Sr. COBRA Specialist

This is an operational position that includes file integrations, carrier eligibility, direct bill management, and call center support, but it is not an account management position.

Position Summary/Objective

The COBRA Sr. Specialist is responsible for supporting supports the COBRA/Direct Bill team.  Utilizes Workday, COBRAPoint, case management tool, knowledgebase and contact center technologies/ processes.

Essential Functions/Duties/Responsibilities

• Primary responsibility is to manage assigned operational duties to include:
• Accurate and timely update of assigned cases and tasks via case management system
• Assist in identifying and escalating process gaps for all customers to ensure internal processes are accurate
• Provide professional and timely service to internal and external audit requests
• Initiate and manage direct billing, collaborate with customer on direct billing processes
• Daily HR system submissions of relevant COBRA tasks
• Process incoming mail/email elections & payments
• Building new clients in COBRA system for onboarding and closing out offboarding clients
• Update rates and plans in COBRA system for Open enrollment as well as updating member elections
• Carrier updates via email/phone/online portals
• Review and correct daily integration files for COBRA events, General Rights Notices and Direct Billing files
• Participate in ongoing training relative to the functional area
• Form strong partnerships within the department and organization
• Identify and document areas of improvement or innovation through process change or automation
• Meet or exceed all performance standards
• Assume ad-hoc duties as assigned by Manager

Competencies

• Effective communication skills via telephone, email and in-person
• Must be willing to adapt and display positive attitude
• Ability to work independently and as part of a team
• Must value and promote team spirit, have outstanding interpersonal skill set; exhibit professionalism within the workplace
• Maintain punctuality and adherence to set schedule with overtime hours as needed
• Must be able to cope in fast-paced, demanding, ever-changing environment

• Able to manage member information while maintaining confidentiality

• Analytical skills; strong research and follow up skills
• Ability to multi-task, and think critically to resolve issues

Supervisory Responsibility

This role does not have supervisory responsibilities

Qualifications and Experience

• HS Diploma required
• 3-5 years of related experience and/or training, 1 year min as Specialist strongly preferred
• Must have knowledge of employee benefits, COBRA and other federal/regulatory requirements
• Proficient PC Skills (Microsoft Excel/Word/Outlook, Adobe, HRIS, etc…)

Preferred

• Bachelor’s degree preferred 

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