Sr Cobra Analyst - LH

At Luminare Health, our people are what set us apart. Their expertise, dedication, and passion for service excellence are the foundation of our success.

We're committed to helping our employees grow through thoughtful development opportunities, meaningful work, and a culture that values collaboration and continuous improvement. When you join Luminare Health, you join a purpose-driven team focused on making healthcare simpler, better, and more affordable.

Job Summary

Job Profile Summary
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.

Job Description

oFiscal Duties

Creates monthly disbursement reports for COBRA clients and releases COBRA premiums collected to clients through Accounting department
Post 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 Maintains data integrity within COBRA database
oAdheres 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
Inputting renewal rates for clients
Entry of 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
oCOBRA 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 databased based on information obtained
Adheres to terminated client process & works with analyst to complete
oProcesses COBRA continuation paperwork for COBRA qualified benefits and handling monthly invoicing for these clients as well as account maintenance.
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
oCoordinates and processes all assigned group data related activities with respect to COBRA Administration (including (Federal, State and International), retiree benefit programs & client specific company leave programs.
Maintains organized files regarding enrollment, termination and changes. Makes sure files contain supporting data necessary to research decisions made on coding variations
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. Rebuild of member records in COBRA database as necessary
Run 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
Interaction with third party vendors and administrators to update member benefits/coverage
Provide clients with reporting of enrolled, notified and terminated membership as requested
oAnswers 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.
oMaintains quality standards for performance
Meets or exceeds 98% in all aspects of client calls
Meets or exceed Department of Labor COBRA regulations
oPrepares, updates, and maintains policy and procedure documentation for the COBRA department.
oTrain new hire employees and re-train existing employees when required
oOther duties as needed/assigned.

Required Job Qualifications:

• High school diploma or GED equivalent.
• 3+ years with COBRA, FMLA, LOA and retiree administration/coordination experience and 3+ years experience with COBRA EAS & PowerStepp
• Knowledgeable in handling various types of Federal, State andCompany 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.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

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.

Originally posted on Himalayas