Accounting/Fiscal Director I - Insurance Operations

Full Job Description

The SC Public Employee Benefit Authority (PEBA) is the administrator and co-trustee of retirement and insurance programs for over half a million active and retired public employees of the State of South Carolina and their dependents.

Under limited supervision, this position is responsible for directing the operations, financial activity reporting of insurance benefits and the Other Post Employment Benefit (OPEB) Trusts.

Job duties include:

Directing the daily financial activity of the OPEB Trusts, including monitoring revenue and expenses of the Trusts to ensure compliance with established policies and procedures through review of report data.

Collaborating with actuaries to produce the annual OPEB valuation in compliance with legislation by providing updated enrollment data, claims data, and other OPEB related data.

Calculating annual claims reserve transfer in compliance with OPEB legislation by analyzing Incurred But Not Reported (IBNR) reports and cash balance reports.

Calculating year-end implicit subsidy calculation in compliance with governmental accounting standards by analyzing OPEB reports and claims data.

Corresponding verbally and in writing with outside parties on OPEB questions and requests.

Directing the general ledger reporting of Insurance Benefits and OPEB Trusts to ensure timely and accurate financial reporting by collaborating with the Controller and other accounting staff to develop internal accounting policies and procedures.

Directing the annual financial and GASB74/75 audits of Insurance Benefits and OPEB Trusts in compliance with the Office of the State Auditor.

Collaborating with the Comptroller General's Office by providing all requested Insurance Benefits and OPEB Trusts financial data in preparation of the State's Annual Financial Report.

Directing the daily employer field audit activities of Insurance Benefits by reviewing audit reports, resolving audit issues and following up on areas of noncompliance to promote employer compliance with Insurance Benefits enrollment and billing policies and procedures.

Directing the daily claims audit activity by establishing routine audits, such as invalid claims audits, duplicate claims audits, and Medicare COB audits to promote accurate claims payments.

Establishing other routine audit procedures, such as reconciliations of paid claims with processed invoices to validate claims expenses.

Determining solutions to enrollment issues as they arise in order to maintain enrollment compliance by employers/subscribers through communications with staff and assessment of issues of noncompliance.

Determining solutions to new enrollment initiatives and directs enrollment and billing implementation.

Reviewing and drafting specifications for contracts in order to document clear operational requirements for potential contractors. Monitoring contractor compliance with requirements by reviewing contractor performance through communications with contractor staff, as well as through audit activity.

Requirements

A bachelor's degree in accounting and at least six (6) years of accounting experience in public or governmental accounting, including three (3) years of progressively responsible managerial experience. Certified Public Accountant (CPA) required.

Thorough knowledge of the practice, principles and theories of accounting and auditing; knowledge of management practices and principles and applicable federal and state laws and regulations. Working knowledge of insurance benefits systems. Must have ability to plan, organize and implement complex initiatives related to operations, accounting/finance and audit; ability to manage staff and establish working relationships with other managers. Ability to communicate clearly both orally and in writing.

Additional Information

In addition to 13 paid holidays, this position is eligible for comprehensive insurance programs, retirement plans, and a generous paid leave program.