Insurance Reconciliation Specialist

Why Work Here

• Headquarters is in Charlotte, NC
• Recently expanded to nearshore
• isolved ranked for SMB Payroll in 2023 Sapient Report
• Voted top places to work in USA 2023

Job Description

The Insurance Reconciliation Specialist is responsible for partnering with and creating exceptional customer service to our customers and their insurance carriers, in addition to other internal benefits team members.

Core Job Duties

• Guide and coach the Benefits Auditing Team in understanding the system and isolved best practices.
• Delegate and mentor any special projects to teammates.
• Complete audits each month to identify any discrepancies and/or validate the accuracy of the bills compared to enrolled participants in the isolved system, in addition to comparing actual deductions taken.
• Research discrepancies and resolve inaccuracies/variances found on the audits.
• Communicate recommended changes and solutions to the customer from those items found on the audit; communicate changes and solutions with the insurance broker when necessary.
• Execute updating of benefit enrollments, benefit terminations, and enrollment changes in isolved and insurance carrier sites.
• Correspond with carriers on needed changes to enrollments or questions on billing statements when necessary.
• Collaborate with 3rd party vendors and/or internal EDI/Carrier Connect team on any issues related to files being sent/received by carrier.
• Validate benefit plan configuration accuracy and alignment with carrier specifications and partner with internal benefits and implementation teams on plan builds, updates, and related questions when necessary.
• Manage customer escalated issues and drive resolution.
• Build strong customer relationships, consulting with them to make recommendations.
• Manage various benefit plan information (FSA, medical, dental, vision, life, disability, etc.) to complete audits and ensure plan setup is not affecting discrepancies.
• Pay invoices via the accounts payable department and online bill payment via carrier sites.
• Ensure deadlines for audits and bill payments are met, appropriately escalating issues.
• Collaborate with peers to establish best practices.
• Complete special projects as needed.

Minimum Qualifications

• Technical training in electronic assembly/repair
• Basic soldering skills
• Customer service experience
• Computer skills with Word/Excel/Outlook/NetSuite
• Basic computer networking understanding
• High school diploma or equivalent required

About isolved

isolved is an employee experience leader, providing intuitive, people-first HCM (Human Capital Management) technology. Our solutions are delivered directly or through our partner network to more than five million employees and 145,000 employers - who use them every day to boost performance, increase productivity, and accelerate results while reducing risk. Our HCM platform, isolved People Cloud, seamlessly connects and manages the employee journey across talent management, HR & payroll, workforce management and engagement management functions. No matter the industry, we help high-growth organizations employ, enable and empower their workforce by transforming employee experience for a better today and a better tomorrow. For more information, visit www.isolvedhcm.com.

EEO Statement

isolved is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. isolved is a progressive and open-minded meritocracy. If you are smart and good at what you do, come as you are.

Disability Accommodation

Visit www.isolvedhcm.com/careers for more information regarding our incredible culture and focus on our employee experience. Visit www.isolvedeebenefits.com for a comprehensive list of our employee total rewards offerings.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions outlined above.

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