FSA-HRA Plan Admin I/II at Excellus Health Plan Inc. in Rochester, New York

Job Description:

Job Description:

Summary:

The FSA/HRA Plan Administrator responds to and resolves written, telephone, and personal inquiries from subscribers, groups, and providers concerning all departmental products, policies, and procedures in a professional and efficient manner. This position coordinates and monitors daily administrative activities regarding departmental products to ensure established standards and deadlines are met.

Departmental Product Portfolio: Flexible Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), Health Savings Accounts (HSA), Transit and Parking, Student Loan, Tuition Reimbursement and Wellness Benefits.

Essential Accountabilities:

Level I

• Responds to all inquiries from an internal and external perspective completely, accurately, and timely and in a professional and efficient manner. Supports customer service team in researching member inquiries.

• Researches claims and determines claim eligibility in accordance with IRS regulations. Researches and resolves adjustment transactions.

• Performs online processing and adjudication of claims according to contract specifications/provisions and the company's guidelines and policies as they pertain to the account.

• Maintains membership data including enrolling, terminating, and updating participant and group data. Administers group and member accounts in accordance with all appropriate regulations and process all activity within service time standards.

• Participates and attends ongoing training to further knowledge of regulations, software systems, policies and procedures, and develops skills to accurately fulfill requirements of the job.

• Maintains knowledge of rules, regulations, policies, and benefits governing the department product portfolio. Performs departmental and team functions according to established desk level procedures (DLP). Participates in the development, updating and monitoring of DLP.

• Openly participates and collaborates with departmental and team members to execute on assigned tasks.

• Consistently meets the established departmental and team productivity metrics.

• Assists in system and release testing and troubleshooting.

• 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.

• Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.

• Regular and reliable attendance is expected and required.

• Performs other functions as assigned by management.

Level II (in addition to Level I Accountabilities)

• Performs advanced research and resolution of inquiries and adjustments on behalf of participants, clients, brokers or providers.

• Assists in resolution of escalated or systematic issues. Proactively identifies error trends.

• Assists in client audits and data comparisons.

• Services strategic accounts as well more complex accounts within the Departmental product portfolio.

• All Duties performed under limited supervision.

Minimum Qualifications:

NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities.

All Levels

• High School diploma or equivalent. Associate degree in business administration or related field preferred.

• Two or more years related experience.

• Strong problem solving, reasoning, and organizational skills.

• PC experience including knowledge of Microsoft Word and Excel.

• Excellent oral and written communication skills. Ability to communicate effectively while working collaboratively and maintaining positive relationships with peers and clients.

• Ability to manage multiple projects.

Level II (in addition to Level I Qualifications)

• Four or more years of benefit processing experience.

• Strong proficiency in the use of Microsoft Word and Excel.

• Advanced knowledge of Microsoft Word and Excel.

• Experience with one or more of the product portfolio's Administration software applications.

• Expertise in all aspects of rules and regulations for core operations.

Physical Requirements:

• Ability to work while sitting and/or standing at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time.

• The ability to hear, understand, and speak clearly while using a phone, with or without a headset.

************

One Mission. One Vision. One I.D.E.A. One you.

Together we can create a better I.D.E.A. for our communities.

At the Lifetime Healthcare Companies, we're on a mission to make our communities healthier, and we can't do it without you. We know diversity helps fuel our mission and that's why we approach our work from an I.D.E.A. mindset (Inclusion, Diversity, Equity, and Access). By activating our employees' experiences, skills, and perspectives, we take action toward greater health equity.

We aspire to reflect the communities we live in and serve, and strongly encourage people of color, LGBTQ+ people, people with disabilities, veterans, and other underrepresented groups to apply.

OUR COMPANY CULTURE:

Employees are united by our Lifetime Way Values & Behaviors that include compassion, pride, excellence, innovation and having fun! We aim to be an employer of choice by valuing workforce diversity, innovative thinking, employee development, and by offering competitive compensation and benefits.

In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.

Equal Opportunity Employer

Compensation Range(s):

Level I (N4): Minimum: $19.22/hr - Maximum: $30.76/hr

Level II (N5): Minimum: $20.02/hr - Maximum: $33.03/hr

The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.

Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.