Associate Enrollment/Eligibility Representative - Wausau, Wisconsin

Unitedhealth Group Wausau , WI 54402

Posted 2 months ago

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM

Responsible for performing a variety of duties to bill and collect COBRA premium for multiple lines of coverage. Works directly with customer and coverage vendors to set up benefit plans directly into our system. Responsible for timely entry of participants into the WebCOBRA application as well as entry into the CPS eligibility system. After balancing cash, creates and delivers monthly reports to customers. Works with customer and participants to address any issues that arise. Must keep up to date with the ever-changing COBRA regulations to ensure compliance.

We offer 4 weeks of paid training. The hours during training will be 8:00am to 5:00pm, Monday

  • Friday. Training will be onsite in the office located at 115 W Wausau Ave, Wausau, WI.

This position is full-time (40 hours/week) Monday

  • Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:30 - 5:00pm CST on occasion 10:30 - 7:00pm . It may be necessary, given the business need, to work occasional overtime. Our office is located at 115 W Wausau Ave, Wausau, WI.

Primary Responsibilities:

  • Analyzes COBRA Action Forms and election notices received, to verify that the form was received and also processed within the legal time guidelines, ensures that the event is a COBRA qualifying event, and coverage information is correct.

  • Review and post COBRA payments received to determine whether payments were mailed within federal time guidelines, whether payments are the correct amount, if someone failed to pay, if it's an NSF, if grace periods apply, and if under legal guidelines there is a significant payment variance. Prints and mails late and termination letters at the time specified by the customer.

  • Sends letter, new coupons and processes Social Security Disability extensions in the WebCOBRA system as well as notifies outside carriers, if applicable.

  • Process new hire letters within current federal time guidelines, for those customers who elect this service.

  • Interfaces COBRA payment updates with other carriers to ensure timely reinstatement (continuation of coverage) and cancellation of coverage.

  • Assist with preparing document for Onbase storage.

  • Maintains knowledge of special letter requirements to ensure timely mailing, i.e. special California continuation letters, special benefit option letters, etc.

  • Communicates with customers to obtain rate changes for COBRA accounts. Enters rates into system, reviews to ensure accuracy and delivers rate change letters and coupons.

  • Prepares requests for customers who are not billed on a PEPM basis and send to group billing.

  • Updates and maintains COBRA Customer Information Database (CCID) on a timely basis to reflect customer and outside carrier information, and special procedures.

  • Answers, responds and tracks all phone calls, emails, faxes and other communications from customers, brokers, outside carriers, and other departments on a timely basis.

  • Prepares monthly activity reports for customers, in a timely manner. Responsible to identify any customization necessary in benefit plans or reporting.

  • Reconciles monthly reports to cash collected and makes necessary adjustments to balance reports.

  • Represents the organization by participating in visits with existing customers and ensuring an understanding of our COBRA process and procedures.

  • Indentifies customer needs by providing information over the phone, in writing, or in person. Maintains customer relationships and provides resolution when necessary.

  • Backup their team members on their assigned tasks including emails.

  • Complete eligibility audits.

  • Has specific COBRA groups assigned to workload.

  • Assists in taking phone calls through the VCC.

  • Acts as a resource by providing departments within the company with a thorough understanding of the COBRA process.

  • Maintains working knowledge of the following systems and software: WebCOBRA ,CPS, Microsoft Excel, Microsoft Word and Microsoft applications such as Outlook. .

  • All other tasks and projects as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High School Diploma / GED (or higher) or equivalent years of work experience

  • Proficiency with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications

  • Ability to work any of our 8-hour shift schedules during our normal business hours of 8:30 - 5:00pm CST on occasion 10:30 - 7:00pm

Preferred Qualifications:

  • Associates Degree (or higher) with emphasis in insurance, computer science, math or statistics.

  • Previous knowledge of TPA Business

  • Enrollment, Claims, Billing, etc.

Soft Skills

  • Excellent interpersonal skills

  • Demonstrate strong oral and written communication skills

  • Communication with multiple areas regarding benefit intent

  • Ability to produce high quality work while meeting productivity expectations

  • Proven to be proactive, self- motivated, detailed oriented, and work with minimal supervision or support

  • Demonstrate effective time management skills to effectively plan, organize, set priorities, meet deadlines and handle multiple work assignments

  • Strong organizational skills with the ability to prioritize caseload based on business needs as well as ability and willingness to accept and work in a new and changing environment

Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at

Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible.

UnitedHealth Group is a team of more than 260,000 people who are building career success through commitment, compassion and a desire to make a difference. Join us. Learn more about how you can start doing your life's best work.SM

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SM

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: hiring immediately, #RPO

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Associate Enrollment/Eligibility Representative - Wausau, Wisconsin

Unitedhealth Group