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COBRA Specialist

Job Details

**NO EXPERIENCE NECESSARY- WE WILL TRAIN**

Do you want a career where you can make a difference? Allegiance is a growing company that is looking for dynamic candidates to join the team! A positive, team-oriented environment is provided with opportunities for advancement.

Allegiance offers full-time positions with evenings, weekends, and holidays off and a multi-faceted benefits package.

We pride ourselves in having a reputation for top-notch customer service. Make a difference. Start your career with Allegiance today!



POSITION RESPONSIBILITIES:
Through a respectful, constructive, and energetic style guided by the objectives of the Company the COBRA Specialist will provide COBRA Administrative Services to a designated block of COBRA client accounts in a manner that ensures a high level of quality service and accuracy is achieved. The COBRA Specialist produces and sends COBRA notices to all qualifying individuals as required and guided by law. The incumbent maintains status information electronically and manually for premium collection, company referral, and claims processing. The COBRA Specialist assists all participants and client contacts with COBRA Administrative procedures as per the Administrative Service Agreement and in compliance with Federal COBRA rules. The COBRA Specialist will successfully complete the COBRA certification course with an 85% or better accuracy within first 6 months of hire.
The incumbent is expected to communicate professionally with peers, supervisors, subordinates, vendors, customers, and the public, and to be respectful and courteous in the conduct of this position.


ESSENTIAL JOB FUNCTIONS:
Essential job functions include the following. Other functions may be assigned as business conditions change.
COBRA Specialist provides COBRA Administrative Service for a designated block of COBRA Accounts as follows:

1. COBRA Specialist is the primary contact for employer benefit managers. Answers customer service telephone calls and emails from clients and COBRA participants within 24 hours.
2. Prints and sends COBRA notices to all qualifying individuals as required by Administrative Service Agreement and in compliance with Federal COBRA rules.
3. Generates and sends acknowledgement letters and coupons to all new COBRA enrollees; updates these records for eligibility changes and terminations.
4. Enrolls new COBRA participants in the claims processing and COBRA stand-alone systems and updates all applicable carriers for eligibility status changes.
5. Sends all applicable letters regarding premium payment and non-payment to participants.
6. Maintains Health COBRA participant status information in permanent Health enrollment logs, if applicable.
7. Requests additional information regarding COBRA eligibility from participants and clients as needed.
8. Process all COBRA participant terminations and provide termination notice to participants, carriers and employers.
9. Process all annual renewal benefit changes and/or updates in COBRA system and prepare and communicate applicable rate change letters and payment coupons to participants in a timely manner. Upon date the renewal process is complete COBRA Specialist will report completion to the Client Accounts Coordinator for tracking purposes.
10. Maintain and update any changes to employer account information in MCTracking.
11. Upon notification of a new account assignment from Client Accounts Coordinator, COBRA Specialist will participant in implementation conference call with client and setup active COBRA participants in COBRA system(s) and send welcome letter and payment coupons to participants.
12. Assist clients with online access and reporting functions and/or provide reports to clients manually upon request.
13. Report all client concerns, problems and requests for Administrative Service changes to Department Manager immediately.
14. Contributes to the daily workflow with regular and punctual attendance.

NON-ESSENTIAL JOB FUNCTIONS:
1. Assist with employee training and cross-training as needed.
2. Performs related or other assigned duties as required or directed.

SUPERVISION EXERCISED:
None.

PHYSICAL WORKING CONDITIONS:
Physical requirements are representative of those that must be met to successfully perform the essential functions of this job.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel as classified.

If you require reasonable accommodation in completing the online application process, please email: recruiting@askallegiance.com for support.

 

APPLY HERE: COBRA Specialist

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Senior Claims Benefit Specialist

Job Details

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

 

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

 

 

 

Position Summary

The Senior Claims Benefit Specialist will review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims. They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.  This person will also process provider refunds and returned checks. They also may handle customer service inquiries and problems.

