COBRA Operations Specialist I

WEX; Maine; On-site; USD 23,000 - 30,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Retirement plan

Paid time off

Health savings account

Flexible spending accounts

Life insurance

Disability insurance

Tuition reimbursement

Job summary

WEX in Maine seeks a detail-oriented benefits specialist to manage COBRA and Direct Bill tasks, acting as an internal resource and resolving questions using product, file, and system knowledge. You will support employer accounts and collaborate with teams to ensure accuracy and timely responses.

The role emphasizes maintaining member and employer plans, processing files, reporting errors, and training peers.

Qualifications

• Must pass a successful background investigation.
• Experience with computer proficiency and administrative software.
• Experience with Section 125, HIPAA and HITECH regulations.

Responsibilities

• Serve as an internal resource, troubleshoot questions and provide issue resolution.
• Communicate with internal departments and employers through case management to resolve 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 report errors accurately.
• Assist with special projects.

Skills

Background investigation

Computer proficiency

HIPAA/HITECH knowledge

10-key/keyboard skills

Tools

Administrative software

10-key keyboard

Job description

• 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

How You’ll Make An Impact

• 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

Experience You’ll Bring

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

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.

Pay Range: $17.00 - $22.50