Quality Control Reviewer III

Job Title

Responsibilities

Train new employees and retraining of current staff when required

Review eligibility control report daily for discrepancies / inconsistencies and update of COBRA event status

Research and update COBRA based on member portal inquiries

Special COBRA projects and general duties as assigned

Import data and payments to COBRA applications to update coverage and event statuses

Update eligibility system to extend coverage based on unemployment information

Update / review eligibility system and insertion of eligibility overrides based on eligibility department guidelines

Review / audit adjustment completed by QCR II for system accuracy and reimbursement amount

Validation of COBRA payments received daily by the banking unit and prepare for distribution to the staff

Assist and support V3locity (Vitech) system testing

Perform additional duties and projects as assigned by management

Qualifications

High School Diploma or GED required

Minimum two (2) years' experience in COBRA and customer service required

Thorough knowledge of eligibility system Enrollment Processing, COBRA

Ability to work under pressure and multi-task

Demonstrated organizational skills

Excellent oral / written communication skills required

Knowledge of Microsoft Excel and Word required

Must be detail oriented

Ability to work overtime weekdays and Saturdays

Must meet performance standards including attendance and punctuality