JEN RIVERA
TX
Summary
Dedicated and knowledgeable customer service professional with extensive experience in the COBRA industry. A solid team player known for an outgoing and positive demeanor, excelling in establishing rapport with clients. Motivated by maintaining customer satisfaction and contributing to company success, specializing in quality, speed, and process optimization. With an articulate, energetic, and results-oriented approach, possessing an exemplary passion for developing relationships, cultivating partnerships, and growing businesses.
Overview
19
19
years of professional experience
Work History
Senior COBRA Analyst
HCSC Luminare Health
09.2022 - Current
- Experienced in all aspects of COBRA Administration for selected client basis
- Utilization of COBRA Eas/Wex software for COBRA processes
- Running monthly COBRA reports & refunds
- Posting incoming web, mail in and tracking all COBRA payments
- Updating members eligibility via PowerStepp
- Processing carrier eligibility changes via email communication
- Attending/Scheduling weekly team meetings w/clients
- Processing daily COBRA notices via robot or manual updates
- Processing ACA/LOA/Retiree enrollments/changes/terminations for large groups
- Entering/Auditing COBRA renewal rates
- New client setup/contacts/rates/takeovers processes.
Eligibility Specialist II
Western Growers Family
05.2023 - 09.2023
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Resolved discrepancies with client applications to verify eligibility.
- Assisted clients with accurate eligibility form, application and document completion.
- Worked well in a team setting, providing support and guidance.
Implementation Services Specialist
Benefit Resource
10.2022 - 04.2023
- Initiate the implementation process immediately after the sale closes.
- Audit and assess the client's company to see how we can best customize the product.
- Customize the product based on your assessment and the client's requests.
- Install the software.
- Train the company's staff to use the software
SR COBRA SPECIALIST
WEBTPA
08.2019 - 09.2022
- Ensures compliance with COBRA regulations & other applicable state & federal benefit laws
- Process COBRA enrollments and life status changes
- Audits benefit enrollments and processes participants' adjustments as necessary
- Aids with adjudication of monthly bills as needed
- Participates in the annual OE process
- Coordinates transfer of benefit elections to participating carriers daily as needed
- Compliance with governmental regulations
- Run monthly reporting, process incoming payments and elections
- Answer client (employee, former employee, and dependents) COBRA and State Continuation questions (calls, voice mails, emails, etc.)
COBRA CLIENT RELATION
WAGEWORKS
10.2011 - 08.2019
- Build employer dedication by seeing issues through to resolution and providing accurate, thorough, and timely responses
- Review and analyze data (reports and files)
- Coordinate open enrollment support
- Administers group plans in accordance with all appropriate regulations and process all activity within service time standards
- Communicates to clients and provides reports as agreed upon with the client
- Notifies and educates clients of any rules or regulation changes that affect them
- Services clients & members in a manner that ensures positive public relations
- Works closely with Clients and Brokers, as necessary.
Collection Specialist
Southwest Credit Systems
06.2005 - 09.2011
- Monitor accounts to identify outstanding debts
- Investigate historical data for each debt or bill
- Find and contact clients to ask about their overdue payments
- Take actions to encourage timely debt payments
- Process payments and refunds
- Resolve billing and customer credit issues
- Update account status records and collection efforts
- Report on collection activity and accounts receivable status.
Education
DIPLOMA -
WESTWOOD COLLEGE
01.2010
DIPLOMA - undefined
LITTLE ELM HIGHSCHOOL
01.2004
Skills
- Verbal and written communication
- Regulatory Compliance
- Task Prioritization
- Documentation And Reporting
- Account Reconciliation
- Root Cause Analysis
- Client profile building
Personal Information
Title: SR. COBRA SPECIALIST
Languages
Spanish
Native or Bilingual
Timeline
Eligibility Specialist II
Western Growers Family
05.2023 - 09.2023
Implementation Services Specialist
Benefit Resource
10.2022 - 04.2023
Senior COBRA Analyst
HCSC Luminare Health
09.2022 - Current
SR COBRA SPECIALIST
WEBTPA
08.2019 - 09.2022
COBRA CLIENT RELATION
WAGEWORKS
10.2011 - 08.2019
Collection Specialist
Southwest Credit Systems
06.2005 - 09.2011
DIPLOMA - undefined
LITTLE ELM HIGHSCHOOL
DIPLOMA -
WESTWOOD COLLEGE
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