| Description of Duties:
SUPERVISION AND REHP PROGRAM OVERSIGHT RESPONSIBILITIES
Supervises a staff of Retirement Technicians involved in the processing and maintenance of retirement account health insurance records.
Provides guidance to staff in the interpretation and communication of the provisions of the REHP.
Oversees the coordination of payroll deductions and transactions for health insurance coverage with external agencies.
Maintains procedures for regional counseling centers to enroll members and ACT 183 survivor spouses in REHP.
Prepares correspondence to non-routine inquiries from annuitants, legislatures, PEBTF, etc.
Resolves retiree health benefit account issues for unique, non-routine, or sensitive situations.
Develops and suggests policy changes and procedures to minimize discrepancies reported by the PEBTF, Medicare (CMS), and OA.
Collaborates with the SERS Office of Information Technology on modifications to SERIS that become necessary as a result of policy, legislative, or administrative changes.
Provides recommendations on new retirement health insurance applications.
Investigates system issues impacting modules used in the maintenance of REHP records.
Drafts procedures and processes for support system continuity and enhancement. Develops office methods and procedures to facilitate and improve workflow.
Works with SERS legal counsel as REHP technical consultant in selected litigation.
Drafts REHP information and spotlight articles for posting to the SERS internet site.
Reviews the annual publication of the Guide for Retiring Members and provides input on REHP related content.
Develops REHP training materials.
Conducts training on topics of expertise, including calculations, processing, and health insurance coverage.
Provides one-on-one health insurance benefit counseling services to members and their dependents, system wide, via informal visitations, phone, e-mail, and correspondence.
Processes retired member coverage changes.
Monitors the accuracy and completeness of REHP forms prior to processing the forms to PEBTF and identifies training or performance deficiencies in documents processed by regional counseling centers to the bureau assistant director.
Establishes member health insurance profiles including member share of premium deductions to ensure correct application through SERS systems.
Calculates debts and refunds for health insurance premiums, and adjusts deductions from members' annuity checks accordingly. Reports changes to agency, PEBTF, treasury auditors, and Office of Finance and Administration.
Reviews and approves survivor spouse continuation applications for coverage to include establishing and modifying premium deductions and billing information.
Prepares documentation to enroll Medicare eligible members into proper plan.
Mediates disputes of coverage on behalf of the retiree with the PEBTF and Medicare.
Conducts audits of data and information to reconcile profiles of members between SERS and outside entities.
Serves as liaison with the PEBTF, contractual MHMO's and MPPO's, the benefits and financial divisions of the Senate, State System of Higher Education (SSHE), House of Representatives, Delaware River Port Authority (DRPA), Turnpike Commission, PA State Police and the Judiciary.
Reviews records to determine impacted population when policy modifications are considered or implemented.
Identifies problems in coverage and resolution procedures.
Conducts detailed research on a case-by-case basis using internal information resources as well as external providers for resolution of coverage issues or claims disputes. Establishes appropriate financial arrangements and provides detailed explanations to all parties including the affected member.
Edits coverage codes on reference tables as needed in SERIS.
Performs the full range of supervisor duties.
Participates in the performance of subordinates' work consistent with operational or organizational requirements.
Performs related duties as required.