Reinsurance Auditor Support Specialist

- Recovery
- Fort Mill, SC, USA
- Full Time

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We are excited to welcome a Reinsurance Auditor Support Specialist to our growing team! Key Benefit Administrators is consistently named a Top Workplace by our employees, and we are excited to speak to qualified candidates about this new work from home opportunity!

Creating a Top Workplace is about more than offering great benefits and vacation time - it is about organizational health. Employees want to align with the company's vision, be challenged by a high-performance culture, and feel that they are valued and that their voices are heard.

At Key Benefit Administrators, we believe in delivering a Wow level of service to our valued clients and living up to our mission of improving people's health through high quality, cost-effective care. Strong core values, supportive work relationships, high quality training and personal development are part of our DNA, and we are looking for the right individual to join us!

If you are passionate about delivering high quality service and would like to be part of our supportive family culture - we want to hear from you. The Reinsurance Auditor Support Specialist includes a comprehensive benefit package, full training program and competitive salary! This is a work from home opportunity.

Reinsurance Auditor Support Specialist Overview: Responsibilities will include entering customer data into the reinsurance service platform which we use to generate and file documents for Key Benefit Administrators (KBA). You are required to follow up to ensure that all proposals are signed and returned to KBA. The position will also include review of paid claims for potential funding and managing groups for suspension and any other duties as assigned.

Reinsurance Auditor Support Specialist Essential Duties and Responsibilities

- Enter customer data into our reinsurance service platform for sold cases at implementation and renewal on the KeySolution business.
- Generate and file documents for KBA on the KeySolution product.
- Responsible for updating data into our home-grown platform Key Benefit Administrators System (KBAS) for the KeySolution product.
- Produce and send documents associated with KeySolution to our clients through an e-signing software program named PandaDoc.
- Track and follow up on documents sent to clients to ensure all have been signed and returned to KBA through the e-signing software program PandaDoc.
- Review claims submitted under the plan in which to decide if additional funding is required from the carrier upon which time, you would either deny or approve.
- Generate a weekly paid claims report and supply to all required personnel for the Key Solution business.
- Update the reinsurance service platform with all funding approvals or denials on the KeySolution block.
- Produce and email the required suspension/termination documents on clients who are no longer considered actively eligible for services.
- Conduct audits for any assigned required block of business as needed.
- Perform reconciliation audits for Renewing and Terminating groups to determine if excess funds are due to the client or if additional billing for a deficit identified during the audit.
- Document findings in a clear concise manner for correction and/or for further reconciliation processes.
- Consult policies and other resource materials to review for proper application of policy provisions.
- Other work-related duties as assigned.

Competencies, Knowledge, Skills and Abilities:

- High School GED Required
- Knowledge of reinsurance experience in the health insurance industry (third party administrator, fully insured or self-insured preferred).
- To promote and adhere to Key Family Core Values.
- Deliver WOW Service
- Do It Right the First Time
- Take Calculated Risks
- Be Good Stewards
- Build a Sense of Community and Family
- Create a Valuable Work Life
- Be Responsive and Accountable
- Pursue Growth and Learning
- Be Flexible, Adaptive, and Creative
- Explore, Discover and Push Our Limits
- Analytical and critical thinking skills.
- Well organized and ability to multi-task with a high degree of accuracy.
- Highly developed oral and written communication skills and the ability to work well with internal and external constituents.
- Capable of manipulating advanced Microsoft Excel features.
- Highly proficient in Microsoft Office, Excel, Outlook and Word.
- Salesforce and/or other tracking platforms.
- Strong organizational skills.
- Ability to work very independently with little direction.
- Proficient in mathematics.

More about Key Benefit Administrators:

KBA is a privately owned company with a family atmosphere and supportive leadership, and we take an active role in our local communities with corporate sponsorships and community outreach programs. Employees continue to vote KBA as a Top Workplace year after year! https://topworkplaces.com/company/key-benefit-administrato/indystar/

Founded in 1979 as a full-service group benefits administration firm specializing in self-funded medical plans, the Key Family has grown to become one of the country's largest independently owned third party administrators, supporting a wide variety of group benefit plans.

Learn more about KBA here: https://keybenefit.com/

Our Mission: To create happy customers who renew by improving upon our successful track record of applying patented, proven, creative solutions to the reduction of healthcare costs while improving people's health through high quality, cost-effective care.

Check us out on Glassdoor! https://www.glassdoor.com/Overview/Working-at-Key-Benefit-Administrators-EI_IE692314.11,37.htm

If you are unable to complete an application for Reinsurance Auditor Support Specialist position due to a disability, contact Human Resources by calling 800-560-3539 to ask for an accommodation or an alternative application process.

All qualified applicants for the Reinsurance Auditor Support Specialist position 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.