Insurance Administrator

Job DetailsJob Location: Penn Center - Denver, CO 80203Position Type: Full TimeSalary Range: $25.15 - $28.85 HourlyJob Category: InsuranceJOB SUMMARY

This position is responsible for providing PERA’s insurance program information to retired and active members. Ability to comprehend and communicate insurance plan details, respond effectively to inquiries, and resolve elevated issues. Advocates with carriers on behalf of members and understands compliance issues with insurance plans.

IDEAL CANDIDATE
The ideal candidate is a detail-oriented and customer-focused professional who excels at clearly communicating complex insurance information to diverse audiences. They bring strong analytical and problem-solving skills, are comfortable managing multiple priorities and interruptions, and have experience resolving eligibility, coverage, and claims issues. This individual is proactive, organized, and collaborative, serving as an effective liaison between members and insurance carriers while maintaining compliance, accuracy, and a high standard of customer service.
 

ESSENTIAL FUNCTIONS

Employees are held accountable for all duties of the job. Individuals must be able to perform these duties with or without reasonable accommodations.


Provides accurate and timely health care, prescription drug, dental, vision, and life insurance information to   PERA’s retired  and active members
Engages in daily communications with members to effectively explain and clarify plan information via in-person, phone, and written correspondence. 
Performs day-to-day administration of PERA's insurance programs and services. Handles basic and routine tasks under the direction of the Insurance Manager and/or the Senior Insurance Administrator.
Acts as liaison between  members and carriers in researching and resolving eligibility, coverage, and claims issues 
Manages and completes workflow items and reports, such as discrepancy reports and aging out of the plan
 Provides excellent customer service
Manages multiple interruptions on a daily basis
Utilizes analytical reasoning skills and proactive research methods to assist with and prepare for member interactions
Processes and resolves members’ inquiries and issues, such as claims and prescription drug eligibility
Reconciles premium payments and eligibility of enrollees with carriers
Prioritizes and organizes work, maximizing  effectiveness to efficiently meet deadlines
Maintains regular and prompt attendance in the workplace 
Carries out other duties as assigned


QUALIFICATIONS



Bachelor's degree in a business-related field or equivalent combination of education and experience.


1 to 2 years’ experience in insurance or employee benefits. 


Possesses working knowledge of health, dental, vision, prescription, and life insurance


Must be able to provide an excellent customer service experience and to assist a retired population


Analytical, detail-oriented with an aptitude for math


Proficiency with Microsoft Office


Ability to ask clarifying questions to effectively resolve member or retiree issues


Ability to comprehend and communicate insurance plan details


Ability to deal with sensitive and/or confidential information and situations


Ability to prioritize, organize, and work with minimal supervision


Effective verbal and written interpersonal communication skills


Ability to travel overnight on a limited basis



WORKING CONDITIONS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.


Standard office environment with frequent telephone communication, computer operation, and other office productivity machinery, such as a copy and printer machine. 
Occasional moving and positioning supplies in excess of 20 pounds
All employees are expected to present themselves in a professional manner in alignment with the financial services industry
Ability to sit for prolonged periods of time
Ability to operate standard PC equipment
Ability to manage frequent deadlines and tight schedules


 

HYBRID WORK OPTION



Opportunity to work from home up to two days per week. Eligibility dependent upon factors detailed in PERA's Work from Home Policy.


QualificationsJOB DESCRIPTION DISCLAIMER:

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of an employee. Duties, responsibilities, and activities may change or new ones may be assigned with or without notice.

Unfortunately, at this time, we cannot consider candidates that require sponsorship (now or in the future), or are located outside of the US.

All Colorado PERA employees are sub