 

In this role, you will:

  • Perform adjustments across all dollar amount levels on customer service platforms, specifically by using technical and claims processing expertise.
  • Apply medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and apply all cost containment measures to assist in the claim adjudication process.
  • Perform claim re-work calculations.
  • Follow through with completion of claim overpayments, underpayments, and any other irregularities.
  • Process complex, non-routine Provider Refunds and Returned Checks.
  • Review and interpret medical contract language, using provider contracts to confirm whether a claim is overpaid, in order to allocate refund checks.
  • Handle telephonic and written inquiries related to requests for pre-approvals/pre-authorizations, reconsiderations, or appeals.
  • Ensure all compliance requirements are satisfied and that all payments are made following company practices and procedures.
  • Review and handle relevant correspondences assigned to the team that may result in adjustment to claims.
  • May provide job shadowing to less experienced staff members.
  • Utilize all resource materials to manage job responsibilities.
     

Required Qualifications

  • 2+ years of experience with medical claim processing.
  • 2+ years of experience in a production environment.


Preferred Qualifications

  • Previous experience working with overpayments.
  • Demonstrated ability to handle multiple assignments competently, accurately, and efficiently.
  • Effective communication, organizational, and interpersonal skills.
  • Previous experience with DG system claims processing.

 

Education

  • Associate’s degree or equivalent experience (high school diploma or GED + 2 years of relevant experience).

 

 

Anticipated Weekly Hours

40

 

 

Time Type

Full time

 

 

Pay Range

The typical pay range for this role is:

 

$18.50 – $42.35

 

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

 

Great benefits for great people

 

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

 

For more information, visit https://jobs.cvshealth.com/us/en/benefits

 

 

We anticipate the application window for this opening will close on: 09/03/2025

 

 

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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Temporary Medical Claims Intake Coordinator

Job Details

Temporary Medical Claims Intake Coordinator

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple – we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external – driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

 

JOB SUMMARY

 

Remote positions available – temporary

$17.00 per hour

 

We are seeking multiple temporary associates for an Intake position.

  • This is a temporary position which is expected to last 60 to 120 days.
  • A training class is provided during the first week of employment. New employees will need to work 8:00 to 4:30 pm CT during the training.
  • After training, you can determine your own schedule anytime between 7:00 am and 5:00 pm CT

 

 

DUTIES

  1. Intake and create cases in all applicable systems.
  2. Perform timely data entry of necessary information
  3. Perform adjustments on medical claims
  4. Perform outreach to customers to obtain necessary details on medical claims
  5. Research appropriate systems to identify data needed to complete cases.
  6. Ensure compliance with HIPAA regulations and requirements.
  7. Demonstrate Company’s Core Competencies and values held within
  8. Please note due to the exposure of PHI sensitive data – this role is considered to be a High-Risk Role.
  9. The position responsibilities outlined above are in no way to be construed as all encompassing.  Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

 

COMPENSATION

The salary range for this position is $17.00/hour. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity.  This position is also eligible for health insurance and 401k.

 

 
Requirements

REQUIREMENTS

  • High School diploma or equivalent.
  • Ability to efficiently use a keyboard and quickly navigate software applications.
  • High speed internet access.
  • Quiet work area without distractions.
  • Regular and consistent attendance and adherence to work schedule.
  • Knowledge of medical insurance terminology required.
  • Excel experience preferred.
  • Communication skills (verbal, written, and listening).
  • Ability to work without frequent supervision.
  • Ability to maintain confidentiality in all required situations.
  • Ability to use software, hardware, and peripherals related to job responsibilities.

 

 

EEO STATEMENT

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations.  Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.  If you would like more information on your EEO rights under the law, please click here.

 

 

APPLICATION DEADLINE

We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.

 

 

#LI-AW1

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SSDI Advocate Liaison

Job Details

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

Are you looking for a job that gives you the opportunity to build a great career while making a difference in peoples’ lives? Join Brown & Brown Absence Services Group as a SSDI Advocate Liaison!

