Insurance Reconciliation Specialist

• Headquarters is in Charlotte, NC
• Recently expanded to nearshore
• isolved ranked for SMB Payroll in 2023 Sapient Report
• Voted top places to work in USA 2023

The Insurance Reconciliation Specialist is responsible for performing high-volume, back-end insurance data reconciliation.

This role focuses on the accurate processing and validation of large datasets, identifying discrepancies, and taking appropriate corrective action to ensure billing accuracy and enrollment integrity within the isolved system.

The role also includes calculating self-bills and broker commissions, submitting payment requests to the Finance and Treasury teams, and maintaining close collaboration with those teams to ensure timely and accurate financial processing.

• Reconcile large volumes of insurance billing and enrollment data each month to identify discrepancies and validate accuracy against the isolved system and actual deductions taken.
• Analyze reconciliation data independently and take decisive corrective action when discrepancies are found, including updating enrollments, terminations, and enrollment changes in isolved and insurance carrier sites.
• Calculate self-bills and broker commissions accurately based on enrollment data and carrier terms.
• Submit bill pay requests and commission payment requests to the Finance team for processing in a timely manner.
• Collaborate with the Treasury team to ensure payment submissions are accurate, complete, and processed within required deadlines.
• Research and resolve inaccuracies and variances identified during audits; document findings and actions taken.
• Communicate recommended changes and solutions to appropriate internal contacts and insurance brokers when necessary.
• Correspond with carriers on required enrollment changes or billing statement questions.
• Collaborate with 3rd party vendors and/or the internal EDI/Carrier Connect team on issues related to files being sent or received by carriers.
• Validate benefit plan configuration accuracy and alignment with carrier specifications; partner with internal benefits and implementation teams on plan builds, updates, and related questions.
• Manage various benefit plan information (FSA, medical, dental, vision, life, disability, etc.) to complete audits and ensure plan setup is not contributing to discrepancies.
• Leverage AI tools and automation to support data analysis, pattern recognition, and reconciliation workflows.
• Ensure deadlines for audits, self-bills, commissions, and bill payments are met, escalating issues appropriately.
• Collaborate with peers to establish and improve back-end reconciliation best practices.
• Complete special projects as needed.

• Bachelor's degree or equivalent work experience in the benefits, finance, or accounting field
• 2–4 years of benefits auditing/reconciliation experience, preferably involving large data volumes
• Experience calculating self-bills and/or broker commissions
• Experience submitting payment requests or working within accounts payable, finance, or treasury workflows
• Demonstrated ability to identify discrepancies in data and take independent corrective action
• Experience with or strong aptitude for AI tools, automation, and data analysis technologies
• Software experience, preferably in a SaaS environment
• Strong computer skills, including all MS Office software, internet navigation, and database usage
• Demonstrated success in a role requiring strong attention to detail and initiative
• Demonstrated strong technical aptitude and capabilities
• Superior problem-solving skills
• Basic understanding of payroll processing and principles
• Excellent written and verbal communication skills, including fluency in English
• Exceptional organizational, planning, and prioritization skills

About isolved

isolved is an employee experience leader, providing intuitive, people-first HCM (Human Capital Management) technology.

Our solutions are delivered directly or through our partner network to more than five million employees and 145,000 employers - who use them every day to boost performance, increase productivity, and accelerate results while reducing risk.

Our HCM platform, isolved People Cloud, seamlessly connects and manages the employee journey across talent management, HR & payroll, workforce management and engagement management functions.

No matter the industry, we help high-growth organizations employ, enable and empower their workforce by transforming employee experience for a better today and a better tomorrow.

For more information, visit www.isolvedhcm.com .

isolved is an equal opportunity employer.

All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. isolved is a progressive and open-minded meritocracy.

If you are smart and good at what you do, come as you are.

Visit www.isolvedhcm.com/careers for more information regarding our incredible culture and focus on our employee experience.

Visit www.isolvedeebenefits.com for a comprehensive list of our employee total rewards offerings.