The Operations Specialist, COBRA is responsible for plan setup, maintenance of plan structure and member accounts for COBRA and Direct Bill. This role is also responsible for processing files, forms, and payments at the member level. Must have product, system, file and technical knowledge and experience.
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
General Duties:
All other duties as assigned
Assist with special projects
Continually work on improving departmental workflow
Maintain policy according to HIPAA
Knowledge, Skills, Abilities
Minimum Required Qualifications for Consideration
Preferred Qualifications
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
The base pay range represents the anticipated low and high end of the pay range for this position. Actual pay rates will vary and will be based on various factors, such as your qualifications, skills, competencies, and proficiency for the role. Base pay is one component of WEX's total compensation package. Most sales positions are eligible for commission under the terms of an applicable plan. Non-sales roles are typically eligible for a quarterly or annual bonus based on their role and applicable plan. WEX's comprehensive and market competitive benefits are designed to support your personal and professional well-being. Benefits include health, dental and vision insurances, retirement savings plan, paid time off, health savings account, flexible spending accounts, life insurance, disability insurance, tuition reimbursement, and more. For more information, check out the "About Us" section.Pay Range: $17.00 - $22.50
WEX (NYSE: WEX) is the global commerce platform that simplifies the business of running a business. WEX has created a powerful ecosystem that offers seamlessly embedded, personalized solutions for its customers around the world. Through its rich data and specialized expertise in simplifying benefits, reimagining mobility and paying and getting paid, WEX aims to make it easy for companies to overcome complexity and reach their full potential. For more information, please visit www.wexinc.com.
