Oversee premium billing processes and related teams that are responsible for invoicing, reconciliation, and generating weekly and monthly refund and chargeback reports.
Support day‑to‑day administrative functions such as compliance documentation, account maintenance, and audit prep.
Work with various client vendors in fulfillment of the company’s TPA responsibilities (E123, PayByCliq, Elevate, NMI, Rectangle Health, QEnroll, etc.).
Ensure timely processing of regular payments to various TPA payees (i.e. commissions and premium).
Conduct regular claims and escrow reconciliation, coordinating with the Operations/Claims Department and Finance Manager to resolve any discrepancies.
Maintain a systematic record of claims and escrow files, ensuring compliance with internal and external reporting requirements.
Work with various team members to ensure all SLA and K...
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