
Carrier Operations Specialist – 2
Posted 2 days ago

Posted 2 days ago
This is a fully remote position, open to applicants in United States.
• Act as an internal resource for COBRA and Direct Bill operations.
• Address inquiries and provide solutions using your expertise in products, files, and systems.
• Serve as a reliable contact for internal departments and carriers.
• Utilize case management to communicate and resolve account discrepancies.
• Handle cases and escalations effectively.
• Manage and respond to emails from carriers, including File Error Reports.
• Interpret carrier structures and make updates to internal programs.
• Conduct peer training sessions upon request.
• Identify trends to enhance the experiences of employers, consultants, partners, carriers, and third-party vendors.
• Address requests from internal departments, consultants, brokers, and employers promptly.
• Collaborate with team members and departments to guarantee a positive customer experience.
• Develop efficiencies and refine processes.
• Engage in continuous learning, development, and knowledge sharing.
• Provide assistance with special projects.
• Constantly enhance departmental workflow.
• Participate in one-on-one meetings with the Team Lead for professional growth and goal setting.
• Must comply with security policies.
• Maintain comprehensive knowledge regarding COBRA and Direct Bill.
• Possess strong product, file, and system knowledge.
• Ability to troubleshoot inquiries and deliver effective issue resolution.
• Capable of interpreting carrier structures and updating internal programs.
• Proficient in reading and responding to emails from carriers, including File Error Reports.
• Uphold policies in accordance with HIPAA regulations.
• Adhere to attendance and punctuality requirements.
• Meet expected quality and quantity performance metrics.
• Required to attend team meetings and one-on-ones via video and phone.
• Health, dental, and vision insurance.
• Retirement savings plan.
• Paid time off.
• Health savings account.
• Flexible spending accounts.
• Life insurance.
• Disability insurance.
• Tuition reimbursement.
• Eligibility for quarterly or annual bonuses for non-sales roles.
• Opportunities for ongoing learning and development.
• Meetings focused on professional development and goal-setting.
Mercor
Mission Lane
ICF
The Cigna Group
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