Job Description

Our mission is simply stated: ERS offers competitive benefits to enhance the lives of its members. Each team member across the agency contributes to our ongoing success. ERS operates in a hybrid work environment, with flexible work schedules available to all employees.

Seeking Insurance & Enrollment Reconciliation Analyst to perform highly complex benefit program assistance and administrative work with discretion in applying program rules and policies within designated job assignment. Work involves determining benefits eligibility, processing data related to benefits utilizing a complex system.

Essential Responsibilities include, but are not limited to:

• Explains laws, rules, and procedures governing benefits eligibility and enrollment for the Group Benefits Program and the TexFlex Program.

• Verifies eligibility criteria of all participant types.

• Reviews applications for benefits and related legal documents for compliance, accuracy and completeness.

• Processes applications/forms for benefit enrollment and personal information changes and corrections.

• Processes corrections to complex electronic benefit enrollment data using high security access.

• Assists customers with electronic processing of enrollment and change data.

• Updates files and analyzes enrollment and financial records to determine coverage and eligibility of members.

• Analyzes information from reports and outside sources to monitor benefits eligibility.

• Audits benefits enrollment, financial data and vendor reports to identify and correct discrepancies.

• Conducts detailed reconciliation using multiple sources and reports.

• Compiles data and prepares routine or special correspondence as needed.

• Effectively and respectfully communicates with customers, team members, supervisors and other ERS staff.

• Responds to telephone inquiries, email, and written correspondence from customers and internal staff.

• Participates in team discussions regarding benefits, process improvements, and team objectives.

• Prioritizes daily workload to meet departmental goals, and objectives.

• Performs complex Medicare reporting.

• Performs system testing.

Required Minimum Qualifications: Your application for employment must reflect how you meet each of the following minimum qualifications:

1) Graduation from an accredited senior high school or equivalent, plus 60 semester hours of college credit. Each year of related work experience over the minimum requirement may be substituted for one year (30 semester hours) of college credit.

2) Three (3) years' accounting, benefits or payroll experience.

3) One (1) year of experience applying analytical procedures.

4) One (1) year of experience communicating policies and procedures to customers or clients

5) Experience using a computer to access an integrated information system to retrieve, research and provide information.

Preferred Qualifications: Your application for employment should reflect how you meet the following preferred qualifications:

6) Experience in benefit administration and account reconciliation.

PLEASE NOTE: All applications should contain complete job history entries, which includes job title, dates of employment, name of employer, supervisor's name and phone number and a description of duties performed. If this information is not submitted, your application may be rejected because it is incomplete. Resumes do not take the place of this required information.

Other Information: This is not a remote position. This position may require access to privileged, confidential, or sensitive data. ERS will conduct either a TXDPS or FBI criminal history check on all new hires. For more information about this policy inquiries can be made to employment@ers.texas.gov.

Military Occupational Specialty Codes:

There are no Military Occupational Specialty codes assigned to this position. Please contact Human Resources at employment@ers.texas.gov with questions or for additional information.

How to Apply: Ready to join the dedicated, customer-focused team at ERS? Submit the following to the ERS Human Resources Office by 5 P.M. on the closing date:

• A State of Texas Application for Employment submitted online through CAPPS Recruit.

o Use the link below to create a CAPPS Recruit account and build your profile on the "My JobPage" tab in the upper left corner of the screen.

https://capps.taleo.net/careersection/327/jobsearch.ftl?lang=en

o Once your profile is complete, click on the "Job Search" tab in the upper left corner of the screen to view available career opportunities and submit your application.

o Note: Resumes will be accepted only as supplements to a State of Texas Application for Employment.

Applications submitted through Work in Texas:

If you apply for an ERS position via Work in Texas https://www.workintexas.com/vosnet/Default.aspx, you will also need to complete a supplemental questions form. For more details, refer to the instructions in the email you receive from CAPPS Recruit.

Please contact a Human Resources representative if you need assistance or require accommodation during the application process.

Email: Employment@ers.texas.gov

Web: www.ers.texas.gov

Relay Texas TDD: (800) 735-2989

LinkedIn: https://www.linkedin.com/company/employees-retirement-system-of-texas/