Senior Cobra Benefits Admin – TPA

Medical Mutual•Cleveland, OH

9d•Remote

About The Position

Under limited supervision, administers routine to complex Flexible Spending Accounts (FSA) claims, Health Reimbursement Accounts (HRA) claims, and/or continuation of health coverage (Cobra) enrollments, adjustments, and related processes. Responds to written or phone inquiries regarding benefits, coverage, State and Federal guidelines, Internal Revenue Service (IRS) guidelines, and/or submission status.

Requirements

Associate Degree in Business or Healthcare Administration or equivalent combination of education/training and experience.
3 years of experience as a Specialty Benefits Administrator-TPA or equivalent experience in health/specialty benefits claims processing and/or customer service, membership, or billing, preferably in third party administration.
Intermediate Microsoft Office (especially Excel) and medical claims processing systems skills.
Strong knowledge of health insurance products and medical terminology.
Strong math skills.
Strong knowledge of continuation of health coverage (COBRA) and IRS regulations.
Ability to interpret various types of claims reimbursement and enrollment forms.

Responsibilities

Processes FSA, HRA, and/or COBRA claims, adjustments, and payments and handles inbound/outbound phone calls.
Responds to written inquiries.
Coordinates check runs, enrollment transactions, electronic files, contributions, and works with banking processes.
Research and updates department documentation regarding State and Federal Statutes, IRS changes, and The Department of Labor (DOL) updates.
Prepares and updates Standard Operating Procedures (SOPs).
Orients, trains, and assists more junior level team members.
Initiates, provides input, and leads implementation efforts for process improvement.
Assists in auditing of case and benefit plan builds or other special projects.
Enhances knowledge of departmental processes and industry standards.
Performs other duties as assigned.

Benefits

Laptop, monitors, keyboard, mouse and headset provided
On-site fitness centers or gym membership reimbursement
On-site cafeteria
Employee discount programs
Employee bonus program
401(k) with company match up to 4% and an additional company contribution
Health Savings Account with a company matching contribution
Medical, dental, vision, life and disability insurance
Employee Assistance Program
Company holidays
Up to 16 PTO days during the first year of employment with options to carry over unused PTO time
Parental leave for eligible employees who become parents through maternity, paternity or adoption (after 120 days of service)
Career development programs and classes
Mentoring and coaching
Tuition reimbursement up to $5,250 per year
Diverse, inclusive and welcoming culture with Business Resource Groups