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Regular or Temporary:

Regular

Language Fluency:  English (Required)

Work Shift:

1st Shift (United States of America)

Please review the following job description:

Reconciles monthly file matches from carriers as well as auditing the carrier’s bill to our system to identify any discrepancies between the two and have them corrected as necessary.

Our employees work a hybrid schedule. On the days we are not in the office, our teams are able to collaborate using video and screen sharing technology which means you'll feel like you’re part of the team while also enjoying the convenience of working from home.

At BenefitMall, an industry leading provider of benefits services, we believe that it takes great employees to build a resilient organization. Our culture is based on corporate values that focus on inclusion, trust, collaboration, and innovation to help us build a bright future. As a result of listening to our employees, BenefitMall recently earned a Top Workplaces USA award three years in a row based solely on employee feedback and insight! If you want to work for a company where employees are valued and growth is encouraged, BenefitMall could be the place.

KEY RESPONSIBILITIES
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
• Verifying Enrollment and group information in BenefitMall and the carrier system to confirm information matches.
• Research and resolve all carrier reports and non-electronic issues. Identify issues independently and offer solutions. Maintain record of transactions until problem is solved and resolution is in place.
• Receive and process all changes, corrections monthly.
• Contact representatives and Brokers to explain retro billing adjustments.
• Submit retro change requests to carriers for approval prior to processing.
• Prepare letters to be sent to Carriers to confirm repayment agreements.
• Reconcile carrier invoices, identify, and resolve discrepancies within Carrier guidelines.
• Communicate with Sales and carriers to make appropriate payment arrangements.
• Prepares manual adjustments to debit or credit Accounts Receivable resulting from carrier interface discrepancies.
• Communicate with internal and external clients verbally and in writing complicated reconciliation issues in a timely and concise manner to ensure client understanding.
• Review and forward any plan amendments to carrier for approval and communicate when approved or denied.

EDUCATION AND EXPERIENCE
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• High school diploma or GED equivalent
• 2+ years of related experience
• Knowledge of Enrollment materials.

CERTIFICATIONS, LICENSES, REGISTRATIONS
• None

FUNCTIONAL SKILLS
• Good knowledge of Microsoft Office, specifically Excel, Word and Outlook Exchange; proficient in Internet Explorer.
• Knowledge of health insurance.
• Communicate effectively with internal and external personnel, both verbally and in writing.
• Strong attention to detail, time management, and problem solving skills.
• Type a minimum of thirty (30) words per minute.
• Develop and maintain good relationships at all levels within the company and with agents, brokers, and/or carrier representatives.
• Work in and contribute to a positive team environment.
• Manage multiple tasks simultaneously.

The annual base salary for this position is $45,760 - $47,840.

General Description of Available Benefits for Eligible Employees of TIH Insurance: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of TIH Insurance offering the position. TIH offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. For more details on TIH's generous benefit plans, please visit our site. Depending on the position and division, this job may also be eligible for TIH’s defined benefit pension plan, restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work.

CRC supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC is a Drug Free Workplace.

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