Get New Similar Jobs by Email

Enter your Email Address


Health Insurance Operations/Enrollment Supervisor
Unite Here Health
Aurora, Illinois, 60504, US  
Job Description:

betterworkplaceuhh

Looking for a way to influence the health and healthcare of many?

If so, we'd love to hear from you! Our mission-driven organization is focused on the"Triple Aim - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans.

UNITE HERE HEALTH serves 90,000+ workers in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!

Key Attributes:

  • Integrity – Must be trustworthy and principled when faced with complex situations
  • Ability to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships required
  • Communication – Ability to generate concise, compelling, objective and data-driven reports
  • Teamwork – Working well with others is required in the Fund's collaborative environment
  • Diversity – Must be capable of working in a culturally diverse environment
  • Continuous Learning – Must be open to learning and skill development. As the Fund's needs evolve, must be proactive about developing new areas of expertise
  • Lives our Values – Must be a role model for the Fund's BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect)




The Operations Supervisor monitors the collection of contributions from employers based on their Collective Bargaining Agreements with the various Local Unions. The Operations Supervisor ensures work history is input correctly for each participant which provides eligibility for health care coverage. This position also participates in open enrollment activities. This role provides daily support to employees and gives guidance and direction in the enrollment and COBRA processes while ensuring adherence to policies and procedures.

Essential Job Functions:

  • Monitors staff goals, production, and quality, and performance.
  • Manages team workflows by delegating and assigning work to staff.
  • Allocates team resources to complete goals.
  • Assists team in resolving complex or escalated issues.
  • Assists in processing work reports as needed.
  • Approves and monitors timesheets of staff.
  • Provides leadership, motivates, coaches and develops team performance and promotes Fund culture/mission.
  • Collaborates and partners with other Operations Supervisors to ensure consistency across all teams and identify ways to be BETTER, more efficient, adaptable and participant focused.
  • Reviews contract extracts, inputs contract information and requirements, and monitors contract status.
  • Ensures adherence to policies and procedures are consistently applied.
  • Initiates and recommends policy changes.
  • Collaborates with the Legal team to understand legal regulations and plan provisions.
  • Updates quarterly collections reports with payments received on outstanding issues.
  • Interacts with Employers, Local Unions and participants to resolve complex issues.
  • Interacts with Employers & Local Unions to educate regarding Fund policies and procedures.
  • Assists in training employers on processing work reports and payments on the Fund's employer website
  • Ensures COBRA, HIPAA and QMCSO policies and procedures are in compliance with regulations and applicable laws.
  • Strictly adheres to all regulatory and legal requirements, including time deadlines
  • Reviews Summary Plan Descriptions and Plan Document language regarding COBRA, HIPAA certificates and QMCSO and ensures it accurately reflects legal requirements and Fund policy and procedures.
  • Performs responsibilities in a manner that clearly demonstrates: effective communication and cooperation that promotes open exchange of information; respect; high ethical standards and professionalism.
  • Perform other duties as assigned within the scope of responsibilities and requirements of the job.
  • Perform Essential Job Functions and Duties with or without reasonable accommodation.

Qualifications:
  • Minimum of 3 years' experience in accounting or participant enrollment and eligibility
  • Professional level training that provides working knowledge of:
    • accounting principals
    • administration of welfare plan benefits
    • audit and billing procedures
    • collective bargaining agreements and minimum standards
    • plan documents and summary plan descriptions
    • billing and delinquency procedures
    • eligibility rules and enrollment functions
    • customer service
  • Supervisory experience including:
    • setting and monitoring team goals and measuring performance
    • coaching/mentoring/providing ongoing training to CAER Representatives
    • conducting performance appraisals
  • An understanding of Taft-Hartley Trust Funds and the union environment
  • Highly developed problem solving, analytical and decision making skills
  • Demonstrate leadership skills and support & work in a team environment
  • Manage competing deadlines and multiple projects in a fast-paced environment
  • Perform the essential functions of this job with or without reasonable accommodation




Apply Here

PI99665506

Employment/Position Type: Full Time