Summary: The main function of a Policy Administration Rep is to be responsible for establishment of premium collection system records for new groups and changes as a result of amendments and renewals for all group products within assigned block of business. Responsible for ongoing application of received premium within the premium collection system within assigned block of business. Responsible for execution of collection activities for all customers within the EB Division.
** Computer literacy is needed for this position, as they will be navigating through multiple systems daily. This position will also include 20% of Call Center responsibilities, about 2 hours per day. Ideal candidate will have Call Center-Lead or Escalation experience. Attention to detail is a required skillset, as this position is responsible for setting up New Business Billing and posting payments. This individual will be working directly with the Sales staff and policy holders, so great communication skill are also needed.***
Job Responsibilities:
Responsible for execution of collection activities for all customers within the EB Division.
Responsible for ongoing application of received premium within the premium collection system within assigned block of business.
All roles will perform service functions related to the life cycle of a policy.
Proactively communicate sensitive policy information and service options in a clear and effective manner to policyholders, producers, third party administrators (TPAs), field force and home office staff on based contractual provisions, regulations and other related policy information.
Utilize established procedures to ensure accurate policy administration in accordance with contractual provisions.
Research, evaluate and resolve policyholder and field force requests.
Identify and recommend alternative administration options and negotiate exceptions to established procedures with policyholders, field force and other home office staff.
Establish new group and system records.
Identify omissions in submitted materials and obtain necessary information to ensure billing and administrative accuracy.
Initiate and implement policy amendments by analyzing and resolving issues with policyholders, field force, underwriting and other home office personnel.
Interpret information provided by the field and underwriting; communicate administrative changes to policyholder and field force; prepare updated, revised billing statements; determine effective dates, billing modes and policy acceptance requirements in order to update system records to reflect changes in coverage.
Recognize the impact of policy changes to policyholder administration, commissions and claim adjudication.
Receivables and Collections duties such as: tracking and reconciling receivables, updating and maintaining data in system, communicating to policyholders of any coverage lapses and terminations due to non-payment.
Evaluate lapse, termination and reinstatement requests from policyholders, field force and home office staff in order to make legally defensible decisions based upon contractual requirements, established guidelines and control procedures and other factors;
Negotiate repayment plans or other satisfactory solutions to recover outstanding premium amounts from policyholders;
Review and update system based on information and premium received as a result of collection activities.
Skills/Qualifications:
Perform detailed data entry and basic math functions with a high level of accuracy; provide superior customer service; plan and prioritize work to meet multiple deadlines; problem solve with initiative; work effectively within a team; and express ideas clearly both in group and individual settings, orally and in writing.
Ability to: work within a high volume transaction environment, operate within a defined process, develop proficiency on billing and underwriting systems, develop and populate basic spreadsheets, operate professionally within sensitive situations (i.e., bankruptcies, non-payment of premium, terminations); understand current authority levels and the critical impact they have on the Company’s success.
Working knowledge of: group contracts provisions, billing and billing support systems, spreadsheet and database applications
Education/Experience:
Education: High School diploma
Relevant work experience including demonstrated customer service skills in a high production environment, or the equivalent combination of education and/or relevant experience.
8-10 Years' Experience
Note : The Company is committed to complying with the California Privacy Rights Act (“CPRA”) effective January 1, 2023; and all data privacy laws in the jurisdictions in which it recruits and hires employees. A Notice to California Job Applicants Regarding the Collection of Personal Information can be located on our website. Applicants with disabilities may access this notice in an alternative format by contacting NAhr@spectraforce.com.
About Us: Established in 2004, SPECTRAFORCE® is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. SPECTRAFORCE is built on a concept of “human connection,” defined by our branding attitude of NEWJOBPHORIA®, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reach their highest potential. Learn more at: http://www.spectraforce.com
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.
Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation. At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $26.38/hr.