We are looking for a great communicator who wants to use their voice to provide compassionate assistance to people when they need it most. Advocate Liaisons provide vital education and guidance to individuals seeking help obtaining Social Security disability (SSDI) benefits, many of whom have been out of work due to illness or injury for an extended period. They may be anxious or frustrated about applying for benefits that mean so much to them and their family – this is where our advocacy team comes in!

As an Advocate Liaison, you will assist our team of Client Advocates while gaining hands-on experience handling client calls, answering their questions, and helping manage SSDI claims. By learning the intricacies of the disability claims though this process and demonstrating the necessary skills to succeed as a Liaison, you will become well-equipped to walk alongside clients and independently manage your own caseload after the training period concludes.

WHO IS RIGHT FOR THE ROLE:
To be successful in this role, you must meet the following qualifications. Reasonable accommodations may be made for qualified individuals with disabilities.

Listen with compassion & empathy.

  • Provide patient, passionate customer service on every client call, ensuring clients feel well-informed while moving through calls efficiently

  • Be sensitive to the various physical and mental health conditions clients may be experiencing when discussing their claim over the phone

  • Complete applications and other key claim documents thoroughly and comprehensive

  • Support our client advocacy team by building positive, trusting relationships

Be a confident decision-maker.

  • Regularly interface with clients, colleagues, & government agencies to drive successful claim outcomes and create a positive client experience

  • Handle key steps throughout the duration of a claim – including, but not limited to: inbound/outbound transactional calls, reviewing claim files, and communicating closely with the assigned Client Advocate

  • Effectively manage an assigned phone queue & multi-task

Essential duties and skills needed

  • Proven ability to maintain confidentiality and discretion.

  • Strong telephony skills, contact or call center experience a plus (inbound and outbound)

  • Superb typing skills, data entry and accuracy

  • Bachelor’s degree in Education, Counseling, Psychology, Special Education, Vocational Rehabilitation, Human & Social Services is preferred.

Work, or related field preferred

  • High volume inbound telephony contact center experience preferred.

  • 1-2 years’ experience in Social Security or insurance intake is a plus.

  • Salesforce experience preferred.

  • Spanish speaking is a plus.

​

Additional Job Information

  • Remote or in-office work opportunity available in some locations

  • $18 / hr hour

  • 40 hrs / M-F  9am – 6pm EST

  • Paid Mandatory 3-Week Training – Hire Date Scheduled for Tuesday, 10/14/2025

Teammate Benefits & Total Well-Being

We go beyond standard benefits, focusing on the total well-being of our teammates, including:

  • Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance  

  • Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement 

  • Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services

  • Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more. 

Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.

The Power To Be Yourself  

As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”. 

Brown & Brown Absence Services Group, LLC is focused on adding value across the absence continuum. Our services include SSDI Advocacy Services, Claims Management Solutions, Talent Solutions, and Disability Advisory Services. We are part of Brown & Brown Insurance, a leading insurance brokerage firm with more than 80 years of proven success and thousands of teammates. Our teammates are truly what makes our success possible!

Pay Range

18.00 – 18.00 Hourly

The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.

Teammate Benefits & Total Well-Being

We go beyond standard benefits, focusing on the total well-being of our teammates, including:

  • Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance  
  • Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement 
  • Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
  • Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more. 

Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations. 

The Power To Be Yourself  

As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”. 

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Financial Aid Specialist

Job Details

Job # 042211
Department Code 23623-1009
Department Enrollment Management
Job Title Financial Aid Specialist
Location Remote
Pay Range $18.75 – $21.60 Per Hour
Pay Determination
Pay rates at Syracuse University are based on a combination of factors including, but not limited to, the job responsibilities; the candidate’s education, training, work experience and key competencies; the university’s strategic priorities; internal peer equity; applicable federal, state, local laws, grant funding and contractual requisites; and external market analyses.
Staff Level S4
FLSA Status Non-exempt
Hours
Standard University business hours.

