Accounting Systems Process Specialist

Accounting Systems Process Specialist

**Description:
- Permanent Full Time- The Accounting System Process Specialist will support and oversee various complex accounting and financial functions across multiple lines of business within the Plan Member Services group. The incumbent will manage workflow of the back-end accounting processes and be responsible for both performing those financial transactions as well as providing day-to-day operational support to the Accounting System Coordinators.- This position plays a key role in managing suspense account activity and reconciliations as well as maintaining the integrity of our claim payment processes. The role is responsible for reviewing processes, accounting controls and supporting internal audit requests to ensure compliance and proper execution of financial controls.-
- General process analysis (theory, techniques, and tools) and operational efficiency,
- Health & Dental and Life & Disability business processes and workflows
- Accountabilities:
- Responsible for various complex back-end accounting and financial transactions, processes, investigations and interactions for Plan Member Services:

- Oversee and perform the various complex accounting and financial transaction investigations within various systems:

- Financial Services Collections and Disbursements (FSCD),
- Health Solutions Plus (HSP)
- Pay Direct Drugs (PDD)
- Analyze and perform various suspense account investigations and reconciliations for completeness of client financial records and internal audit requirements
- Investigation and responsible for clearing claims transactions by searching and analyzing BEN, PAS, EAS and E&C systems for accuracy and consistency
- Direct GIPA and GPS to correct systems and procedures so claims can clear E&C Suspense
- Responsible for monitoring claim reporting and identifying appropriate corrective action in cooperation with both GWL and Third-Party Payors (TPP) individuals.
- Provide operational support, assistance and guidance to ensure policies and procedures, both administrative and systematic are being followed.
- Update procedures and policies and communicate updates to TPPs, GIPA and GPS
- Review and make suggestions for enhancements and orchestrating changes to procedures
- Oversee the administrative functions carried out by Financial Operations
- Investigate and perform ad hoc duties including searching through databases, analyzing, and creating management reports.
- Manage workflow and responsible for operational support, troubleshooting, and making decisions/judgements as required. Oversee Financial Operations processes such as, but not limited to the following:

- Claims accounting
- Suspense accounting
- TPP’s claims administration
- Telus and POS electronic claims processes
- Telus invoicing
- Claims overpayments
- Warranty refunds
- DLR
- LTOD
- Assist in various backlogs, as required
- Communicate with external sources such as Third-Party Payors, Telus, and the banks to resolve accounting issues.
- Assist Internal Audit with monthly, quarterly, and annual suspense account reconciliations to ensure compliance and completeness of client financial records.
- Support Group Health & Dental and Life & Disability claims and financial processes. Recommend process improvement strategies and related initiatives that support Group Health & Dental and Life & Disability management principles, products, and services:

- Update, revise and support existing/new or different processes/workflows that are efficient, cost effective and sensible
- Develop and deliver clear and concise documentation related to new or revised processes and workflow
- Analyze, resolve and respond to workflow and process issues raised by Benefit Payment Office, Disability Management Services Office and staff Solicit input from Benefit Payment Office, Disability Management Services Office and Head Office department staff and leaders as necessary.
- Provide input for performance management
- Ensure the Assistant Manager is kept aware of any issues that may compromise the integrity of the area’s processes or the ability to meet deadlines.
- Qualifications and Competencies:
- Post-secondary education with an administrative background, one year Community College or related work experience
- Post-secondary education in a mathematical/accounting field or CPA enrollment is an asset
- High attention to detail and accuracy required
- Excellent verbal and written communication skills
- Good organizational and time management skills with the ability to manage multiple priorities while managing deadlines
- Strong team player - able to work well in a team to meet overall deadlines
- Flexible - able to work overtime when required
- Intermediate experience with Excel and SAP**Enhanced Security Screening is a requirement of this** **position**
- The base salary for this position is between **$39,200****:

- $ 58,800** annually. This represents base salary only and does not represent other variable