JOB DESCRIPTIONS

Senior Benefits Representative
Performs employee benefit customer service duties requiring the use of independent judgment, independent analysis and detailed knowledge of employee benefits and benefit plan rules. Administers programs, projects, and/or processes specific to clients served. Reviews, investigates and resolves participant, professionals’, and client inquiries. Troubleshoots, analyzes, and remedies customer problems within established guidelines. Prepares customer correspondence. Functions in a call center environment. Work performed may include: creating, coordinating and processing documents, maintaining complicated records, creating, preparing and compiling reports, operating simple office machines. Generally requires previous related work experience, a thorough knowledge of procedures and employee benefits, computer experience and a degree in business administration or human resources or equivalent years of employee benefit experience.

Junior Benefits Representative
Performs advanced and complex, clerical duties requiring the use of independent judgment, analysis and detailed knowledge of company and/or department procedures related to work performed. Provides timely and accurate entry and maintenance of member eligibility data, generates member ID cards, and enrollment information. Prepares customer correspondence. Functions in a call center environment. Work performed may include: coordinating and processing documents, maintaining records, preparing or compiling reports, operating simple office machines and contacting suppliers. Works under general supervision. Generally requires previous related work experience and a thorough knowledge of procedures, general knowledge of employee benefits, demonstrated ability to type accurately, computer experience and 2-4 years clerical experience.

Benefits Assistant
Performs simple or routine clerical duties of a general nature requiring little previous experience or training. Work performed may include: answering phones, filing, typing, and data entry. Generally requires some knowledge of employee benefits, computer experience, accurate and fast typing and 10-key abilities and 1 or less years of clerical experience.

Senior Accountant
Performs complex accounting activities relating to the maintenance of a complete and accurate general ledger and resulting managerial reports and financial statements. Keeps comprehensive and complex accounts requiring the analysis of accounting transactions and the establishment or maintenance of accounting controls. Prepares monthly financial statements and operating reports for distribution to management, other company personnel, and clients. Generally requires accounting software knowledge, knowledge of accounting theories, a bachelor’s degree or experience equivalent to a degree in accounting or business administration and 1-3 years of significant accounting experience.

Junior Accountant
Performs complex clerical duties related to accounting. Analyzes accounting documents for accuracy, prepares moderately complex financial reports and analysis. May be responsible for a specific accounting function such as accounts receivable or accounts payable. Generally requires computer experience, 2-4 years clerical accounting experience with some knowledge of accounting theories.

Accounting Clerk
Performs a variety of routine clerical duties related to accounting. Verifies, posts, adds, computes, matches, balances and summarizes routine documents. Checks records, prepares vouchers, and prepares simple reports. Generally requires some computer experience, a basic knowledge of bookkeeping practices, accurate and fast 10 key abilities, and 1-3 years of related experience or equivalent background.

Claims Analyst III
Answers calls from providers, participants and Plan professionals regarding Plan benefits, eligibility, and flexible spending accounts. Analyzes medical, dental, vision, flexible spending, and disability claims to determine benefits and process according to term of various Plan rules. Screens for ineligible expenses and pre-existing conditions. Coordinates benefits with other carriers. Prepares appeals to be presented to Appeal Board. Generally requires excellent basic math skills, 10-key by touch, good typing skills and 2 years related experience. Requires ability to meet strict deadlines and work under pressure with minimal supervision.

Claims Analyst II
Answers calls from providers, participants and Plan professionals regarding dental plan benefits, eligibility, and flexible spending accounts. Analyzes dental, vision and flexible spending claims according to the Plan specifications and benefits. Releases pended medical claims according to Plan benefits excluding claims requiring procedure or diagnosis investigation. Mails sorting for covered providers and specific Plan design specifications. Performs data entry of claims. Generally requires 8,000 key strokes per hour, typing – 50 WPM, good grammar and communication skills, and basic computer skills.

Claims Analyst I
Inputs medical and dental claims to ChekClaims system. Inputs batch drug claims, supplemental claims and release pended claims requiring basic plan rules to be followed. Responds to requests for Duplicate Coverage inquiries and tracers. Inputs pre-certification information into the Claims system. Re-prices PPO claims via internet. Generally requires 8,000 key strokes per hour, typing – 50 WPM, and the ability to work independently.

Administrative Assistant
Performs moderately complex clerical and secretarial duties. Assignments require a basic knowledge of practices and procedures of the function. Sets up and maintains general office files, prepares reports, agendas, memos and correspondence. May prepare documents from rough draft to final form. Transcribes dictation, answers routine correspondence, arranges meetings, makes appointments, screens calls and takes messages. Does not include handling of sensitive or confidential information such as detail payroll data, corporate budget information or personnel files. Generally requires demonstrated secretarial skills and a working knowledge of office equipment including word processor and personal computer and 2 years of related experience.

Office Clerk
Performs simple or routine clerical duties of a general nature. Work performed may include processing of incoming and outgoing mail, ordering and replenishing supplies, archiving and maintaining on-site and off-site files. Inputs time cards and prepares monthly summary reports. Provides coverage for reception area. Operates office machines such as copier, fax, mail machine and switchboard. Other clerical duties may include filing, copying, and data entry. Works under general supervision. Generally requires 6 months to 1 year of experience.

Receptionist
Answers incoming phone calls and routes calls to appropriate staff in an accurate and timely manner. Operates a multi-line telephone system. Greets clients and visitors promptly and professionally. Open, date stamp, and sort direct mail. Send and receive FAX transmissions. May perform other clerical tasks such as filing, typing, and record keeping. Works under general supervision. Generally requires basic clerical skills and 6 months to 1 year of previous experience.

Information Services Helpdesk
Assists all workforce members in solving workstation and network issues. Installs hardware and software as directed. Projects as assigned including research and making recommendations. Generally requires a high school diploma or GED and some college courses in computer science field from an accredited school. Also requires good organizational skills and the ability to work independently.

Computer Programmer
Creates automated solutions to solve abstract problems. Maintains the computer network. Installs new hardware and software as directed. Makes modifications to existing software. Generally requires a degree in computer science or programming from an accredited school and 3 years of programming experience.

Computer Operator
Develops and maintains data processing schedules. Performs daily claims run. Performs and distributes month ends. Produces ad-hoc reports and labels. Generally requires good organizational skills, the ability to work unsupervised, working knowledge of computer software, and 2 years of prior operations experience.

Information Technology Generalist
Designs, documents, develops, analyzes, tests applications for both internal and external customers; manages the design and development of IS databases; oversees all technical aspects of A&I’s websites; analyzes, plans, designs, and installs new personal computer systems and reviews, monitors and upgrades existing personal computer systems.

A&I Benefit Plan Administrators, Inc. is an Equal Opportunity Employer.