Date Available:
02/04/2022 The DeKalb County School District is seeking an experienced and professional Insurance Specialist II.
Salary Grade/Schedule: Unified 122
Salary Schedules: 2021-2022 Salary Schedules
The material contained herein is subject to change. All open positions offered by the DeKalb County School District are subject to specific job requirements. The DeKalb County School District is an equal opportunity employer, and all hiring decisions are subject to federal, state, and local employment laws and regulations.
Title: Specialist II, Insurance
Under general supervision, administers employee benefit programs by assisting employees and vendors in maintaining the elected benefit coverage; ensures that the insurance unit is meeting DeKalb County School District’s needs.
Essential Functions:
The following duties are representative for this position. The omission of specific statements of duties does not exclude them from the classification if the work is similar, related, or a logical assignment for this classification. Other duties may be required and assigned.

• Serves as a liaison with external entities, including State Health Benefit Plan, State Personnel Administration, other school systems and insurance benefit vendors in order to resolve coverage and claim issues.
• Assists and responds to complex inquiries from bookkeepers, insurance coordinators, and employees.
• Must have a thorough understanding of the company’s policies and procedures pertaining to compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA Privacy Rule.).
• Researches and reviews the regulations for compliance for State Health Benefit Plans and State Flexible Benefits.
• Processes the State Health Benefit Plan monthly bill and prepare direct pay retiree statements for health insurance; ensures that employees and retirees maintain proper health coverage.
• Conducts open enrollment training sessions for insurance coordinators; distributes information packages to coordinators throughout the year and during open enrollment; organizes and schedules the annual health benefit fair and screenings.
• Creates presentations and educates new hires about their benefit options and the enrollment process during authorization sessions.
• Provides assistance to an employee's family and/or beneficiary(ies) at the time of their death; prepares, submits, and monitors the processing of death claims; verifies coverage; and accepts funeral assignments from funeral homes and funeral funding companies.
• Assists and supports secretaries in resolving issues and handle escalated calls.
• Performs other duties as assigned

EDUCATION AND/OR EXPERIENCE:

• Associate’s degree or equivalent completed college coursework in business management, or risk management from a Professional Standards Commission approved accredited college, or university is required.
• Minimum of three (5) years of experience in health insurance-related services is required.

CERTIFICATES, LICENSES, PERMITS: None.
08/01/19