[Hiring] Senior Cobra Benefits Admin @Medical Mutual

Role Description

Under limited supervision, administers routine to complex Flexible Spending Accounts (FSA) claims, Health Reimbursement Accounts (HRA) claims, and/or continuation of health coverage (Cobra) enrollments, adjustments, and related processes. Responds to written or phone inquiries regarding benefits, coverage, State and Federal guidelines, Internal Revenue Service (IRS) guidelines, and/or submission status.

Responsibilities:

• Processes FSA, HRA, and/or 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 The Department of Labor (DOL) updates. Prepares and updates Standard Operating Procedures (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.

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.
• Ability to interpret various types of claims reimbursement and enrollment forms.

Benefits

• A Great Place to Work:
• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available.
• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.
• Excellent Benefits and Compensation:
• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.
• An Investment in You:
• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.