Short-Term Disability and Eligibility/Cobra Auditing Specialist

Unified Group Services Inc•Anderson, IN

4d•Onsite

About The Position

We are seeking a dedicated and detail-oriented Short-Term Disability and Eligibility/COBRA Auditing Specialist to join our team. This hybrid role combines responsibilities from two critical areas: managing short-term disability claims and conducting eligibility and COBRA audits. The ideal candidate will demonstrate strong analytical skills, excellent customer service, and the ability to maintain accuracy while managing multiple tasks. As a Short-Term Disability Specialist, you will set up and process short-term disability request forms submitted by customers. You will follow up with physicians to obtain updates and necessary documentation for ongoing short-term disability files, confirm patient return-to-work dates with customer contacts, and respond to inquiries from customers and plan participants. Collaboration with internal team members on questions and assisting with occasional short-term disability appeals is essential. Additionally, you will perform other tasks as assigned to support the team. In the Eligibility and COBRA Auditing role, you will conduct audits to ensure the accuracy of eligibility data, including member additions, terminations, and account changes. You will audit COBRA payments and communication letters, track and report the accuracy of audits performed, and alert the Team Leader to any discrepancies or concerns identified during audits. You will also assist with covering other auditors' workloads when needed and take on additional tasks as assigned.

Requirements

High School Diploma or GED
Proficiency in Microsoft Word, Excel, and Outlook
Strong math, analytical, and problem-solving skills
Ability to interpret spreadsheets, insurance claim forms, and plan document language accurately
Exceptional attention to detail and the ability to meet strict deadlines
Professional, polite, and courteous phone communication skills
Strong organizational skills and a commitment to excellent customer service
Effective writing skills, including proper grammar, punctuation, and sentence structure
Self-motivated, proactive mindset with a willingness to learn
Ability to multitask and manage interruptions
Excellent attendance and reliability

Nice To Haves

Some college

Responsibilities

Set up and process short-term disability request forms submitted by customers.
Follow up with physicians to obtain updates and necessary documentation for ongoing short-term disability files
Confirm patient return-to-work dates with customer contacts
Respond to inquiries from customers and plan participants
Collaboration with internal team members on questions and assisting with occasional short-term disability appeals
Conduct audits to ensure the accuracy of eligibility data, including member additions, terminations, and account changes.
Audit COBRA payments and communication letters
Track and report the accuracy of audits performed
Alert the Team Leader to any discrepancies or concerns identified during audits.
Assist with covering other auditors' workloads when needed
Take on additional tasks as assigned.