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Premium Administration Analyst

Work from home Full-time role Hiring

FedPoint is seeking a detail-oriented and proactive Premium Administration Analyst to join our team. The role involves ensuring accurate and timely billing of insurance premiums, resolving payment discrepancies, and building strong relationships with agency payroll offices.

Responsibilities

  • Assess and resolve new enrollment errors, evaluating eligibility and employment/retirement status
  • Investigate and resolve pre-note and billing errors, ensuring timely actions per OPM metrics
  • Reconcile variances between Payment Files and received funds
  • Execute appropriate actions for unexpected payment amounts and process refunds
  • Report eligibility, process, or system issues to management
  • Process system tickets including inactivations, agency name changes, and eligibility controls
  • Update enrollees’ status, addresses, and other key information based on received communications
  • Handle incoming faxes and manage returned mail through the RecordsForce system
  • Quality check and prepare manual letters and direct bills as per guidelines
  • Transmit Pre-Note files and ensure accurate bill file preparations
  • Perform quality checks on bill files prior to transmission and ensure compliance with OPM (Office of Personnel) metrics
  • Post payment files and validate the bill file processing
  • Process online payment adjustments for return items
  • Research manual payments received without remittance stubs and ensure correct application
  • Investigate unidentifiable payments and apply them appropriately
  • Handle direct payment inquiries and reversals for dishonored checks
  • Document and maintain up-to-date profiles and schedules for agency payroll offices (APOs)
  • Resolve billing and payment file issues with APO representatives
  • Act as the key contact for BENEFEDS Customer Service and Data Quality Analysts (DQA)
  • Manage special projects as assigned
  • Act as a backup to other Premium Analysts when needed

Skills

  • Education: High School Diploma or GED required
  • Experience: 1+ years of experience in Premium Administration, group billing, or employee benefits administration preferred
  • Strong written and verbal communication skills
  • Proficient in computer navigation and data entry
  • Exceptional attention to detail with proven follow-through
  • Ability to manage priorities effectively in a fast-paced environment
  • Strong problem-solving and decision-making skills

Benefits

  • Generous 401k plan: 100% match of employee's contribution, up to a maximum of 6% salary, vests immediately.
  • Bonus Opportunity: Qualifying employees can earn up to 7% of their salary, based on company performance. (Inquire about eligibility with our recruiter)
  • Lots of paid time off: 3 weeks’ vacation, 7 sick days, 3 personal days, and 12 paid holidays!
  • Competitive benefits include health, dental, vision, disability, life, legal, flexible spending account (FSA) and Health Savings Account (HSA) options.
  • 6 weeks fully-paid parental leave
  • Tuition reimbursement program to support career goals.
  • Corporate giving and matching gifts program.
  • Volunteer program: Paid time off to volunteer and company-organized volunteering opportunities.
  • A wide variety of personal, professional, and career development programs.
  • Comprehensive wellness program offering a variety of resources and activities to help support your well-being in the following areas: career, financial, mental, emotional, physical, social and community.

Company Overview

  • FedPoint is to build and administrate long-term care insurance programs for the federal family. It was founded in 2002, and is headquartered in Portsmouth, New Hampshire, USA, with a workforce of 201-500 employees. Its website is https://www.fedpointusa.com/.
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