COBRA Operations Specialist

Overview

The Operations Specialist, COBRA is responsible for plan setup, maintenance of plan structure, and member accounts for COBRA and Direct Bill. This role also processes files, forms, and payments at the member level.

Must have product, system, file, and technical knowledge and experience and 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.
• Act as a knowledgeable contact for internal departments.
• Communicate with other teams and employers through case management to resolve account discrepancies.
• Resolve tier3 escalations and solve cases.
• Create, update and maintain member and employer plans and balances.
• Process incoming files and accurately report errors.
• Facilitate peer training when requested.
• Identify trends to improve experience for employers, consultants, partners and third‑party vendors.
• Ensure requests made by internal departments, consultants, brokers and employers are resolved in a timely manner.
• Attend regular one‑on‑one meetings with the direct supervisor for professional development and goal setting.
• Work collaboratively to ensure a positive customer experience.
• Create efficiencies and improve processes for stakeholders.
• Maintain a continuous improvement approach to work.
• Participate in ongoing learning and sharing of knowledge.
• Maintain attendance, punctuality, and quality performance metrics.
• 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 and continually work on improving departmental workflow. Maintain policy according to HIPAA.

Must pass a successful background investigation.

• Experience with computer proficiency.
• Experience with Section
  125, HIPAA and HITECH regulations.
• Experience with administrative software and 10‑key/keyboard usage.

$17.00 – $22.50 hourly.

• Health, dental and vision insurance.
• Retirement savings plan.
• Paid time off.
• Health savings account and flexible spending accounts.
• Life insurance and disability insurance.
• Tuition reimbursement.

WEX is an equal opportunity employer committed to diversity and inclusion in the workplace. All qualified applicants will receive consideration for employment without regard to sex, race, color, age, national origin, religion, sexual orientation, gender identity, protected veteran status, disability or other protected status.

Qualified individuals with a disability have the right to request a reasonable accommodation.