Quality Control Reviewer III

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