Opening For US Healthcare Claims Adjudications (COBRA Admin)

***Apply Here : https://forms.gle/8irMqMXUjEMiUqBg8 (Copy/paste in browser)***

Job Type: Full-Time Permanent

Experience Level: 2-8 Years

Rotational Shifts: 2:30 PM to 11:30 PM & 6:30 PM to 3:30 AM
Days Off: Fixed Saturday and Sunday off
Work Mode: Work from Office

Are you looking to build your career in US healthcare insurance and benefits administration? We are hiring a COBRA and Benefits Claims Specialist to join our team. This role is ideal for individuals with a strong understanding of COBRA regulations, claims adjudication, and employee benefits processing. If you have excellent organizational skills and a keen eye for detail, this is the perfect opportunity to grow in the healthcare industry.

Key Responsibilities

COBRA Administration

• Handle COBRA continuation coverage processes, including qualifying event notifications and timely enrollments.
• Calculate and communicate COBRA premium payments accurately.
• Maintain and update records of COBRA coverage, ensuring compliance with US healthcare regulations.
• Monitor COBRA coverage periods and send out timely participant notices.
• Address COBRA-related inquiries from employees, beneficiaries, and providers effectively.

Benefits Claims Processing

• Process and review claims for various employee benefits, including:
• Flexible Spending Accounts (FSA)
• Health Savings Accounts (HSA)
• Health Reimbursement Accounts (HRA)
• Dependent Care Accounts (DCA)
• Verify eligibility, accuracy of claims, and supporting documentation in compliance with company and regulatory standards.
• Input claims into the system with precision and manage claim records efficiently.
• Coordinate with insurance carriers and healthcare providers to resolve claim-related issues.
• Provide top-notch customer support for claim-related queries and concerns.

Qualifications and Skills

• Education: Bachelors degree in a related field.
• Experience:
• Prior experience in claims processing, COBRA administration, or benefits coordination is highly advantageous.
• Familiarity with US healthcare benefits, COBRA rules, and claims adjudication processes.
• Key Skills:
• Proficient in using claims processing systems and MS Office applications.
• Strong communication skills for participant and provider interactions.
• Excellent analytical and problem-solving skills for resolving claim discrepancies.
• Attention to detail and time management to handle multiple claims efficiently.

***Apply Here : https://forms.gle/8irMqMXUjEMiUqBg8 (Copy/paste in browser)***