Specialty Billing Representative I

<strong>AF Group (Lansing, Mich.) and its subsidiaries are a premier provider of innovative insurance solutions. Insurance policies may be issued by any of the following companies within AF Group: Accident Fund Insurance Company of America, Accident Fund National Insurance Company, Accident Fund General Insurance Company, United Wisconsin Insurance Company, Third Coast Insurance Company, or CompWest Insurance Company.</strong>

Lansing, USA

AF Group

<p class="p1"><strong>AF Group&rsquo;s focused and passionate team uses industry-leading best practices, analytics and resources to manage risk and minimize loss for our policyholders while strengthening businesses with our valued independent agent partners.</strong></p> <p class="p1"><strong>We strive to continuously increase the long-term value of our organization by outperforming our industry peers and fostering a culture of underwriting and claims excellence.</strong></p> https://www.afgroup.com/

keywords: position summary,management,expedite,compliance,quality assurance,claims,orders,training,check,reporting,education,experience,knowledge,skills

Non-Manager

Competitive Compensation and Benefits Package

Overview: <p>Level I is in a learning capacity and will progress to the senior level when the incumbent qualifies and is&nbsp;able to provide coverage and assistance across all primary responsibilities and focus areas&nbsp;<br />independently.</p> <p><br />This job is primarily responsible for products and services underwritten by the Enterprise that require&nbsp;manual processes due to the complex nature of the request or system limitations. Performs in-house&nbsp;collection activity that ultimately determines financial resolution of delinquent funds owed to the&nbsp;Enterprise. Services, bills and manages tasks related to &ldquo;specialty&rdquo; (i.e. Loss Sensitive, AccuPremium)&nbsp;business underwritten by the Enterprise. Calculates commission owed to agencies on a monthly basis&nbsp;<br />and handles all servicing related to agency commissions. Contacts include: Enterprise employees,&nbsp;agents and policyholders, external collection agencies, NCCI and legal representatives.&nbsp;</p>
Responsibilities: <ul> <li>Maintains in-depth knowledge of policy and commission structure of each&nbsp;brand within the Enterprise.</li> <li>Completes manual commission calculations for the individual brands within&nbsp;the Enterprise. Creates statements and check requests to pay commissions&nbsp;on a monthly basis.&nbsp;</li> <li>Manually calculates and bills for retrospective premium adjustments and&nbsp;monthly losses related to loss sensitive business for all brands within the&nbsp;Enterprise.</li> <li>Monitors and tracks collateral to ensure loss funds are adequately funded.</li> <li>Works directly with policyholders and external collection agencies in regard to&nbsp;past due balances. Uses authority levels to make decisions in regard to balances due.</li> <li>Monitors aging reports and completes follow-ups with Premium Audit,&nbsp;</li> <li>Underwriting and Management.&nbsp;</li> <li>Reviews, negotiates and approves payment arrangements and settlement&nbsp;</li> <li>offers on past due receivables for the Enterprise.&nbsp;</li> <li>Files bankruptcy claims with the Bankruptcy Court for policyholders that have&nbsp;entered bankruptcy. Has an understanding of the different types of&nbsp;bankruptcy and how to appropriately handle each.</li> <li>Participates in the development of requirements related to new Enterprise wide systems.</li> <li>Verifies reasonableness of data in ancillary and disparate systems.</li> <li>Reconciles accounts to clarify billing transactions and cash application in&nbsp;order to provide customers with up-to-date account information/history.</li> <li>Responds to internal and external customer requests via telephone or&nbsp;electronic correspondence. Correspondence is drafted as requested to&nbsp;address complaints or information requests. Requests are initiated by agents, policyholders, underwriters, or management.</li> <li>Processes pay by phone transactions to expedite posting of cash to insured&rsquo;s&nbsp;policy.</li> </ul> <br /><br />ADDITIONAL RESPONSIBILITIES FOR THE LEVEL II:<br /> <ul> <li>Provides coverage and assistance across all primary responsibilities and focus areas.</li> <li>Provides training and mentoring to the Level 1 Specialty Billing Representative position.</li> <li>Addresses and responds to complex internal and external customer requests.</li> <li>Works with minimum supervision.</li> </ul>
