Excellus Health Plan Inc.
Long Term Care Policy Administration Specialist I/II - 001247 (Project Management)
In accordance with established departmental procedures, corporate policies, member contracts and riders, will process, enter, modify insurance policies and information, payments, and request additional information needed, send correspondence when necessary and work closely with other required internal departments.
Follows the appropriate procedures to balance daily cash receipts, and/or research cash records according to transaction type. Initiates the necessary actions to balance daily cash records.
Performs accurate, timely data-entry and transactional processing of benefit changes, terminations, waiver of premium, demographic changes and responds to insureds with appropriate correspondence.
Reviews and verifies premium payments received electronically and physically, accepts, rejects, or processes insufficient funds, and prepares for deposit or processing according to administrative departmental procedure.
Participates in the training needed to learn regulations, systems, procedures, develop skills and initiate actions to accurately fulfill all requirements of the job.
Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs.
Duties are performed under limited supervision
Resolves moderately complex administrative system transactions and cash reporting
Minimum Qualifications
All Levels
Excellent communication skills and demonstrated abilities in dealing effectively with all levels of internal and external customers.
Demonstrated ability to identify the root cause and trends of the systemic problem in order to recommend and then implement solutions.
Must be able to work independently with a high level of accuracy.
Self-directed and dependable.
Assigned tasks / duties performed under the guidance of supervisor.
Attends all training required to become proficient in position.
Minimum of 12 months experience in a Level I Specialist or equivalent position.
Demonstrates solid results in behaviors, adheres to departmental guidelines, and demonstrates sound judgment in decision making.
Demonstrated ability to perform all generally assigned specialized job tasks, with limited assistance, within the specialized units.
Work is completed in a normal office environment under fluorescent lighting.
Ability to use a headset to listen to customer conversations required.
Must be able to function while sitting at a desk viewing a computer and using a keyboard and mouse for 3 or more hours at a time.
In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.
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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
Non Manager