[Hiring] Senior COBRA Analyst @Luminare Health

Role Description

The 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.

• Fiscal Duties
  • Creates monthly disbursement reports for COBRA clients and releases COBRA premiums collected to clients through Accounting department.
  • Posts live checks and lockbox deposit checks daily.
  • Generates Credit Card payment audits for COBRA team daily.
  • Processes both monthly and off-cycle refunds.
  • Processes Automated Clearing House (ACH) forms & recurring credit card payment forms.
  • Prepares Daily Balancing sheets and maintains data integrity within COBRA database.
• Adheres to rate renewal process for COBRA clients
  • Analyzes 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 found.
  • Inputs renewal rates for clients.
  • Enters new client rates with vendor and division set up.
  • Quality review of inputted rates for rate renewals and new client set up.
  • Reviews incoming Client Change Request Forms (CCRF) to evaluate COBRA impact.
• COBRA Implementation (new clients & terminated clients)
  • Participates in implementation calls as COBRA representative.
  • Gathers all relevant COBRA required information from Implementation team.
  • Creates new COBRA group in COBRA database based on information obtained.
  • Adheres to terminated client process & works with analyst to complete.
• Processes COBRA continuation paperwork
  • 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.
• Coordinates and processes all assigned group data related activities
  • Maintains organized files regarding enrollment, termination, and changes.
  • Reports 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.
  • Rebuilds member records in COBRA database as necessary.
  • Runs daily database processing for all input entered the previous day.
  • Collaborates with internal compliance department to answer inquiries regarding COBRA regulations and Medicare/Social Security Disability Insurance (SSDI) rules.
  • Interacts with third party vendors and administrators to update member benefits/coverage.
  • Provides clients with reporting of enrolled, notified, and terminated membership as requested.
• 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.
• Maintains quality standards for performance
  • Meets or exceeds 98% in all aspects of client calls.
  • Meets or exceeds Department of Labor COBRA regulations.
• Prepares, updates, and maintains policy and procedure documentation for the COBRA department.
• Trains new hire employees and re-trains existing employees when required.
• Other duties as needed/assigned.

Qualifications

• High school diploma or GED equivalent.
• 3+ years with COBRA, FMLA, LOA, and retiree administration/coordination experience.
• 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.

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.

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 - $33.92. Exact compensation may vary based on skills, experience, and location.