Part of the Western Growers Family of Companies, Western Growers Assurance Trust (WGAT) was founded in 1957 to provide a solution to a need in the agricultural community — a need for employer-sponsored health benefit plans not previously available from commercial health insurance carriers. WGAT is now the largest provider of health benefits for the agriculture industry. The sponsoring organization of WGAT is Western Growers Association, created in 1926 to support the business interests of employers in the agriculture industry. WGAT’s headquarters is located in Irvine, California.

WGAT’s mission is to deliver value to agriculture-based employer groups by offering robust health plans that meet the needs of a diverse workforce. By working at WGAT, you will join a dedicated team of employees who truly care about offering quality health benefits and excellent customer service to plan participants. If you want to start making a difference working in the health care industry, then apply to WGAT today!

Compensation: $45,091 - $63,617 with a rich benefits package that includes profit-sharing. 


 

JOB DESCRIPTION SUMMARY

This position reports to the Senior Supervisor, Administration Finance and the person must be able to process financial transactions in the company’s processing systems as related to group and individual billing, automated clearing house (ACH) processes and cash receipt processing.  Maintain and balance group and individual accounts receivables including delinquency processing and terminations.  Manage receipt of group admin fees and process vendor payments.  Invoice for third party administrator (TPA) Claims processing and manage receipt and application of claims funding.

Qualifications

• BA/BS degree in accounting, finance or business related field plus four years’ experience working in a related field or equivalent combination of education and experience preferred.
• Skills to establish priorities, multi-task, work under pressure and deadlines, work independently with minimal supervision or in team environment. 
• Intermediate knowledge of end-user office software i.e. calendaring, word-processing, spreadsheet and email and the ability to develop a strong proficiency working with a proprietary Health Care system.
• Excellent written and oral communication skills, to include modern business communications, formatting of professional letters, reports and phone etiquette.
• Customer service oriented.
• Ability to analyze and resolve technical problems and/or client inquiries as they arise.
• Cross train on Eligibility processing handling that portion of the business as necessary.
• Knowledge of generally accepted Health Care Eligibility and Billing procedures as well as Health Insurance Portability and Accountability Act (HIPAA), Consolidated Omnibus Budget Reconciliation Act (COBRA), Cal-COBRA, Multiple Employer Welfare Arrangement (MEWA) and Employee Retirement Income Security Act (ERISA) regulations.
• Knowledge of health insurance industry and standard health care eligibility provisions.
• Ability to work overtime as requested by management and based upon department needs and compliance.
• Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.  
• Home router with wired Ethernet (wireless connections and hotspots are not permitted).  
• A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.)  
• A functioning smoke detector, fire extinguisher, and first aid kit on site.

Duties And Responsibilities

Account Management & Maintenance

• Maintain/manage all Pinnacle Claims Management, Inc. (PCMI) contribution/premium reimbursements, COBRA/Retiree reimbursements, and vendor pass thru payments for PCMI.  
• Verify and authorize the release of PCMI vendor payment within 4 business days of account funding.
• Manage the process of funding and releasing self-funded claims payments.
• Perform the preparation and completion of schedule “A” and Tax form 5500.
• Month End Financials completed and delivered to Accounting by the fifth (5th) business day of the month.
• Manage and maintain Bank of America lockbox, and ACH/Wire programs.
• Manage and maintain retiree invoicing & receivable management program(s).
• Maintain FSA (Flexible Spending Account) program.  

Process Management

• Process and verify the necessary correcti