Overview
This role involves serving as a key operational and financial resource responsible for the end-to-end administration, processing, reconciliation, and analysis of commission payments related to Affordable Care Act (ACA) Exchange/Marketplace and Medicare products.
Work Arrangement
- Fully remote position with flexibility to work from anywhere within the United States.
- Standard work schedule aligned with Eastern Time (EST) business hours.
- Reliable high-speed internet required, with minimum speeds of 50 Mbps download and 5 Mbps upload.
- Remote associates in states where reimbursement is mandated by law, regulation, or contract may be eligible for internet service reimbursement.
Responsibilities
- Ensure accurate and timely commission reconciliation while supporting agent and carrier relationships.
- Provide reporting insights to strengthen commission processes and financial accuracy.
- Investigate and resolve commission issues such as missing payments, retroactive adjustments, chargebacks, enrollment corrections, and compensation exceptions.
- Identify root causes of payment variances and implement solutions to improve efficiency and reduce recurring issues.
- Maintain alignment of commission systems, databases, and documentation with internal controls, audits, and healthcare regulations.
- Calculate and process monthly commission payouts under ACA and Medicare compensation plans.
- Apply commission rules to individual and team performance data.
- Reconcile differences among commission reports, carrier reports, and internal compensation models.
- Prepare and distribute commission statements; respond to agent inquiries and reconciliation requests.
- Maintain and enhance commission-tracking tools, spreadsheets, and process documentation.
- Conduct ad hoc analysis on commission trends, performance metrics, and payout accuracy.
- Collaborate with Sales, Finance, and Accounts Payable teams to support business goals and process improvements.
- Support compliance with regulatory requirements and internal audit standards.
Education & Experience
- Associate’s degree or equivalent combination of education and experience preferred.
- Minimum of 2 years experience in commission analysis, sales compensation, financial operations, commission processing, or related analytical roles.
- Experience supporting ACA or Medicare commission programs preferred.
- Proven experience calculating, processing, reconciling, and auditing commission payments.
- Demonstrated ability to research and resolve commission discrepancies including missing payments, chargebacks, retroactive adjustments, enrollment corrections, and compensation exceptions.
- Experience working with carrier compensation reports, enrollment data, and internal financial records.
- Advanced proficiency in Microsoft Excel, including PivotTables, formulas, data analysis, and reporting.
- Experience with commission management systems, carrier portals, or industry tools such as APM (SAP), Evolve NXT, or similar platforms.
- Strong understanding of healthcare insurance products, broker/agent compensation structures, and commission payment processes.
- Experience handling large datasets and performing detailed financial and operational analysis.
- Knowledge of auditing practices, internal controls, regulatory requirements, and documentation standards.
Skills & Abilities
- Strong analytical and problem-solving skills to investigate and resolve complex commission discrepancies.
- High attention to detail with a focus on accuracy and quality.
- Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
- Strong financial reconciliation and auditing capabilities.
- Experience working with large volumes of data and identifying trends or anomalies.
- Excellent verbal and written communication skills, capable of explaining complex commission and compensation concepts to agents and business partners.
- Strong organizational skills with the ability to maintain accurate records and documentation.
- Ability to work independently while collaborating effectively with cross-functional teams.