8:30am – 5:00pm (academic year)
8:00am – 4:30pm (summer)

Hours may vary based on operational needs.
Job Type Full-time
Campus Remote
Unionized Position Code Not Applicable
Job Description
The Financial Aid Services (FAS) team is charged with analyzing prospective and enrolled students’ financial aid applications to resolve student eligibility issues and ensure an equitable distribution of aid. Specialists review applications and a large variety of documents necessary to perform needs analysis to determine federal and institutional eligibility.Specialists work in a high-volume and fast-paced environment to apply knowledge of swiftly changing federal regulations and institutional requirements to each application they review. They also provide excellent customer service by advising applicants and their families on the promptest resolution to application or eligibility issues.As a member of The Office of Financial Aid and Scholarship Programs, the individual will represent the office during on campus events and also participate in community events.
Education and Experience
  • Associate’s degree and/or an equivalent combination of education and experience, required. Bachelor’s degree preferred
  • Two (2) plus years of experience working in Financial Aid (FM & IM needs analysis, CSS Profile review, tax review, Federal Verification & Federal Match.)
Skills and Knowledge
  • In-depth knowledge of regulations in interpreting and administering of federal Title IV, state and university financial aid programs to ensure compliance. In depth knowledge of and experience with federal tax forms and requirements/tax law. Proven ability to research, interpret and apply complex rules and laws.
  • Strong communication skills. Ability to write and present concise findings with recommended course of action.
  • Ability to analyze families in diverse populations and situations objectively and communicate with professionalism and compassion.
  • Must possess a flexible attitude and be able to function well as a team member in a high-volume, fast paced environment while paying close attention to detail and prioritizing workload to meet numerous deadlines crucial to meeting the University enrollment goals.
  • Must take initiative and be able to prioritize workload with little guidance.
  • Maintain a strong commitment to the mission of the university and its students.
  • Experience with and knowledge of PeopleSoft or other student information systems, OnBase or other imaging systems, and Microsoft software products.
  • Overtime may be required during peak award season to provide the best possible customer service.
Responsibilities
  • Perform federal & institutional tax verification: adjust and verify parent and student income and assets to ensure compliance with federal and institutional regulations.
  • Identify tax discrepancies and determine appropriate course of action for the family.
  • Evaluate and verify PROFILE and FAFSA application information and research/analyze supporting documentation in order to resolve conflicting information as directed by the Department of Education. This may include but is not limited to tax and legal documents, business, real estate or other asset information.
  • Review institutional reports to resolve student eligibility issues and ensure an equitable distribution of aid within federal regulations.
  • Review all subsequent ISIR transactions.
  • Troubleshoot issues such as unofficial SAIs and ISIR rejects to ensure timely disbursement of aid.
  • Apply established needs analysis procedures to determine federal need and use professional judgment as appropriate to determine financial aid eligibility.
  • Collaborate with colleagues to evaluate complex circumstances that require a number of proficiencies to resolve.
  • Work with other FAS team members and the Assistant Director in determining acceptable documentation for resolving discrepancies.
  • Create and update communications used to clarify those requirements and intended for swift resolution.
  • Act as a resource for other financial aid staff with federal regulatory and needs analysis questions.
  • Communicate with families using tact, discretion, and diplomacy regarding complex and delicate family situations to clarify aid eligibility. This often consists of expertly asking questions about and discussing potentially volatile marital and custody situations, living situations, complex business situations and activity, federal tax filing requirements, and citizenship/residency statuses.
  • Represent the office during campus events and participate in community events.
  • Participate in a variety of professional development activities including attendance at professional conferences, webinars, training peers and colleagues on changes in financial aid regulations both on campus and off, etc.
  • Participation in professional development activities is critical to stay current with changes to federal and state regulations as well as institutional policies regarding the awarding of financial aid.
  • Assist IT with testing PeopleSoft updates and corrections.
  • Troubleshoot when there are issues, alerting IT and tracking / testing until it can be resolved.
Physical Requirements
Not Applicable
Tools/Equipment
Not Applicable
Application Instructions
In addition to completing an online application, please attach a resume and cover letter.
About Syracuse University
Syracuse University is a private, international research university with distinctive academics, diversely unique offerings, and an undeniable spirit. Located in the geographic heart of New York State, with a global footprint, and over 150 years of history, Syracuse University offers a quintessential college experience.

