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The SC Public Employee Benefit Authority (PEBA) is the administrator and co-trustee of retirement and insurance programs for over half a million active and retired public employees of the State of South Carolina and their dependents.
Under limited supervision, this position will perform complex level analysis and maintenance of financial records for over 800 employer groups, covering more than 200,000 active subscribers and more than 100,000 individual insurance accounts for Retirees, COBRA participants, covered spouses, and members with survivor coverage of the PEBA Insurance Benefits program. The financial transactions encompass multiple billing types, premium payments, refunds, and manual adjustments, using highly automated integrated systems to record and process the transactions.
Job duties include:
- Overseeing and conducting comprehensive analysis of both employer and member accounts to ensure accurate processing. Identifying discrepancies using detailed A/R status and Retro Failed reports, which highlight balances that require investigation across multiple systems such as Unix, accounting, CRIS, and IA Folder. This includes reconciling enrollment forms with transactions in the operational history to ensure accuracy, reviewing payment history, determining appropriate action required to resolve the balance, such as generating refunds for over payments, transferring balances, or calculating complex billing adjustments.
Collaborating closely with PEBA Enrollment Department, employers, and members to facilitate timely resolutions of complex issues. Serving as a point of contact for disputes and ensures that policy decisions are clearly communicated to members.
Evaluating delinquent Accounts Receivable (A/R) balances for individual members, ensuring compliance with PEBA policy and Accounting Monthly Cycle guidelines, to include, generating A/R status reports, reconciling accounts against source documents (contact log, imaging folders, and operational history), and taking necessary actions to include, generating refunds, initiating balance transfers, and identifying partial or delinquent payments.
Managing accounts for various subscriber types, including pending new subscribers, retirees, COBRA subscribers, survivors, and third-party paid accounts, in accordance with PEBA policies and federal and state guidelines. When necessary, facilitates account terminations and communicates explanations to affected members, to include advising members on their appeal options. Additionally, calculating the determination of effective dates for terminations and reinstatements, ensuring that retroactive billing is accurately calculated for each insurance product.
Identifying and resolving delinquent employer accounts by reviewing A/R status reports. Communicating with employers to ensure compliance and resolution of outstanding accounts.
Providing exceptional service by responding promptly to a high volume of inquiries from employers and members. Handling complex issues related to billing, payments, and account status with professionalism and clarity.
Resolving South Carolina Enterprise Information System (SCEIS) billing and payroll discrepancies by analyzing the monthly Accumulator report to identify accounts with variances. Collaborating closely with employers to identify the reason for the discrepancy and determine the appropriate corrective action needed to resolve the balance, to include billing or balance transfer adjustments, contacting SCEIS to adjust payroll or correcting the insurance coverage.
Cross-trained to reconcile and post daily cash receipts using highly automated, integrated accounting systems and ensures deposits are collected, assimilated and accurately completed by the deadline on a daily basis. Performing liaison duties with the bank's service team.
Performing voids, reissues, stop payments and creation of special checks in accordance with check maintenance guidelines.
Contributing to the continuous improvement of accounting functions by assisting in the design, testing, and implementation of system enhancements. Working with the team to streamline workflows and improve efficiency across accounting processes.
A high school diploma and at least two years of professional experience in a related area such as accounting, auditing, finance, insurance, or banking. A bachelor's degree in accounting, finance, business, or a related field may be substituted for the required work experience.A bachelor's degree in accounting, finance, business, or a related field AND at least two years of relevant work experience.In addition to 13 paid holidays, this position is eligible for comprehensive insurance programs, retirement plans, and a generous paid leave program.
