Sr Cobra Analyst - LH

Luminare Health; Oregon; Hybrid; USD 25,000 - 47,000; Full time

Job summary

Luminare Health is seeking a Senior COBRA Analyst to manage COBRA administration for high complexity clients, FMLA, retirees and LOA. Responsibilities include rate entry, database maintenance, and responding to inquiries while ensuring PHI compliance.

The role involves monthly fiscal duties, data integrity in the COBRA system, and collaboration with multiple teams. Remote options are available; strong attention to detail is essential.

Qualifications

• High school diploma or GED equivalent.
• 3+ years with COBRA, FMLA, LOA and retiree administration/coordination experience and 3+ years experience with COBRA EAS & PowerStepp.
• Knowledgeable in handling various types of Federal, State and Company leave programs.
• Understanding of Administration System processes (premium administration, eligibility, claims, billing, commissions, reporting and premium administration).
• Customer service experience in a professional setting
• Knowledgeable in Microsoft Excel, Word and Outlook
• Strong problem-solving ability
• Must possess strong organizational skills that will allow for multi-tasking
• Excellent interpersonal skills
• Positive attitude and willingness to learn

Responsibilities

• Fiscal duties: creates monthly disbursement reports for COBRA clients and processes refunds; posts live checks and performs daily cash activities.
• Adheres to rate renewal processes; inputs renewal rates and sets up new client rates with vendors.
• Processes COBRA continuation paperwork and monthly invoicing; handles PHI compliant documentation.
• Coordinates group data activities for COBRA administration; maintains files and researches inconsistencies.
• Answers overflow COBRA inquiries via calls/emails and ensures timely responses.
• Maintains 98% performance in client calls and COBRA regulatory compliance; updates policy documentation.
• Trains new hires and re-trains staff as required.

Skills

Customer service

Problem-solving

Organizational skills

Interpersonal skills

Multi-tasking

Education

High school diploma or GED

Bachelor's degree preferred

Tools

Microsoft Excel

Microsoft Word

Outlook

PowerStepp

JD Edwards

Job description

At Luminare Health, our people are what set us apart. Their expertise, dedication, and passion for service excellence are the foundation of our success.

We're committed to helping our employees grow through thoughtful development opportunities, meaningful work, and a culture that values collaboration and continuous improvement. When you join Luminare Health, you join a purpose-driven team focused on making healthcare simpler, better, and more affordable.

Job Summary

Job Profile SummaryThe Senior COBRA Analyst will be responsible for managing COBRA administration for high complexity clients and their employee's COBRA benefits, FMLA, retirees and LOA (company leave programs). This position will involve fiscal month end duties, COBRA rate entry and maintenance, COBRA database maintenance and responding to federal/state compliance inquiries.

Job Description

• o Fiscal DutiesCreates monthly disbursement reports for COBRA clients and releases COBRA premiums collected to clients through Accounting departmentPost live checks and lockbox deposit checks dailyGenerates Credit Card payment audits for COBRA team dailyProcesses both monthly and off-cycle refundsProcesses Automated Clearing House (ACH) forms & recurring credit card payment formsPrepares Daily Balancing sheets Maintains data integrity within COBRA database
• o Adheres to rate renewal process for COBRA clientsAnalyzes all group renewals, off-anniversary and termination requests for accuracy, reasonability and completeness. Works closely with the COBRA team and other teams when inconsistencies are foundInputting renewal rates for clientsEntry of new client rates with vendor and division set upQuality review of inputted rates for rate renewals and new client set upReviews incoming Client Change Request Forms (CCRF) to evaluate COBRA impacto COBRA Implementation (new clients & terminated clients)Participates in implementation calls as COBRA representativeGathers all relevant COBRA required information from Implementation teamCreates new COBRA group in COBRA databased based on information obtainedAdheres to terminated client process & works with analyst to complete
• o Processes COBRA continuation paperwork for COBRA qualified benefits and handling monthly invoicing for these clients as well as account maintenance.Processes COBRA Qualifying Events for subscribers and dependents into the COBRA database daily.Completes daily auditing process for keyed notifications from the COBRA database daily.Completes daily fulfillment of COBRA documentation to subscribers and dependents, adhering to PHI guidelines
• o Coordinates and processes all assigned group data related activities with respect to COBRA Administration (including (Federal, State and International), retiree benefit programs & client specific company leave programs.Maintains organized files regarding enrollment, termination and changes. Makes sure files contain supporting data necessary to research decisions made on coding variationsReports inconsistencies in eligibility, plan structure, account set-ups and systems structure to management. Researches inbound escalations and suggests corrective actions for prevention in future situations. Rebuild of member records in COBRA database as necessaryRun daily database processing for all input entered the previous dayCollaborates with internal compliance department to answer inquiries regarding COBRA regulations and Medicare/Social Security Disability Insurance (SSDI) rulesInteraction with third party vendors and administrators to update member benefits/coverageProvide clients with reporting of enrolled, notified and terminated membership as requested
• o Answers overflow of inbound calls through the COBRA queue and independently responds to questions and emails sent to the COBRA email address within standard turnaround time.
• o Maintains quality standards for performanceMeets or exceeds 98% in all aspects of client callsMeets or exceed Department of Labor COBRA regulationso Prepares, updates, and maintains policy and procedure documentation for the COBRA department.
• o Train new hire employees and re-train existing employees when requiredo

Other duties as needed/assigned.

Required Job Qualifications

• * High school diploma or GED equivalent.
• * 3+ years with COBRA, FMLA, LOA and retiree administration/coordination experience and 3+ years experience with COBRA EAS & PowerStepp
• * Knowledgeable in handling various types of Federal, State andCompany leave programs.
• * Understanding of Administration System processes (premium administration, eligibility, claims, billing, commissions, reporting and premium administration).
• * Customer service experience in a professional setting
• * Knowledgeable in Microsoft Excel, Word and Outlook
• * Strong problem-solving ability
• * Must possess strong organizational skills that will allow for multi-tasking
• * Excellent interpersonal skills
• * Positive attitude and willingness to learn

Preferred Job Qualifications

• * Bachelor's degree preferred
• * JD Edwards
• * In depth knowledge of COBRA laws, HIPAA portability and eligibility laws
• * Knowledge of Social Security & Medicare law

Location

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii .Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii .

EEO Statement

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Pay Transparency Statement

At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates.The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.Min to Max Range: $18.07 - $33.92Exact compensation may vary based on skills, experience, and location.