The scope of Syracuse University is a testament to its strengths: a pioneering history dating back to 1870; a choice of more than 200 majors, 100 minors, and 200 advanced degree programs offered across the University’s 13 schools and colleges; over 15,000 undergraduates and over 6,000 graduate students; more than a quarter of a million alumni in 160 countries; and a student population from all 50 U.S. states and 123 countries. For more information, please visit http://www.syracuse.edu.
About the Syracuse area
Syracuse is a medium-sized city situated in the geographic center of New York State approximately 250 miles northwest of New York City. The metro-area population totals approximately 500,000. The area offers a low cost of living and provides many social, cultural, and recreational options, including parks, museums, festivals, professional regional theater, and premier shopping venues. Syracuse and Central New York present a wide range of seasonal recreation and attractions ranging from water skiing and snow skiing, hiking in the Adirondacks, touring the historic sites, visiting wineries along the Finger Lakes, and biking on trails along the Erie Canal.
EEO Statement
Syracuse University is an equal-opportunity institution. The University prohibits discrimination and harassment based on race, color, creed, religion, sex, gender, national origin, citizenship, ethnicity, marital status, age, disability, sexual orientation, gender identity and gender expression, veteran status, or any other status protected by applicable law to the extent prohibited by law. This nondiscrimination policy covers admissions, employment, and access to and treatment in University programs, services, and activities.
Commitment to Supporting and Hiring Veterans
Syracuse University has a long history of engaging veterans and the military-connected community through its educational programs, community outreach, and employment programs. After World War II, Syracuse University welcomed more than 10,000 returning veterans to our campus, and those veterans literally transformed Syracuse University into the national research institution it is today. The University’s contemporary commitment to veterans builds on this historical legacy, and extends to both class-leading initiatives focused on making an SU degree accessible and affordable to the post-9/11 generation of veterans, and also programs designed to position Syracuse University as the employer of choice for military veterans, members of the Guard and Reserve, and military family members.
Commitment to a Respectful and Welcoming Community
Syracuse University fosters a welcoming learning environment where students, faculty, administrators, staff, curriculum, social activities, governance, and all aspects of campus life reflect a broad range of perspectives and experiences. The University community values the many similarities and differences among individuals and groups. At Syracuse, we are committed to preparing students to engage with and appreciate the richness of backgrounds, beliefs, and experiences that shape our society. To achieve this, we strive to cultivate a community that respects and encourages open dialogue, understanding, and mutual respect.
Quick Link https://www.sujobopps.com/postings/110777
Job Posting Date 08/29/2025
Application Deadline  
Full Consideration By  
Job Category Staff
Message to Applicants  

Applicant Documents

Required Documents
  1. Resume/CV
  2. Cover Letter
Optional Documents

Supplemental Questions

Required fields are indicated with an asterisk (*).

  1. * How did you first find out about this position?
    • sujobopps.com (Syracuse University Online Employment website)
    • Syracuse University HR Recruiter
    • Virtual Career Fair (via NYS Department of Labor)
    • SUNY EOC (Equal Opportunity Center)
    • Women’s Opportunity Center
    • Jubilee Homes
    • Syracuse Northeast Community Center
    • Interfaith Works
    • JobPlus
    • Syracuse.com
    • Chronicle of Higher Education
    • HigherEdJobs.com
    • HERC (HERC Higher Ed Recruitment Consortium)
    • InsideHigherEd.com
    • Indeed.com
    • DiverseEducation.com (Diverse Issues in Higher Education website)
    • LinkedIn Job Posting
    • Facebook
    • Job Fair
    • Search Firm
    • Referred by an SU Employee
    • Other
  2. If “other”, please describe how you first found out about this position.

    (Open Ended Question)

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