Short-Term Disability and Eligibility/Cobra Auditing Specialist

Unified Group Services•Anderson, IN
•Onsite

About The Position

Unified Group Services, a full-service third-party administrator for self-insured group health plans, is seeking a detail-oriented specialist to support short-term disability claims and eligibility/COBRA auditing. This in-office role combines customer service, claims administration, data auditing, and collaboration with internal teams. For short-term disability, the specialist sets up and processes request forms submitted by customers, 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 role also involves working with internal team members on questions, assisting with occasional appeals, and completing other assigned tasks. For eligibility and COBRA auditing, the specialist audits member additions, terminations, account changes, COBRA payments, and communication letters. The specialist tracks and reports audit accuracy, alerts the Team Leader to discrepancies or concerns, covers other auditors' workloads when needed, and performs additional assigned tasks. The position is in-office, Monday through Friday, 8:00 a.m. to 5:00 p.m., for 40 hours per week. Voluntary overtime may be available during peak seasons.

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, proactive approach and 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 required 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 on questions and assist with occasional short-term disability appeals.
  • Conduct eligibility audits covering 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 discrepancies or concerns identified during audits.
  • Cover other auditors' workloads when needed and complete other assigned tasks.

Benefits

  • Comprehensive medical insurance
  • Dental insurance
  • Vision insurance
  • Matching 401(k) plan
  • Life insurance
  • Short- and long-term disability coverage
  • Vacation and PTO days
  • Access to a dedicated health clinic
  • Company-sponsored wellness programs
  • Voluntary overtime during peak seasons
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