various applications.
Support Active Pharmacy and provide day to day support to the Associate AM
Prepare billing to customers and handles inquiries from Finance
Ensure process documentation & contact information is kept up to date
QUALIFICATIONS & CORE COMPETANCIES:
University Degree, College Diploma or Equivalent experience
Bilingual in French and English written and verbal
Experience in the field of Group Insurance, Pharmacy, Dental or Health Benefits Plans
Pharmacy technician background and/or knowledge of government drug programs (Ontario Drug Benefits, Provincial Formularies, RAMQ) is an asset
Excellent Customer Service capabilities
All Client Benefit Analysts are expected to adhere to the Express Scripts Core Values
Must focus on the team, clients and growth by committing to delighting our clients, delivering on our promises, and always working to elevate and strengthen the account management and service team
Proven leadership skills including the ability to work effectively with both internal (i.e. peers, Account Managers, Supervisor, Manager, and other internal partners) and external customers
Must possess attention to detail, and be both analytical and proactive
Must have excellent time management and organizational skills
Must demonstrate responsiveness and a sense of urgency
Must be self-empowered and self-managed, but also must exhibit teamwork
Must have exceptional communication skills and the ability to present complex and technical information to a non-technical audience
Must be constantly seeking new information and self-developing and learning in the role
Proficient with computer applications (MS Office, Express Scripts Canada applications)
About Express Scripts Canada
Express Scripts Canada, a registered business name of ESI Canada, an Ontario partnership indirectly controlled by Express Scripts, Inc. (Nasdaq: ESRX), is one of Canada’s leading providers of health benefits management services. From its corporate headquarters in Mississauga, Ontario, just outside Toronto, Express Scripts Canada provides a full range of integrated pharmacy benefit management (PBM) services to insurers, third-party administrators, plan sponsors and the public sector, including health-claims adjudication and processing services, Home Delivery Pharmacy Services, benefit-design consultation, drug-utilization review, formulary management, and medical and drug-data analysis services, to better facilitate the best possible health outcomes at the lowest possible cost.
It will be a condition of employment that the successful candidate receives the Enhanced Reliability Clearance from the Federal Government. The candidate will be required to provide supporting documentation in order to receive Clearance if required.
We offer a competitive salary, 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. Thank you for your interest in this position, however only qualified candidates will be contacted for an interview. No telephone calls please.
For more information about Express Scripts Canada, visit its Web site at www.express-scripts.ca .
About Cigna
Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.
When you work with Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.
