Short-Term Disability and Eligibility/Cobra Auditing Specialist

Job Description

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.

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 on questions and assist 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.

Qualifications

• A High School Diploma or GED, with some college being helpful but not required.
• Proficiency in Microsoft Word, Excel, and Outlook.
• Strong math, analytical, and problem-solving skills.
• The 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.
• A self-motivated, proactive mindset with a willingness to learn.
• The ability to multitask and manage interruptions.
• Excellent attendance and reliability.

Work Environment

This is an in-office position; remote work is not available.

Hours Required

40 per week - Monday through Friday, 8:00 a.m. to 5:00 p.m.

Benefits

• Comprehensive medical, dental, and vision insurance.
• A matching 401K plan.
• Life insurance, short- and long-term disability coverage.
• Generous vacation and PTO days.
• Dedicated health clinic and company-sponsored wellness programs.

Other Reasons to Work Here

• A great benefits package.
• A family-oriented, positive work environment.
• The option for voluntary overtime during peak seasons.
• Recognition as one of the Top Workplaces in Indiana.

Location

We are located just off I-69, Exit 226.

Equal Opportunity Employer