Short-Term Disability and Eligibility/Cobra Auditing Specialist

Unified Group Services Inc•Anderson, IN

2d•Onsite

About The Position

Unified Group Services, a full-service third-party administrator for self-insured group health plans, is seeking a dedicated and detail-oriented specialist to manage short-term disability claims and conduct eligibility and COBRA audits. This is an in-office position; remote work is not available. The role is hourly and scheduled for 40 hours per week, Monday through Friday, from 8:00 a.m. to 5:00 p.m. The Short-Term Disability Specialist sets up and processes customer-submitted short-term disability request forms, follows up with physicians for updates and documentation, confirms return-to-work dates with customer contacts, and responds to customer and plan participant inquiries. The specialist collaborates with internal team members, assists with occasional appeals, and performs other assigned tasks. The Eligibility and COBRA Auditing Specialist audits eligibility data, including member additions, terminations, and account changes, as well as COBRA payments and communication letters. The specialist tracks and reports audit accuracy, alerts the Team Leader to discrepancies or concerns, provides coverage for other auditors when needed, and takes on additional assigned tasks. Candidates must pass a background check and drug screening.

Requirements

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

Nice To Haves

Some college is helpful but not required.

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.
Collaborate with internal team members, answer questions, and assist with occasional short-term disability appeals.
Conduct audits of eligibility data, including member additions, terminations, and account changes.
Audit COBRA payments and communication letters.
Track and report the accuracy of completed audits.
Alert the Team Leader to discrepancies or concerns identified during audits.
Cover other auditors' workloads when needed.
Perform other tasks as assigned to support the team.