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Our Purpose
CSEBO is an organization that makes affordable health care coverage its primary goal. CSEBO is governed by its Members, including both labor and management representatives, to provide pooled Medical, Dental and Vision benefits. CSEBO acts as a resource to its Member Districts to help reduce, control, and/or eliminate risks, thereby saving money to use for educational purposes.
CSEBO is not an insurance company. Self-insured programs, like CSEBO, are created and administered by their Members to provide mutually what they could not obtain separately. CSEBO members are the bearers of risk, and the relationship is different from that which exists within an insurance company.
CSEBO is a family of school districts established to offer the best health benefits in the most efficient manner. What each member district has done is to self-insure by joining with other districts in lowering expenses. Everything CSEBO does is under the supervision of its member districts. CSEBO provides a stable, long-term method to protect against risk. A key element in any self-insured organization is member commitment and participation which stimulates the program to grow and prosper; this is something that does not exist in a relationship with an insurance company.
There are many advantages to pooling risks, including reduction or elimination of large profits, huge overhead costs, and other add-ons of insurance companies that would raise the costs of a program significantly above its actual experience costs.
In summary, CSEBO is an organization formed by its Member school districts to offer programs of self-insurance. By doing this, CSEBO allows its Members direct management and control
REPRESENTATIVE DUTIES:
The following list of job responsibilities is generally descriptive and is not intended to be an exclusive or all-inclusive listing of job duties. Duties may be changed to meet the needs of the organization.
Provides day-to-day client service to Member LEAs, including assisting Member LEAs and employees with benefit, eligibility, coverages, options, due dates, timelines, claims, service accounts and other inquiries. E
Assists the Health Benefits Manager as a liaison between Member LEAs, vendor partners, carrier representatives, brokers, consultants, and other administration. E
Assists with the coordination of meetings, trainings, workshops, health fairs, webinars and presentations. E
Assists in the administration of COBRA in compliance with federal regulations and coordination of payments received from members who elect to continue coverage. E
Assists in the administration of voluntary retiree health benefit plans and collection of payments from retirees who elect to purchase coverage. E
Verifies benefits, premiums, and other compliance documents. E
Assists Member LEAs with new employee enrollment, and mid-year health benefit changes. E
Assists in resolving eligibility issues, billing and other issues as required. E
Escalates Member LEA matters that require involvement of the Health Benefits Manager, Controller, and Executive Director as appropriate. E
Enhances website resources for Member LEAs and employees. E
Attend in person LEA meetings, conferences, seminars, and trainings. . E
CSEBO PO’s
Assist with the preparation of RFP responses in coordination with CSEBO staff for review
Make recommendations to improve procedures and the transmittal of information or to facilitate implementation or administration of policies and programs.
Train and supervise assigned office staff; assign, monitor, and review work to assure appropriate rules and procedures are followed and are within established guidelines.
Assist with the review and training of administrative guidelines and/or requirements with member LEAs.
Perform a variety of duties in the preparation of Board and committee agendas.
Perform related duties as assigned.
KNOWLEDGE AND ABILITIES:
KNOWLEDGE OF:
Health benefits, wellness programs and insurance products.
Interpersonal skills using tact, patience and courtesy.
Modern office practices, procedures and equipment.
Operation of computer equipment and related spreadsheet and word processing software.
Oral and written communication skills.
ABILITY TO:
Understand CSEBO health benefit programs and services.
Establish and maintain relationships with member districts.
Assure compliance with established CSEBO policies and procedures and
governmental regulations.
Interpret and apply rules, regulations, policies and procedures.
Establish and maintain cooperative and effective working relationships with others.
Analyze situations accurately and adopt an effective course of action.
Meet schedules and timelines.
Communicate effectively both orally and in writing.
Work independently with little or no direction.
Utilize computer software to organize, sort, and report financial data.
EDUCATION AND EXPERIENCE:
Two (2) years of experience in communicating and explaining health plan benefits to employees and/or clients. Two (2) year implementing health benefits and wellness programs. Two (2) year of experience in a position with a joint powers authority or a health benefits carrier or brokerage firm. Bachelor’s Degree preferred, or completion of coursework or training in business office procedures, employee benefits administration, or closely related fields.
WORKING CONDITIONS:
ENVIRONMENT:
Office Environment.
PHYSICAL ABILITIES:
Vision (which may be corrected) to read small print; hearing and speaking to communicate with others, ability to stand, stoop, reach and bend; mobility of arms to reach and dexterity of hands to grasp and manipulate small objects and operate office equipment; perform work which is primarily sedentary; perform lifting, pushing and/or pulling which does not exceed 25 pounds and is an infrequent aspect of the job; to work at a computer terminal for prolonged periods.
