COBRA Carrier Operations Specialist-2
About The Position
This role is responsible for ensuring smooth COBRA and Direct Bill operations by serving as an internal resource for troubleshooting and issue resolution. The specialist will communicate with internal departments and carriers, manage case escalations, and process carrier emails and file error reports. A key aspect of the role involves understanding carrier structures and updating internal programs accordingly. The position also focuses on identifying trends to enhance the experience for employers, consultants, partners, carriers, and third-party vendors, while ensuring timely resolution of requests and contributing to process improvements and efficiencies. Continuous learning, professional development, and adherence to performance metrics are also essential.
Requirements
- Must adhere to security policies.
- Maintain detailed knowledge in function area(s) related to COBRA and Direct Bill.
- Serve as an internal resource, troubleshoot questions and provide issue resolution using product, file and system knowledge.
- Serve as a knowledgeable contact for internal departments and Carriers.
- Communicate with other teams through case management to resolve account discrepancies.
- Responsible for solving cases and escalations.
- Responsible for reading and responding to Carrier emails including File Error Reports.
- Responsible to read carrier structures and update internal programs related to the structures.
- Ensure requests made by internal departments, consultants, brokers and employers are resolved in a timely manner.
- Attend regularly scheduled one on one meetings with direct Team Lead for professional development and goal setting.
- Work with your team, other departments and case management employer communication to ensure a positive customer experience.
- Maintain attendance and punctuality standards.
- Maintain expected quality and quantity performance metrics.
- Must participate in team meetings and one on ones via video and phone.
- Maintain policy according to HIPAA.
Nice To Haves
- Facilitate peer training when requested.
- Identify trends to improve employer's, consultant's, partner’s, carrier’s and third-party vendor's experience.
- Create efficiencies and improve processes for employers, consultants and third-party vendors.
- Maintain a continuous improvement approach to work.
- Participate in ongoing learning, development opportunities and sharing of knowledge.
- Assist with special projects.
Responsibilities
- Adhere to security policies.
- Maintain detailed knowledge in function area(s) related to COBRA and Direct Bill.
- Serve as an internal resource, troubleshoot questions and provide issue resolution using product, file and system knowledge.
- Serve as a knowledgeable contact for internal departments and Carriers.
- Communicate with other teams through case management to resolve account discrepancies.
- Responsible for solving cases and escalations.
- Responsible for reading and responding to Carrier emails including File Error Reports.
- Responsible to read carrier structures and update internal programs related to the structures.
- Facilitate peer training when requested.
- Identify trends to improve employer's, consultant's, partner’s, carrier’s and third-party vendor's experience.
- Ensure requests made by internal departments, consultants, brokers and employers are resolved in a timely manner.
- Attend regularly scheduled one on one meetings with direct Team Lead for professional development and goal setting.
- Work with your team, other departments and case management employer communication to ensure a positive customer experience.
- Create efficiencies and improve processes for employers, consultants and third-party vendors.
- Maintain a continuous improvement approach to work.
- Participate in ongoing learning, development opportunities and sharing of knowledge.
- Maintain attendance and punctuality standards.
- Maintain expected quality and quantity performance metrics.
- Must participate in team meetings and one on ones via video and phone.
- Assist with special projects.
- All other duties as assigned.
- Maintain policy according to HIPAA.
Benefits
- health, dental and vision insurances
- retirement savings plan
- paid time off
- health savings account
- flexible spending accounts
- life insurance
- disability insurance
- tuition reimbursement
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
