Position Title: Insurance Enrollment and Reconciliation Analyst
Salary Group: B16 - B18
Posting Date: 10/15/2021
Posting Number: 1319
Salary Type: Monthly
Closing Date: Open Until Closed
Class Number: 2913
Salary Range: $3,800.00 - $4,300.00
Number of Positions: 1

Essential Functions

Our mission is simply stated:  ERS offers competitive benefits to enhance the lives of its members.  Each team member across the agency contributes to our ongoing success.

Seeking Insurance Enrollment and Reconciliation Analyst to perform complex benefit program assistance and administrative work in Insurance Enrollment & Reconciliation in the Customer Benefits Division.  Work involves determining benefits eligibility, processing data related to benefits utilizing a complex system.  The Insurance Enrollment and Reconciliation Analyst has discretion in applying program rules and policies within designated job assignment.  The ideal candidate will be confident in taking initiative and using independent judgment.

Essential Functions includes, but is not limited to
  • Explains laws, rules, and procedures governing benefits eligibility and enrollment for the Group Benefits Program and the TexFlex Program.
  • Verifies eligibility criteria of all participant types.
  • Reviews applications for benefits and related legal documents for compliance, accuracy and completeness.
  • Processes applications/forms for benefit enrollment and personal information changes and corrections.
  • Processes corrections to complex electronic benefit enrollment data using high security access.
  • Assists customers with electronic processing of enrollment and change data.
  • Updates files and analyzes enrollment and financial records to determine coverage and eligibility of members.
  • Analyzes information from reports and outside sources to monitor benefits eligibility.
  • Audits benefits enrollment, financial data and vendor reports to identify and correct discrepancies.
  • Conducts detailed reconciliation using multiple sources and reports.
  • Compiles data and prepares routine or special correspondence as needed.
  • Effectively and respectfully communicates with customers, team members, supervisors and other ERS staff.
  • Responds to telephone inquiries, email, and written correspondence from customers and internal staff.
  • Participates in team discussions regarding benefits, process improvements, and team objectives.
As Analyst III, performs functions as Analyst II and also:
  • Responsible for working detailed enrollment, reconciliation and discrepancy reports for Medicare eligible members. Responsible for identifying and requesting retiree insurance tiering corrections related to documented years of service
  • Reviews applications for benefits and related legal documents for compliance, accuracy and completeness.
  • Performs complex Medicare reporting
  • Performs system testing
  • Performs special projects

Required Minimum Qualifications

Your application for employment must reflect how you meet each of the following minimum qualifications:
  1. Graduation from an accredited senior high school or equivalent, plus 60 semester hours of college credit.  Each year of related work experience over the minimum requirement may be substituted for one year (30 semester hours) of college credit.
  2. Two (2) – three (3) years’ (depending on classification) accounting, benefits or payroll experience.
  3. One (1) year of experience applying analytical procedures.
  4. One (1) year of experience communicating policies and procedures to customers or clients
  5. Experience using a computer to access an integrated information system to retrieve, research and provide information. 

Preferred Qualifications

Your application for employment should reflect how you meet the following preferred qualifications:
  1. Experience in benefit administration and account reconciliation. 

Other Information

PLEASE NOTE: All applications must contain complete job histories, which includes job title, dates of employment, name of employer, supervisor's name and phone number and a description of duties performed. If this information is not submitted, your application may be rejected because it is incomplete. Resumes do not take the place of this required information.
 
Other Information:  Work is temporarily performed remotely due to the COVID-19 pandemic.  When it is safe to return, work will be performed in an office environment.  This position may require access to privileged, confidential, or sensitive data.  ERS will conduct either a TXDPS or FBI criminal history check on all new hires.  For more information about this policy inquiries can be made to employment@ers.texas.gov.

How to Apply:  Submit a State of Texas Application for Employment with an ERS Qualifications Form & other required materials, if any, to the ERS, Human Resources Office by 5 p.m. CST on the closing date.  Resumes will be accepted only as supplements to an application. Please contact a Human Resources representative if you need assistance or require accommodation during the application process.
 

Military Occupational Specialty (MOS) Codes

There is no equivalent Military Occupational Specialty code assigned to this position.  Please contact Human Resources at employment@ers.texas.gov  with questions or for additional information.