Note: The job is a remote job and is open to candidates in USA. WEX Health, Inc. is seeking a COBRA Operations Specialist I to manage plan setup and maintenance for COBRA and Direct Bill accounts. The role involves processing files, forms, and payments, as well as providing issue resolution and support to internal departments.
Responsibilities
- Must adhere to security policies
- Maintain detailed knowledge in function area(s) related to COBRA and Direct Bill
- Serve as an internal resource, troubleshoot questions and provide issue resolution using product, file and system knowledge
- Serve as a knowledgeable contact for internal departments
- Communicate with other teams and employers through case management to resolve account discrepancies
- Responsible for solving cases and resolving tier 3 escalations
- Create, update and maintain member plans and balances
- Create, update and maintain employer plans
- Process incoming files and accurately report errors
- Facilitate peer training when requested
- Identify trends to improve employer's, consultant's, partner’s and third-party vendor's experience
- Ensure requests made by internal departments, consultants, brokers and employers are resolved in a timely manner
- Attend regularly scheduled one on one meetings with direct supervisor for professional development and goal setting
- Work with your team, other departments and case management employer communication 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 opportunities and sharing of knowledge
- Maintain attendance and punctuality standards
- Maintain expected quality and performance metrics
- Must participate in team meetings and one on ones via video and phone
- Assist with special projects
- All other duties as assigned
- Assist with special projects
- Continually work on improving departmental workflow
- Maintain policy according to HIPAA
Skills
- Must adhere to security policies
- Maintain detailed knowledge in function area(s) related to COBRA and Direct Bill
- Serve as an internal resource, troubleshoot questions and provide issue resolution using product, file and system knowledge
- Serve as a knowledgeable contact for internal departments
- Communicate with other teams and employers through case management to resolve account discrepancies
- Responsible for solving cases and resolving tier 3 escalations
- Create, update and maintain member plans and balances
- Create, update and maintain employer plans
- Process incoming files and accurately report errors
- Facilitate peer training when requested
- Identify trends to improve employer's, consultant's, partner's and third-party vendor's experience
- Ensure requests made by internal departments, consultants, brokers and employers are resolved in a timely manner
- Attend regularly scheduled one on one meetings with direct supervisor for professional development and goal setting
- Work with your team, other departments and case management employer communication 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 opportunities and sharing of knowledge
- Maintain attendance and punctuality standards
- Maintain expected quality and performance metrics
- Must participate in team meetings and one on ones via video and phone
- Assist with special projects
- Must pass a successful background investigation
- Experience with computer proficiency
- Experience with Section 125, HIPAA and HITECH Regulations
- Experience with administrative software, computer proficiency and 10 key/keyboard
Benefits
- Commission under the terms of an applicable plan for most sales positions
- Quarterly or annual bonus based on their role and applicable plan for non-sales roles
- Health, dental and vision insurances
- Retirement savings plan
- Paid time off
- Health savings account
- Flexible spending accounts
- Life insurance
- Disability insurance
- Tuition reimbursement
Company Overview