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Resp & Qualifications

PURPOSE:

The Settlement Analyst is an entry level position responsible for the invoicing, collections and accounts receivable tracking activities for groups with non-risk/ administrative services only (ASO) funding arrangements with or without specific and / or aggregate stop loss.

ESSENTIAL FUNCTIONS:

+ Prepare (weekly/monthly/annual) claim settlements associated with non-risk funding arrangements for assigned accounts, including submission of required reporting within the time frame. Review invoices and report problems to technical support staff and management to resolve issues that impact timely client invoice/payment notification and/or client submission of funds. Prepare the annual Employee Retirement Income Security Act (ERISA), Form 5500, Schedule C, and ensure timely account distribution.

+ Provide support to the month end accounting close through the accurate and timely analysis of settlement activity. Accurately apply cash receipts to the appropriate client invoices and analyze the respective balances. Complete journal entries to the general ledger for financial reporting.

+ Provide customer service to internal and external customers including explaining all invoice items, and answering questions about account balances.

+ Participate in special projects aimed at process improvements and/or enhancement of existing business practices including those internal to the Settlements department, and those that may impact other departments (e.g. Finance, Underwriting). Work closely with teammates to share information and ideas, problem solve and motivate peers.

QUALIFICATIONS:

**Education Level:** Bachelor's Degree in Accounting, Business Administration, Finance or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

**Preferred Qualifications:** Experience in accounting, billing and/or bookkeeping.

Knowledge, Skills and Abilities (KSAs)

+ Ability to work independently and as part of a team.

+ Willing to put in extra effort to get the job done.

+ Attention to detail and excellent analytical and problem-solving skills.

+ Excellent interpersonal skills including the ability to build consensus and agreement and bring issues to resolution.

+ Strong organizational skills. including the ability to set priorities and handle multiple tasks concurrently.

+ Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time.

+ Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence.

+ Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Salary Range: $47,016 - $93,379

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Department

Director UW Systems, Settlement

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Where To Apply

Please visit our website to apply: www.carefirst.com/careers

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship.

\#LI-KL1

REQNUMBER: 21425