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Operations and Service Coordinator
PMA Companies Allentown, PA
$57k-75k (estimate)
Full Time | Insurance 6 Days Ago
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PMA Companies is Hiring an Operations and Service Coordinator Near Allentown, PA

As a member of the TPA Compliance Team, this role is responsible for the financial coordination of our products and services, administration of tasks related to the new business transition process. oversight of key compliance related initiatives, and optimizing operational efficiency and effectiveness.
Responsibilities
  • Coordination of financial processes including reconciliations, non-standard invoicing arrangements, and enhanced products and services billing preparations
  • Initiate financial coordination within defined timeframes and oversee the process through completion; verify that all tasks are effectuated timely and accurately
  • Perform reviews of contracts, service requirements and billing arrangements to ensure compliance and accuracy of the financial processes
  • Collaborate with cross functional teams and departments, and provide guidance and expertise within assigned areas of responsibility
  • Prepare and distribute scheduled and ad-hoc reports and metrics to key internal departments and stakeholders
  • Execute responsibilities in compliance with internal audit controls
  • Perform compliance and operational reviews to assess coding, documentation, and billing accuracy; identify compliance related risks, internal control weaknesses, and revenue capture opportunities.
  • Coordinate client enrollment into products and services; review contractual obligations, handling requirements, and maintain records of the installment
  • Maintain quality assurance processes and conduct audits to ensure accurate invoicing and timely processing of services, including leakage reporting and trend analysis to calibrate utilization,
  • Serve as point of contact and liaison for the assigned tasks as a member of the onboarding team for the new account transition process, including takeover claim integration
  • Oversee compliance initiatives including jurisdictional forms and documents maintenance, Medicare and Section 111 reporting, and supporting vendor partner arrangements.
  • Uses a high degree of judgment and critical thinking skills to maintain compliance, and seek opportunities to enhance processes to achieve maximum efficiency.
  • Demonstrate commitment to Company’s Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.
Requirements
  • Bachelor's degree or equivalent work experience preferred.
  • 1-3 years of commercial lines claims experience preferred.
  • Experience with auditing, billing and financial coordination , and applications testing preferred.
  • Advanced skills in applying sound judgement to data analysis; ability to problem solve, establish goals, and implement action plans.
  • Excellent interpersonal skills and ability to effectively communicate to all levels within the company.
  • Demonstrated ability to effectively and professionally coordinate and complete multiple tasks and projects of differing types and complexity and due dates.
  • Demonstrated organizational skills with strong attention to detail, the ability to manage multiple tasks simultaneously and maintain a high level of accuracy.
  • Strong computer software skills, proficient in Microsoft Office applications, SharePoint experience a plus.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Insurance

SALARY

$57k-75k (estimate)

POST DATE

06/29/2024

EXPIRATION DATE

07/27/2024

WEBSITE

pmacompanies.com

HEADQUARTERS

BLUE BELL, PA

SIZE

1,000 - 3,000

FOUNDED

1915

CEO

VINCENT T DONNELLY

REVENUE

$500M - $1B

INDUSTRY

Insurance

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About PMA Companies

PMA Companies provides risk management solutions and services, specializing in workers compensation and offering property & casualty insurance, in the United States. Headquartered in Blue Bell, PA, PMA Companies is a member of Old Republic Companies. Old Republic International Corporation (NYSE: ORI) is one of the nations 50 largest publicly held insurance organizations. PMA Companies includes: PMA Insurance Group, specializing in workers compensation, and providing other commercial property & casualty insurance products; and PMA Management Corp. and PMA Management Corp. of New England, provid...ing results-driven TPA and Risk Services specializing in workers compensation and liability. We maintain a large client retention rate of 90% or higher and a client satisfaction rate of 96% per an independent survey. At PMA, we still build relationships the "old-fashioned way." Our clients know we care. They know we say what we do and do what we say. And they know that they can count on us to deliver tangible value to their business and to work passionately on their behalf. More
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