Policy Service Processor

Policy Service Processor

Requirements

• High School Diploma or GED
• Strong PC user skills with various computer software programs including – MS Word, MS Outlook, and MS Excel experience is desired
• Previous professional background in a customer service, call center, collections, or similar work environment

Responsibilities

• Verifies eligibility for payroll deduction program
• Administers payroll deduction billing for assigned clients and products in accordance with company policy and procedure on a computerized system
• Audits client reports to identify payroll deduction discrepancies, e.g., missing deductions or changes in deduction amount; researches and resolves discrepancies
• Makes outbound calls to non-pay customers, researches, and makes informed decision whether to reinstate or make cancellations
• Performs related clerical and clerk duties as required; applying money, evaluating problems, applying credit card payments
• Opens and prepares mail for scanning
• Works directly with accounting and/or carriers to resolve payroll payment/reporting discrepancies
• Provides accurate information to insured, in accordance with company policy; researches when necessary, i.e., use computerized system to verify payroll billings & payments received
• Immediately reports escalated problems, service errors or anomalies to supervisor or team lead to effect prompt resolution
• Takes initiative to contribute to development of long-term solutions to prevent recurring or similar errors or problems, with a ‘customer first’ philosophy
• Set up payment option plan in the system and generate appropriate letter
• Responds to member/client inquiries and resolves problems professionally, accurately and on a timely basis

Preferred Qualifications

• Insurance experience is highly desirable but not required