Remote COBRA & FSA/HRA Benefits Admin TPA (Cleveland Area)

Medical Mutual; Cleveland (OH); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Laptop provided

Gym membership reimbursement

On-site cafeteria – Brooklyn, OH

Job summary

Medical Mutual is seeking a qualified Benefits Administrator-TPA to manage FSA, HRA, and COBRA claims under limited supervision. You will respond to inquiries and coordinate enrollment and payments while staying current with IRS and DOL updates.

The role requires a relevant associate degree and at least 3 years of experience in health/specialty benefits claims processing, with strong Excel and insurance knowledge. Remote work is available for residents of the Cleveland area.

Qualifications

• Associate Degree in Business or Healthcare Administration or equivalent combination of education/training and experience.
• 3 years of experience as a Specialty Benefits Administrator-TPA or equivalent experience in health/specialty benefits claims processing and/or customer service, membership, or billing, preferably in third party administration.
• Intermediate Microsoft Office (especially Excel) and medical claims processing systems skills.
• Strong knowledge of health insurance products and medical terminology.
• Strong math skills.
• Strong knowledge of continuation of health coverage (COBRA) and IRS regulations.

Responsibilities

• Processes FSA, HRA, and COBRA claims, adjustments, and payments and handles inbound/outbound phone calls.
• Responds to written inquiries.
• Coordinates check runs, enrollment transactions, electronic files, contributions, and works with banking processes.
• Research and updates department documentation regarding State and Federal Statutes, IRS changes, and DOL updates. Prepares and updates SOPs.
• Orients, trains, and assists more junior level team members.
• Initiates, provides input, and leads implementation efforts for process improvement.
• Assists in auditing of case and benefit plan builds or other special projects.
• Enhances knowledge of departmental processes and industry standards.
• Performs other duties as assigned.

Skills

Excel

Microsoft Office

Medical claims processing

COBRA/IRS regulations

Strong math skills

Education

Associate Degree in Business or Healthcare Administration

Job description

Medical Mutual is seeking a qualified Benefits Administrator-TPA to manage FSA, HRA, and COBRA claims under limited supervision. You will respond to inquiries and coordinate enrollment and payments while staying current with IRS and DOL updates.

The role requires a relevant associate degree and at least 3 years of experience in health/specialty benefits claims processing, with strong Excel and insurance knowledge. Remote work is available for residents of the Cleveland area.