Process and maintain employee/dependent certificate information for existing groups and other client requests in an online environment;
Determine whether insurance applications meet contractual provisions and the employee’s eligibility for various benefits according to the class & division structure;
Update covered person file for changes in personal information;
Use of Sparle's tool (create data entry form, upload employee's information on system);
Determine if special coding is required for particular files;
Identify employee and/or dependent applications which require Medical Underwriting approval basing decisions on contractual & administrative provisions;
Calculate the benefit amounts based on the employee’s profile;
Analyze and resolve discrepancies identified from data integrity reports by updating various internal systems (EAS, BEN, PDD and Tandem) to ensure consistency;
Communicate with GWL field staff and plan sponsors to obtain missing information required to process enrolment forms.