Managed Benefits Reconciliation Specialist

Job Description

Job Description

Managed Benefits Reconciliation Specialist

Summary / objective

The Managed Benefit Reconciliation Specialist is an integral member of the HCM Benefits Team that will play a role in partnering with and providing exceptional support and service to a subset of isolved customers, insurance carriers and other internal teams including Renewals, ACA, EDI, Customer Support, COBRA and Fringe Benefits, and Customer Success Managers. This individual must be able to manage and prioritize multiple and competing deadlines in addition to displaying good time management. Responsibilities include troubleshooting, resolving client benefit inquiries, managing enrollment and eligibility for employees, client documentation, quality assurance tasks, and other special projects.

Core Job Duties

• Provide superior service to both internal and external customers
• Manage customer escalated issues and drive resolution
• Audit and reconcile carrier invoices against enrolled employee data and deductions from the solved platform while ensuring that any variances identified are researched and corrected as needed.
• Identify,research and correct enrollment discrepancies with the carriers
• 3rd party vendors in a timely manner.
• Acts as a liaison between the customer, carrier,and isolved Benefits Services as it relates to COBRA; taking action with each when applicable – i.e. paid through dates and when to add / remove participant from carrier coverage.
• Communicate recommended changes and solutions to the customer from those items found on the audit; communicate changes and solutions with insurance broker when necessary.
• Validate benefit plan configuration accuracy and alignment with carrier specifications and partner with internal Managed Benefits Team and EDI Team (when applicable) on plan builds, updates, and related questions when necessary.
• Pay invoices via accounts payable department and online bill payment via carrier sites, if applicable.
• Ensure auditing and carrier invoice payment deadlines (if applicable) are met.
• Work CRM cases / projects and communicate status updates and resolutions directly through the case / project.
• Acts as backup to Managed Benefits Specialist, when necessary.
• Collaborate with peers on best practices.
• Provide feedback and developmental coaching to other team members, upon request.
• Attend and participate in all relevant meetings.
• Engage in company volunteer committees and project opportunities.
• Adhere to company and departmental policies.
• Perform other duties and responsibilities as assigned.

Job Complexity

Has substantial understanding of the job and applies knowledge and skills to complete a wide range of tasks

Interaction

Works on assignments that are moderately difficult, requiring judgment in resolving issues or in making recommendations.

Supervision

Normally receives little instruction on daily work, general instructions on newly introduced assignments. Routine assignments are performed independently unless problems occur.

Experience

Typically requires a minimum of 3 - 6 years of related experience.

Scope

N / A

Discretion

N / A

Minimum Qualifications

Additional Preferred Qualifications

Physical Demands

Prolonged periods of sitting at a desk and working at a computer. Must be able to lift up to 15 pounds.

Travel Required

Yes, up to 15% domestic travel may be required.

Work Authorization

Employee must be legally authorized to work in the United States.

FLSA Classification

Non-exempt

Location

Hybrid - In any isolved office-Dubuque, Iowa-Sandy, Utah-Charlotte, North Carolina-Springfield, Massachusetts-Phoenix, Arizona-Fremont, Indiana

About isolved

isolved is a provider of human capital management (HCM) solutions that help organizations recruit, retain and elevate their workforce. More than 195,000 employers and 8 million employees rely on isolved's software and services to streamline human resource (HR) operations and deliver employee experiences that matter. isolved People Cloud™ is a unified yet modular HCM platform with built-in artificial intelligence (AI) and analytics that connects HR, payroll, benefits, and workforce and talent management into a single solution that drives better business outcomes. Through the Sidekick Advantage™, isolved also provides expert guidance, embedded services and an engaged community that empowers People Heroes™ to grow their companies and careers. Learn more at www.isolvedhcm.com .