Benefits Help Desk Representative

We are seeking a Benefits Help Desk Representative to serve as the primary point of contact for members seeking information and assistance with the group insurance program. This role blends customer service, insurance program knowledge, claims interpretation, and departmental administrative support to deliver best-in-class member experience.

Key Responsibilities:

• Respond to member inquiries on insurance program details, including benefits, timeframes, processes, policies, and procedures.
• Address specific questions regarding claims status, payments, eligibility, and dependents, clarifying concerns and facilitating resolution with the claims adjudicator, service providers, and management.
• Triage inquiries, provide program information from websites and brochures, and offer solutions to member problems.
• Log and track all member interactions to ensure timely resolution and thorough documentation.
• Liaise with Benefits staff and escalate complex cases to senior team members or management as needed.
• Obtain and confirm provider information for claims adjudication by communicating with members, dental offices, hospitals, and benefit practitioners.
• Answer general inquiries received via the call center within your area of expertise.
• Support administrative tasks within the department, including organizing claims, processing medical referrals, managing disability information, and assisting during program renewal periods.
• Help with outgoing benefit mailings, check distribution, member packages, and maintenance of legal documentation like Powers of Attorney and Authorization Letters.
• Monitor and alert management about emerging trends or concerns to continually improve member service standards.

Apply Now

If you are a dedicated service professional with insurance and benefits experience, we invite you to apply and help us deliver excellence to our insured members. This position is exclusively through Robert Half.

• 2–3 years of call center experience, preferably in a group insurance environment.
• In-depth understanding of insurance policies, procedures, practices, and benefit details, with ability to interpret dental, extended health care, and prescription drug claims.
• Proven troubleshooting skills; able to empathize and resolve sensitive or difficult member issues with attentive listening.
• Superior verbal and written communication skills, with proficiency in Microsoft Office (Outlook, Word).
• Ability to handle large volumes of varied inquiries in a fast-paced environment, meeting established response standards.
• Detail-oriented approach to documentation and follow-through.
• Working knowledge of insurance systems, particularly regarding processed claims and benefit eligibility.
• Fluency in French is an asset.

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Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. All applicants applying for Canadian job openings must be authorized to work in Canada.

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