PRINCIPAL ACCOUNTABILITIES: Under the general supervision of the Supervisor
of TPA Finance, the incumbent's accountabilities include but are not limited
1.50% Performs routine client funding administration to ensure claims are
funded accurately and customer's claims funding needs are being met.
Monitors clients' funding to ensure sufficient funds are available to pay
claims. Verifies automated funding email notifications to requests for
funding/check registers for accuracy and makes manual adjustments when
applicable. On a daily basis enters monetary adjustments at bank to
increase/decrease clients ACH funding requests. Maintain "driver" file of
specifications for running automated process for report generation of
clients funding reports. Monitor and track each client's out of area
prefunded dollars to established thresholds. Adapts to changing customer
needs and proposes solutions to complex problems that may arise. Designs and
implements new processes and procedures as necessary. Works closely with
claims and customer service on funding issues. Works closely with
reinsurance to ensure claims are properly funded and client is reimbursed
accurately and NCAS/CFA fronting is refunded properly.
2.30% Reconciles monthly funding accounts and monthly bank reconciliations,
researches errors, and compiles necessary documents in order to provide
accurate financial information to the clients. Maintains, updates and
reconciles funding records to ensure that the bank balances are accurately
reflected in the database. Download receipts from bank, download claims from
LuminX system, and upload receipts/claims to Access database to perform
reconciliations. Provides monthly funding/bank reconciliations to all groups
with clearly identified descriptions and actions.
3.10% Acts as banking liaison for the company to set up and maintain client
banking in order to ensure accurate recordkeeping. Work with bank to
establish client account and client to set up system reports.
4.10% Performs miscellaneous duties as required in order to facilitate the
functioning of the department.
PURPOSE: Perform funding administration for the TPA. Functions include
client fund transfers, email/draft funding notifications, reconciliation of
client funding accounts, processing check status/stop payments with bank,
and interacting with clients to ensure customer satisfaction. The Funding
Specialist is responsible for performing routine analyses and problem
resolution. The Funding Specialist works closely with the group's finance
department to ensure funding instructions are accurate and reports are
Standard Accounting Practices