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Risk Management & Health Plan Coordinator

Pacific Union College in Angwin, CA
Pacific Union Conference
Description
ESSENTIAL JOB FUNCTIONS: Manages the Health Plan of the College. Provides customer service to employees. Processes liability insurance renewal applications that are due throughout each year. Works with the health claims administrator, and manages benefit eligibility. Processes monthly invoices and weekly registers. Submits insurance claims when a loss has occurred. Submits Workers Comp claims when an employee is injured, and works through the Workers Comp process with the employee. Manages mid-term and yearly workers comp audits with the carriers. Manages Affordable Care Act (ACA) reporting annually. Conducts audits to ensure compliance with government agencies. Produces reports for managing insurance products.
Required Experience
EDUCATION/EXPERIENCE/CREDENTIALS: B.S. in business administration, health care administration or other applicable field preferred; or 5-7 years equivalent work experience. 2-3 years on the business, insurance, risk management, and health plan administration, preferred. 1-2 years of claims management experience, preferred QUALIFICATIONS: Strong understanding of insurance terminology and technology. Applicable understanding of medical terminology and claims. Excellent analytical, problem-solving, and workflow management skills. An understanding of the Seventh-day Adventist Church and its insurance programs. Ability to manage deadlines and other time sensitive processes. Ability to communicate effectively, both verbally and in writing with a variety of persons and position levels. Maintains employee confidentiality. Fosters an environment of diversity, equity, and inclusion. A strong commitment to SDA Higher Education. Must have an expressed commitment to Jesus Christ, the teachings and mission of the Seventh-day Adventist Church, and an SDA church member in good and regular standing.

Posted by: Kathleen Slack

Resumé Deadline: Tuesday, December 31, 2024

Pacific Union College