Experience Inc. Jobs

Company :

HM Insurance Group

Job Description :

GENERAL OVERVIEW:

This job is primarily responsible for daily support of the premium and claim collection initiatives for the company for all lines of business. This would include processing termination requests timely and accurately, performing monthly reporting to management and assisting with reconcilements of group accounts.

ESSENTIAL RESPONSIBILITIES:

• Collection functions

• Positively effect the collection of delinquent accounts through prompt and effective oral and/or written communications. This includes developing acceptable business processes.

• Investigates, evaluates and determines which accounts are to be written off and/or sent to our external collection agency.

• Work daily with group administrators of accounts regarding delinquent premiums, the collections of settlements, or the collection of returned checks. This includes following proper payment arrangements to resolve issues.

• Maintain an effective and efficient accounts receivable collection function for assigned accounts on which to pursue collection.

• Accurate and timely reporting to include daily and monthly reports on accounts as requested by Management.

• Monitor groups in bankruptcy for payments, settlement, or other situations that arise

• Terminations

• Processes terminations for all product lines in all administrative systems through review of workflows generated. This would include processing requested terminations and terminations for non-payment.

• Department Stats and Performance Reporting

• Provide management reports detailing groups in arrears for all product lines. These reports are used to determine current department stats and the projection of future groups that will be in arrears.

• Provide reporting upon request to the Underwriting Departments on the payment experience of groups that are going through the renewal process.

• Billing Team Support

• Perform payment reconciliations of groups accounts

• Explore and resolve billing disputes/issues for group accounts

• Assist the premium processors in maintaining year-to-date turnaround time for unapplied cash for all lines of business.

• Other duties as assigned or requested.

QUALIFICATIONS

Minimum

• High School Diploma / GED

• Three (3) to five (5) years experience in collections

• 1 or more years of PC experience in a Windows environment

• Working knowledge of Microsoft Office Applications

Preferred

• Associate’s or Bachelors degree in Business Administration

SKILLS

• Ability to prioritize work responsibilities

• Advanced verbal and written communication skills

• Experience with analyzing and reporting of statistics to assist with trending and forecasting

• Independent working skills and planning knowledge required

• Ability to assist in training and leading other staff members

• Demonstrates ability to utilize Microsoft desktop application, internet applications and Group Billing Applications

• Demonstrates excellent organizational, mathematical and analytical skills

• Demonstrates a strong customer focus with experience in dealing with internal and external customers in adverse situations

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$17.93

Pay Range Maximum:

$32.26

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf )

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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

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Req ID: J226329