Regulatory Data Reporting Technician I/II
Company: Accident Fund Holdings, Inc
Posted on: February 15, 2020
PRIMARY RESPONSIBILITIES: Technician I Serves as back up liaison
for correspondence with regulatory agencies and agents, relating to
regulatory data reporting. Runs reports on time cycles as required.
Creates and/or edits submission files either manually or through
the use of applications such as Excel and Access. Creates and files
correction reports as necessary. Responsible for the timely
submission of regulatory data filings. Categorizes and distributes
departmental mail. Assist in investigating and resolving source
system issues that cause errors on regulatory data submissions.
Assist in investigating the cause of fines relative to regulatory
reporting. Works with various internal department staff to correct
claim and policy data as needed. Creates Rate Page documents for
the Compliance Department; published on the company website, and
for filing purposes. Responsible for all paper filing relative to
regulatory data reporting. Technician II Includes all
responsibilities of Technician I. Trains and/or mentors Technician
I. Primary liaison for production processes and/or issues related
to regulatory data reporting. Primary company contact for internal
inquiries related to regulatory data reporting. Develops and
documents work flows as assigned. Responsible for the manual
process of large deductible reporting. Designs and monitors data
quality checks for data submissions. Assists in preparing test
cases for system changes related to regulatory data reporting.
Participates in the evaluation and approval of test data and
implementation of system changes. Responsible for handling
escalated cases from technician I. Works with IT contacts both
in-house and contracted, if applicable, to ensure data reporting
programs are working appropriately. Verifies programs are meeting
regulatory requirements through development, testing and
implementation stages. Recommends program modifications as needed.
Responsible for testing newly developed applications in regard to
regulatory data reporting. Performs duties related to all
regulatory data reporting functions, including WCSTAT, WCPOLS,
Financial Calls, Medical Call, DCI reporting, and state reporting.
Keeps apprised of changing rules for data submission from
regulatory agencies. Works with DCO representatives and agents to
correct claims and/or policy data as needed. Works under minimum
supervision. ------------EDUCATION REQUIRED: Technician I & II High
school diploma or G.E.D. EXPERIENCE REQUIRED:-- Technician I
Minimum two (2) years experience with an Insurance Organization.
Technician II Minimum three (3) years in an insurance organization
including experience with business systems support and systems
development/testing. SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:
Technician I Knowledge in computers and company standard software
programs, with intermediate knowledge in Excel, Word, and Access.
Ability to create reports utilizing Excel programs. Ability to
clearly and concisely communicate factual and technical
information, written and orally. Ability to proofread documents for
accuracy of spelling, grammar, punctuation and format. Ability to
organize, prepare, analyze and interpret data to find and solve
problems. Basic knowledge of the insurance business and other
departments' functionality. Ability to correlate business processes
with impacts to source systems and data used in bureau reporting.
Ability to identify situations requiring intervention and take
appropriate actions. Ability to document processes. Excellent oral
and written communication skills. Ability to perform mathematical
calculations and operate a ten-key adding machine. Ability to enter
alpha/numeric data accurately. Ability to maintain confidentiality.
Ability to work primarily independently. Ability to use independent
judgment to remediate routine problems with submission files under
general supervision of Bureau Reporting Supervisor or Technician
II. Technician II All skills of Technician I Ability to comprehend
the consequences of unusual situations and take appropriate actions
and/or refer problems for necessary decision making. Thorough
knowledge of the insurance business and other departments'
functionality. Strong knowledge of insurance procedures and ability
to analyze workers compensation data. Ability to establish work
flows, manage multiple projects, and meet necessary deadlines.
Knowledge of differences between states regarding regulatory data
reporting. Ability to understand specifics of data submission files
for all states.. Strong understanding of business processes (policy
processing and/or claims processing) and how they impact source
system data. Ability to use independent judgment to remediate most
problems with submission files. Ability to troubleshoot issues that
arise with submission files and/or corrections to assist in
determining whether a manual work around is appropriate, a system
fix is necessary, whether there is a training issue, etc. Ability
to funnel the findings to appropriate leadership to follow up and
assist determining suitable action. Ability to use Business Objects
and intermediate knowledge of EDW. Ability to create and use ad hoc
reports as necessary to support troubleshooting and external
requests. Ability to have increased contact with vendors regarding
system issues and assist in resolution of issues. Understanding of
regulatory data reporting workflows. Ability to troubleshoot or
analyze moderately complex data or scenarios and determine
corrective actions. ADDITIONAL EDUCATION, EXPERIENCE, SKILLS,
KNOWLEDGE AND/OR ABILITIES PREFERRED: -- Technician I An insurance
designation or working towards insurance designation or
accreditation preferred. Ability to troubleshoot or analyze
moderately complex data or scenarios and determine corrective
actions. REQUIRED TESTING: Reading Comprehension, Alpha Numeric,
10-Key, Math, Intermediate Word, Intermediate Excel, Intermediate
Access, Intermediate Windows and Proofreading
Keywords: Accident Fund Holdings, Inc, Lansing , Regulatory Data Reporting Technician I/II, Advertising , Lansing, Michigan
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