Your mandate will be to manage the administration, analysis, auditing, and day-to-day operations of complex group benefit plans. You will act as a subject matter expert on benefits, contracts, billing, eligibility, and administration, while working with clients, insurers, consultants, and internal teams to resolve issues and ensure accurate plan management. The role requires strong knowledge of group benefits, an analytical mindset, and an affinity for systems and databases.

Benefits Administration Oversight & Eligibility Management Oversee the administration of member eligibility, enrolments, terminations, beneficiary updates, dependent changes, and other benefit transactions to ensure accuracy and compliance with plan provisions. Review and validate member and plan data to maintain accurate records and support effective plan administration. Manage over-age dependent reviews and ensure eligibility requirements and supporting documentation are met.

Ensure member records are maintained in accordance with privacy, confidentiality, and regulatory requirements.

Contract

Interpretation &

Benefits Expertise Interpret and apply group insurance contracts, policies, employee booklets, and administrative agreements. Serve as a subject matter expert on group perks administration, insurance provisions, and industry practices. Disability, EI, and WSIB/WCB-related benefit administration Contract and policy provisions Life insurance provision s and beneficiary designations I dentify and resolve discrepancies between contractual requirements, insurer practices, and administration system configurations. Provide guidance to clients, insurers, consultants, and internal stakeholders regarding complex benefit matters. Analyze member, eligibility, billing, and insurer data to identify trends, discrepancies, risks, and required corrective actions. Reconcile information across benefit administration systems, insurer records, and client data sources. Conduct audits to ensure data integrity, contractual compliance, and accuracy of member and plan information.



Investigate and resolve eligibility, coverage, enrolment, premium, billing, and administrative discrepancies. Prepare and review reports, analyses, and supporting documentation to support client service, decision-making, and operational performance. Monitor administrative processes and identify opportunities to improve data quality and operational effectiveness. Billing & Financial Administration Assist with benefit-related tax reporting, including T4A production, as required.

Client Relationship

Management & Member Support Act as the primary day-to-day contact for assigned clients, providing expert guidance on benefits administration and plan operations. Respond to complex inquiries regarding eligibility, coverage, claims, premiums, flexible benefit programs, disability benefits, and insurer processes. Build and maintain collaborative relationships with clients, members, consultants, insurers, and internal stakeholders.

Support members in navigating insurer and benefits administration platforms and understanding plan provisions. Ensure service standards are consistently met while delivering a high-quality client experience.

Process

Improvement, Documentation & Training Identify recurring administrative and operational issues, conduct root cause analysis, and recommend solutions. Contribute to the development and implementation of process improvements that enhance efficiency, accuracy, and service quality. Support onboarding, training, and knowledge sharing within the team.

Deliver member education sessions, advantages presentations, and client training programs. Communicate complex technical benefit information clearly and effectively to diverse audiences.



Operational & Project Support Prepare member communications, correspondence, reports, presentations, and other administrative documentation.

Participate in client implementations, renewals, audits, and special projects. Collaborate with internal teams to support operational objectives and continuous improvement initiatives. Perform other related duties consistent with the senior nature of the role.

Minimum of 5 years of Group Benefits administration, insurance, payroll, HR administration, finance, data administration or a related field

- CEBS certification is an asset
- Bilingualism in both official languages is an asset
- Knowledge of Group health insurance plans for a Multi employer or Flex environment is an asset
- Advanced computer proficiency incl. MS Office
- Word and Excel and ability to learn current applications; we will contact you if your application is retained for the next step of our recruitment process. *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 to pre-screen, assess, or select applications. AGA is committed to maintaining a transparent, fair, and legally compliant recruitment process. Internal candidates must submit their application directly to Human Resources and not through the careers site. AGA is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. You can unsubscribe from these communications at any time. For more information on our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy. #

📌 Senior Client Benefits Specialist (Markham)
🏢 AGA
📍 Markham