UNITE HERE HEALTH

serves 200,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity! The QA and COBRA Representative will oversee all aspects of Consolidated Omnibus Budget Reconciliation Act (COBRA) administration, including processing notices, applications, payments, and reporting. This position will process Qualified Medical Child Support Orders (QMCSO) by assessing the validity of the orders, responding to the agencies timely, adding dependents, and tracking eligibility. This role will also serve as an independent unbiased capacity outside of the Operations Teams to assist with long-term objective employee auditing ensuring that quality is maintained, and that we identify knowledge gaps, and reinforce consistency of Contribution Accounting & Enrollment processes.

ESSENTIAL JOB FUNCTIONS AND DUTIESCOBRA/QMCSO

Processes COBRA continuation paperwork for COBRA qualified benefits, issue monthly premium invoices, process monthly payments for COBRA participants; as well as ongoing account maintenance.

Issue COBRA elections paperwork in compliance with DOL requirements and deadlines (within 14 calendar days)Reviews weekly and monthly COBRA eligibility list for accuracy of qualifying eventsGenerates and issues manual COBRA continuation paperwork upon requestPerforms internal and external customer service activities related to the administration of COBRA and QMSCOInteracts with internal and external customers (employers, Local Unions, participants, other Fund departments, etc.) to resolve complex issues related to administration of COBRAIndependently responds to questions and emails sent to the COBRA email address within standard turnaround timeReports inconsistencies in eligibility, plan structure, account set-ups and systems structure to leadershipMaintains data integrity within COBRA module and Quality Assurance Database for tracking, reporting, and analyzingUpdates systems to track compliance and ensure that coverage is provided in accordance with the terms of the QMCSOReviews the QMCSO eligibility list for accuracy of information and eligibilityResearch COBRA and QMSCO returned mail and updates information in systems

Quality:

Conducts quality assessments and objectively audits the Contributions & Enrollment Representatives accounts via standardized forms and electronic feedback which would highlight areas where training and development are needed as well as areas of expertiseCollaborate with other Quality Assurance and Training Support team members to identify training and development opportunitiesAnalyze and identify trends and provide insight to leadership to reduce errors and improve Contributions & Enrollment processes and departmental performanceOversee the development of reporting and other data analytics to support the Quality program and supports idea to improve practices and consistency therein

Training:

Collaborate with other Quality Assurance and Training Support team members to identify training and development opportunities.

Participates in ad hoc training and serves as a backup trainer, as neededAssist with the creation of BLC training videos on identified topics related to training.

Process Improvement/Procedure Writing:

Identify and document internal and external departmental processes improvement and procedure developmentAnalyze current processes and workflows for process improvement. Include automated solutions, documentation and testingDemonstrates the Funds Diversity and Inclusion (D&I) principles in their conduct at work and contributes to a safe inclusive culture with equitable opportunities for success and career growth

ESSENTIAL QUALIFICATIONS2

~ 3 years of direct experience minimum with health benefits: audit and billing procedures, reconciliation of payments, eligibility rules including dependent coverage, COBRA and HIPAA Regulations, and customer serviceWorking knowledge and experience in administration of COBRA preferredWorking knowledge and experience with handling evaluation of workforce development needs preferredHigh school education, minimally, college education preferred Salary range for this position: Hourly $27.74 - $33.95. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location. Work Schedule (may vary to meet business needs): Monday~Friday, 7.5 hours per day (37.5 hours per week) as a hybrid work-from-home arrangement We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Pension, Short- & Long-term Disability, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP). #LI-Hybrid