Admin Asst - Group Insurance Support

DESCRIPTION

Title: Group Insurance Representative/Admin. Asst -  5 needed!

Purpose of Job:
Administers financial terms negotiated under customized and standardized group and individual contracts.

Duties and Responsibilities

RECONCILIATION,COLLECTIONS, ANSWERING PHONES, BILLING, MONITORING ELIGIBILITY

1. Services customized and standardized groups with multiple product lines and benefits structures. Performs reconciliations utilizing various software systems. Determines if employer's monthly premium payment is accurate based on the addition and termination of covered employees.
2. Researches and resolves eligibility and rate discrepancies. Works closely with the HR benefits staff of employer groups, web based applications, and Consolidated Service System to ensure that there is contractual compliance with the financial terms. Requests additional premium from employer to cover employees added to group contract.
3. Process terminations and reinstatements of groups and individual member accounts as outlined by the credit policy and/or recommends exceptions; may collect and relay information to management regarding customized alternative payment arrangements. Prepares reports detailing the reconciliation of premiums for assigned employers groups.
4. Coordinates with processor(s) to ensure that clerical work on the account is performed in accordance with the group's requirements. Identifies changes on eligibility reports
5. Identifies delinquent accounts and initiates the process to have the outstanding balances submitted to the collection agency
6. Administration of group and individual member contract account balances
7. Administer payment options for group and individual member contracts (to include credit cards, recurring credit cards)
8. Processes eligibility to include enrollment, changes to enrollment and member terminations
9. Interacts with internal departments, internal staff, and external customers to resolve concerns and inquires in support of individual employer group contract administration
10. Performs other related duties as directed

Minimum Qualifications:
Three years of experience with account reconciliation and detailed analysis utilizing financial systems preferably in an insurance or health care environment.
High school diploma or equivalent.
Two-year degree in accounting, business administration, or a related discipline preferred.
Proficiency in the use of applicable computer software.
Effective interpersonal and communication skills.

Experience Requirements:

Customer Service, Accounting background, Data Entry, Excel and Access experience

PUNCTUALITY, RELIABILITY, ABILITY TO MULTI TASK

SELF MOTIVATED, HARD WORKING DEPENDABLE

HOURS AND DAYS: - MON THRU FRIDAY 8 HRS A DAY