Premium Specialist Ii - Harrisburg, United States - Capital Blue Cross

Capital Blue Cross

Verified Company

Harrisburg, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Position Description:
At Capital Blue Cross, we promise to go the extra mile for our team and our community.

This promise is at the heart of our culture, and it's why our employees consistently vote us one of the "Best Places to Work in PA." This position provides statistical, administrative, and technical support to the Supervisor and Manager of the Premium Support Unit.

The Specialist is responsible for:

determining group delinquency and canceling if necessary, reviewing request from groups for reinstatement and reinstating the group if appropriate.

The position is responsible for developing, tracking and monitoring systems and procedures to protect the plan from delinquent groups. The Premium Specialist is responsible for handling telephone inquiries and correspondence and providing accurate and timely information.

The incumbent researches and resolves rate and payment discrepancies, performs group cancels, refunds, rebills, NSF transactions, and acts as a liaison between the various units in the company to coordinate the resolution of group and payment discrepancies.

The Specialist will also be assigned to special projects as they arise.

Responsibilities and Qualifications:

Monitor group delinquency through system produced reports, returned checks, bankruptcy, and /or other notification and takes the necessary action, following the established policies and procedures.

This includes monitoring production of group premium invoices, First Notice of Non-Payment, Final Notice of Non-Payment, and Cancellation Letters in the automated group delinquency system.

Researches delinquency on groups not in the automated delinquency system following appropriate policies and procedures. Generates manual delinquency letters and communicates information to Account Administration and Marketing personnel.
Researches and approves or denies requests for reinstatement of groups cancelled through the automated and manual delinquency processes. Communicates repayment arrangements to groups and/or Marketing, if approved. Coordinates reinstatement of group coverage.
Coordinates cancellation of small and large groups, including completing the cancellation of the group on Facets, followup on monies due or owed, and interfacing with the group and internal departments for resolution of outstanding issues.
Enters NSF information in an accurate and timely manner. Researches cash reports on a daily basis. Completes refund request or fund transfer paperwork in an accurate and timely manner and once approval is received the Premium Specialist is responsible for entering the information in FACETS.
Researches Facet group and member records to provide resolutions to discrepancies and provide information on group problems and other group related issues.
Responsible for responding to telephone and written inquiries received from groups, group services, cash processing, marketing and related units.
Maintains unit logs and databases as necessary.
Assists in special projects as assigned and completes special projects within the deadline given.
Coordinates payment monitoring, flagging claims and cancellation for groups filing a chapter of bankruptcy. Communicates and consults with Legal to determine appropriate action.
Guides and assists in the training of new premium support research specialists.
Recommends procedure and policy changes to make the billing and delinquency process more efficient and customer oriented.
Monitors the delinquency claims pend queue and where appropriate, recommends needed actions to management
Maintains a professional level of competence through continued education and exposure to methodologies and technologies

Job Requirements

Capable of interpreting financial data and assist with the compilation of facts for management reporting.
Ability to remain calm under emotional telephone conditions, resolve complaints or obtain the appropriate information through research, and recognizes unique debtor situations that require management assignments.
Ability to express opinions and research findings in verbal and written form.
Ability to perform duties with mínimal supervision. Includes ability to act both independently and as part of a team, as well as, the ability to adapt to changing priorities.
Ability to schedule own work priorities and react quickly to changing priorities or job assignments.
Ability to analyze problems and issues, determine impact, and develop business solutions.
Experience performing mathematical calculations used in reconciling and verifying group premium payments.
Prefer one to two years experience with financially related internal operations involving payments by groups and subscribers.

Knowledge:

Knowledge of Account Administration's policies and procedures related to membership, billing and delinquency.
Knowledge of and experience with operating a PC and related software (e.g., Microsoft Word, Outlook and Excel).
Knowledge of the