COBRA Operations Processor I

COBRA Operations Processor I 

OVERVIEW AND REPORTING RELATIONSHIP

With detailed direction and following standard operating procedures, this position is responsible for relaying participant eligibility information to insurance carriers via email, fax or mail following standard operating practices. This position also performs day-to-day data entry tasks and other clerical support tasks to facilitate the capture, transfer and maintenance of accurate and timely data/records.

This position normally reports to a supervisor or manager level with responsibility for generating, maintaining and communicating benefits eligibility information.

OTHER REPRESENTATIVE DUTIES

1. Gathers, compiles, sorts and verifies source documents to organize and streamline workflow. Verifies the accuracy of data before entering, following standard operating procedures.

2. In a timely and effective manner, reads source documents and enters data in specific data fields using keyboards or scanners. This may include manually or electronically processing changes in enrollments or other benefits information for new and continuing clients as appropriate.

3. Compares data with source documents in verification format to detect errors and correct them manually.

4. Stores completed documents in the appropriate locations to ensure that information is intuitively and readily accessible by others.

5. Communicates with clients and participants to answer questions or explain information. This may include reviewing files, records and other documents to obtain information for a response to requests regarding a benefit plan or personal participant account status/activity.

6. Conducts work in a manner that is ethical by adhering to Company and department standards and policies and complying with applicable laws and regulations. Reports any suspected unethical, fraudulent, or unlawful acts or practices to the appropriate authorities. Maintains confidentiality of information for which this position is privy.

7. On a daily and ongoing basis, receives and responds to telephone, fax or email inquires from carriers, clients and/or participants regarding status of benefits eligibility and/or account status and activity. Determines eligibility based on client specific rules and data contained in participant records and provides information as appropriate.

8. Assists in resolving issues for clients. This may include performing research on client/participant issues that are moderately-complex in nature. This may also entail interacting with customer service and account management teams to resolve eligibility issues.

9. Upon issue resolution, enters or changes data in the system to reflect current and correct information. Additionally, follows up with clients, participants or carriers to relay information and provide resolution within established time frames. Promotes positive client relationships.

10. Reports eligibility status (active or termination) to carriers on a weekly, monthly, daily or urgent basis for applicable clients.

11. Logs and records information about client/participant/carrier interactions by inputting information into Company systems and updating information in a timely and accurate manner.

QUALIFICATIONS

WORK EXPERIENCE OR RELATED EXPERIENCE:

A proficient level of clerical, administrative and customer service skills and the ability to enter data and eligibility information in an accurate and timely manner as described as normally obtained through two years of general administrative work experience. Previous specific experience in a data-entry or eligibility role in which incumbents are proficient and able to act as a resource is also preferred. Proficiency in Microsoft Excel is required.

WageWorks believes that our success is achieved by its People. Values describe how we work together to achieve our success. It is our employees that drive results through living our Company Values. Every employee at WageWorks is expected to uphold and demonstrate the eight Company Values listed below as an additional component of the job description and as a standard of individual performance.

EDUCATION

A fundamental knowledge of business, Math, and English as normally obtained through the completion of a high school diploma or equivalent is required.

LOCATION

Tempe, AZ

Build Your Career at WageWorks!

WageWorks enables millions of people to save money on critical expenses like healthcare, dependent care, and commuting, through Consumer-Directed Benefits, such as Health Savings Accounts (HSAs), Flexible Spending Accounts (FSAs), Health Reimbursement Arrangements (HRAs) and Commuter Benefits. WageWorks is a leader in the industry serving more than 6.5 million people for over 100,000 employers, including 63% of the Fortune 500 and numerous public sector clients.  

Why Work for WageWorks?

If you're looking for a career that provides plenty of growth opportunities, responsibility, and interesting challenges to tackle, you will find it here.

If you want to join a fast-moving, high-growth, exciting company that's a market leader, you’re looking in the right place.

But mostly, if you want to help people live happier, healthier, and more productive lives, then you’ll want to work for WageWorks.

WageWorks provides equal employment opportunity without regard to pregnancy, childbirth or related medical conditions, race, religious creed, color, national origin or ancestry, citizenship, mental or physical disability (including HIV and AIDS), medical condition, veteran or military status, marital or registered domestic partnership status, age, sex, sexual orientation, genetic information, gender identity or any other basis protected by federal, state or local law, ordinance or regulation.

Employment will require successful completion of a background check.

Equal Opportunity for Disabled Veterans, Recently Separated Veterans, Other Armed Forces Service Medal Veterans.

Drug free workplace.