COBRA Operations Specialist I

Operations Specialist focused on COBRA and Direct-Bill plan administration, including setup, maintenance, file processing, and member-level transactions.

Responsibilities

• Adhere to security policies and HIPAA regulations.
• Maintain detailed functional knowledge of COBRA and Direct-Bill processes.
• Serve as an internal resource, troubleshoot questions, and resolve issues using product, file, and system expertise.
• Act as a knowledgeable contact for internal departments and external partners.
• Communicate with teams and employers via case management to resolve account discrepancies.
• Resolve cases and tier 3 escalations.
• Create, update, and maintain member plans, balances, and employer plans.
• Process incoming files and accurately report errors.
• Facilitate peer training as requested.
• Identify trends to improve experiences for employers, consultants, partners, and third-party vendors.
• Ensure timely resolution of requests from internal departments, consultants, brokers, and employers.
• Attend one-on-one meetings with supervisor for professional development and goal setting.
• Collaborate with teams and case management 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, and knowledge sharing.
• Maintain attendance, punctuality, and performance metrics.
• Participate in team meetings and one-on-ones via video and phone.
• Assist with special projects and other duties as assigned.
• Improve departmental workflow.

Requirements

• Must pass a successful background investigation.
• Computer proficiency.
• Experience with Section 125, HIPAA, and HITECH regulations.
• Experience with administrative software and 10-key/keyboard proficiency.

Pay

Base pay range: $17.00 – $22.50 per hour.

Benefits

• Health, dental, and vision insurance.
• Retirement savings plan.
• Paid time off.
• Health savings account and flexible spending accounts.
• Life and disability insurance.
• Tuition reimbursement.