Quality Control Reviewer III

Responsibilities

• Train new employees and retraining of current staff when required
• Review eligibility control report daily for discrepancies/inconsistencies and update of COBRA event status
• Research and update COBRA based on member portal inquiries
• Special COBRA projects and general duties as assigned
• Import data and payments to COBRA applications to update coverage and event statuses
• Update eligibility system to extend coverage based on unemployment information
• Update/review eligibility system and insertion of eligibility overrides based on eligibility department guidelines
• Review/audit adjustment completed by QCR II for system accuracy and reimbursement amount
• Validation of COBRA payments received daily by the banking unit and prepare for distribution to the staff
• Assist and support V3locity (Vitech) system testing
• Perform additional duties and projects as assigned by management

• High School Diploma or GED required
• Minimum two (2) years’ experience in COBRA and customer service required
• Thorough knowledge of eligibility system – Enrollment Processing, COBRA
• Ability to work under pressure and multi-task
• Demonstrated organizational skills
• Excellent oral/written communication skills required
• Knowledge of Microsoft Excel and Word required
• Must be detail oriented
• Ability to work overtime weekdays and Saturdays
• Must meet performance standards including attendance and punctuality