Employment Opportunities  >>  Risk Management & Insurance

Director of Life and Health Insurance Services

Georgia Municipal Association

Posted: Aug. 27, 2018

End Date: Sep. 27, 2018


The purpose of this position is to plan, coordinate and supervise the life and health insurance program offered by the Association.

Duities:
Supervises, directs, and evaluates assigned staff, processing employee concerns and problems, directing work, counseling, and completing employee performance appraisals.
 
Manages customer service, both internally and externally; provides information and assistance; responds to complaints and initiates problem resolution; resolves claim inquiries.
 
Sets work priorities, schedules work flow, assesses progress of work, and provides guidance and assistance as needed.
 
Analyzes and interprets plan provisions, laws and regulations, reports, policies and procedures; prepares written summaries of findings and recommendations for dissemination to department staff.
 
Reviews and approves insurance forms; reviews, analyzes and interprets actuarial valuation results, health claims reports, managed care reports and other documents.
 
Prepares annual reports needed by actuaries and third party administrators for calculation of incurred but unpaid claims analysis and specific stop loss settlement.
           
Confers with third party administrators, actuaries, attorneys, city and state officials and others to exchange information.
 
Conducts research and prepares statistical and narrative reports recommending changes in plan provisions, departmental policies and procedures and related programs and services.
 
Prepares and files fees and IRS returns related to the Affordable Care Act.
 
Performs necessary duties in order to receive retiree drug subsidies from CMS.
 
Attends boards of trustees’ meetings and makes presentations concerning the life and health insurance fund.
 
Assists in developing communication materials to explain health benefits and/or changes.
 
Supervises and performs duties necessary for monthly premium billings, updating plan rates, payment of administrative fees, and new member additions in the life and health billing and administration system.
           
Manages the OPEB Trust activities.  Communicates with actuaries and trust members in preparing valuations.
 
Assists in soliciting and reviewing proposals from third party administrators for program services; recommends selection of vendors; assists in evaluating contracts for renewal.
 
Assists in the design and implementation of computer software for the life and health insurance fund.
 
Reviews proposed state legislation on employee health benefits; attends legislative committee meetings as needed.
 
Markets Life and Health plans and OPEB services to potential members.
 
References insurance plans, actuarial reports, vendor contracts, GMEBS policies, employee benefits publications, textbooks and manuals in performing assigned job duties.

Minimum Qualifications
Bachelor's degree in business administration, human resources or related field required; five years of experience in life and health insurance plans, management, supervision and administration or a related field.

To apply please send a resume to applications@gmanet.com