Requirements: <p>A. EDUCATION REQUIRED:&nbsp;<br />Minimum of an Associates degree in Business or equivalent. Combinations of relevant education and&nbsp;<br />work experience may be considered in lieu of degree.</p> <p><br />B. EXPERIENCE REQUIRED:&nbsp;<br />Minimum of three (3) years experience in billing, underwriting, policy processing or equivalent work&nbsp;<br />which provides the necessary skills, knowledge and abilities.</p> <p><br />OR</p> <p><br />Bachelor&rsquo;s degree in Business or equivalent and 1 year of relevant experience in billing, underwriting<br />or policy processing. Combinations of relevant education and work experience may be considered in&nbsp;<br />lieu of degree.</p> <p><br />ADDITIONAL EXPERIENCE REQUIRED FOR THE LEVEL II:<br />Minimum of five (5) years experience in billing, underwriting, policy processing or equivalent work&nbsp;<br />which provides the necessary skills, knowledge and abilities.</p> <p><br />OR</p> <p><br />Bachelor&rsquo;s degree in Business and 3 years of relevant experience in billing, underwriting or policy&nbsp;<br />processing.</p> <br />C. SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:&nbsp;<br /> <ul> <li>Basic knowledge of workers compensation.</li> <li>Knowledge of claims and underwriting operations (i.e. deductibles, billing etc.,)/</li> <li>Ability to analyze details of policy billing and payment data and, based on this analysis, make&nbsp;efficient and effective independent decisions within authority.</li> <li>Ability to analyze details of policy billing and payment data and, based on this analysis, make&nbsp;efficient and effective independent decisions within authority.</li> <li>Ability to manage multiple priorities and meet established deadlines.</li> <li>Ability to proofread documents for accuracy of spelling, grammar, punctuation, and format.</li> <li>Knowledge of insurance operations. Specifically as they pertain to state specific requirements.</li> <li>Excellent math skills. Ability to accurately interpret and analyze data.</li> <li>Ability to process transactions on multiple processing systems.</li> <li>Ability to use diplomacy, discretion and appropriate judgment when addressing callers.</li> <li>Requests write offs to resolve small balance and NSF fee discrepancies&nbsp;within guidelines.</li> <li>Requests money moves to ensure accurate posting of cash.</li> <li>Maintains knowledge of state regulations as they pertain to movement of&nbsp;funds between policies and legal entities.</li> <li>Maintains confidentiality of information processed</li> <li>Re-allocatable to Level II</li> <li>Ability to proofread documents for accuracy of calculations.</li> <li>Excellent organizational skills and ability to prioritize work in order to meet strict deadlines.</li> <li>Excellent oral and written communication skills.</li> <li>Excellent analytical and problem solving skills.</li> <li>Knowledge of computers and ability to type 40 words per minute.</li> <li>Knowledge of word processing software.</li> <li>Basic knowledge of database software.&nbsp;</li> <li>Advanced knowledge of spreadsheet software.</li> <li>Ability to effectively exchange information clearly and concisely, reports facts and other&nbsp;information and respond to questions as appropriate.</li> <li>Knowledge of policy and claim processing systems.</li> </ul> <br />ADDITIONAL SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED for the LEVEL II:<br /><br /> <ul> <li>Knowledge of enterprise policy and commission structure.</li> <li>In-depth understanding of collateral structures and plans.</li> <li>Ability to interpret, analyze and bill a policy with minimal supervision.</li> <li>Knowledge of state specific collection regulations and laws.</li> <li>Knowledge of loss sensitive plans used by the enterprise; specifically, how balances related to&nbsp;losses are calculated and invoiced.&nbsp;</li> <li>Knowledge and understanding of both underwriting and claims is obtained&nbsp;</li> <li>In-depth knowledge of insurance operations. Specifically as they pertain to state specific&nbsp;</li> <li>requirements.</li> <li>Demonstrated knowledge to provide coverage and assistance across all primary responsibilities&nbsp;</li> <li>referenced above.</li> <li>Ability to make decisions and work with minimal supervision.</li> <li>Ability to manage multiple priorities and meet established deadlines.</li> </ul> <br /><br />D. ADDITIONAL EDUCATION, EXPERIENCE, SKILLS, KNOWLEDGE AND/OR ABILITIES&nbsp;<br />PREFERRED:&nbsp;<br /> <ul> <li>Bachelor&rsquo;s degree in Business</li> <li>Insurance education coursework.</li> <li>Knowledge of departmental procedures, workflows, and systems.</li> <li>Knowledge and experience of policy processing, claim and financial reporting systems.</li> </ul>