Corporate Counsel
Dublin, OH · Remote
... COBRA, and relevant state insurance laws. Draft, review, and maintain plan documents, summary plan ... Remote
Corporate Counsel
Dublin, OH · Remote
... COBRA, and relevant state insurance laws. Draft, review, and maintain plan documents, summary plan ... Remote
Corporate Counsel
Dublin, OH · Remote
... COBRA, and relevant state insurance laws. Draft, review, and maintain plan documents, summary plan ... Remote
Quick apply
Corporate Counsel
Dublin, OH · Remote
... COBRA, and relevant state insurance laws. Draft, review, and maintain plan documents, summary plan ... Remote
Remote Cobra Insurance information
What is the difference between Remote Cobra Insurance vs Remote Health Insurance Specialist?
| Aspect | Remote Cobra Insurance | Remote Health Insurance Specialist |
|---|---|---|
| Credentials | Typically requires knowledge of COBRA regulations, insurance policies, and sometimes certifications in insurance or benefits administration | Requires knowledge of health insurance plans, customer service skills, and often certifications like AHIP or health insurance licenses |
| Work Environment | Remote, customer service or benefits administration setting, often within insurance companies or HR departments | Remote, customer support or sales environment within insurance agencies or health plan providers |
| Industry Usage | Commonly used in employee benefits and insurance administration sectors | Used in health insurance sales, support, and benefits consulting sectors |
Remote Cobra Insurance focuses on managing COBRA benefits and compliance, while Remote Health Insurance Specialist handles broader health insurance plans and customer support. Both roles are remote and require insurance knowledge, but they serve different aspects of health benefits administration.
What is a Remote COBRA Insurance Specialist?
A Remote COBRA Insurance Specialist is a professional who manages COBRA health insurance administration and compliance tasks from a remote location. Their main responsibilities include processing COBRA enrollments, communicating with employees about their rights and options, and ensuring that all legal requirements related to COBRA are met. They may work for third-party administrators, insurance companies, or directly for employers. This role is ideal for individuals with strong organizational and communication skills, as well as experience in benefits administration. Working remotely allows them to perform these duties from home or another location outside of a traditional office.
What are some common challenges faced by Remote COBRA Insurance Specialists and how can they be managed?
Remote COBRA Insurance Specialists often face challenges such as keeping up-to-date with frequently changing regulations, managing sensitive client data securely, and ensuring clear communication with clients and employers across different time zones. To manage these challenges, it's important to stay current with industry updates through regular training, use secure digital tools for managing confidential information, and establish consistent communication protocols with your team and clients. Effective time management and a strong understanding of compliance requirements are also essential to succeed in this remote role.
What are the key skills and qualifications needed to thrive as a Remote COBRA Insurance Specialist, and why are they important?
To thrive as a Remote COBRA Insurance Specialist, you need a solid understanding of COBRA regulations, benefits administration, and compliance requirements, often supported by experience in health insurance or HR. Familiarity with benefits administration platforms, CRM systems, and regulatory compliance software is typically required. Strong attention to detail, customer service skills, and effective communication are crucial for managing sensitive data and assisting clients remotely. These competencies ensure accurate administration, regulatory compliance, and high-quality service for clients navigating complex insurance processes.
What are popular job titles related to Remote Cobra Insurance jobs in Ohio? For Remote Cobra Insurance jobs in Ohio, the most frequently searched job titles are:
- Remote Chargeback
- Part Time Remote Order Processing
- Remote Workplace Investigator
- Remote Child Life Specialist
- Cigna Eligibility Representative Remote
- Remote Benefits Administrator
- Work From Home Property Management Consultant
- Remote Role Player
- Remote Discount Tire Corporate
- Work From Home Servpro Restoration
What job categories do people searching Remote Cobra Insurance jobs in Ohio look for? The top searched job categories for Remote Cobra Insurance jobs in Ohio are:
What cities in Ohio are hiring for Remote Cobra Insurance jobs? Cities in Ohio with the most Remote Cobra Insurance job openings:
Quantum Health rating
6.7
Based on 28 frontline employees who took The Breakroom Quiz
Job description
Who we are
Founded in 1999 and headquartered in Central Ohio, we’re a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we’re on a mission to make healthcare simpler and more effective for our millions of members. Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost – that’s why we call ourselves Healthcare Warriors®.
We’re committed to building diverse and inclusive teams – more than 2,000 of us and counting – so if you’re excited about this position, we encourage you to apply – even if your experience doesn’t match every requirement.
About the role
The Corporate Counsel – Benefits Administration & Service Contracts serves as a trusted legal advisor on matters related to employer sponsored group health plan administration, including, but not limited to ERISA, ACA, MHPAEA, Medicare, state insurance law and HIPAA compliance, fiduciary governance, and general contract negotiation as a service provider to group health plan sponsors and downstream vendor service agreements.
This role supports the legal team providing first-level support for operational compliance issues related to utilization management programs, wellness program incentive management, claim and appeal administration support, and clinical excellence in addition to negotiating complex client and downstream vendor service contracts in partnership with cross-functional stakeholders. The ideal candidate will bring broad experience in group health plan design, appeal letter drafting, reporting and disclosure obligations, and a deep knowledge of the health plan industry.
Location: This position may work remotely anywhere in the United States of America or may work hybrid from our Dublin, Ohio location.
What you’ll do (Essential Responsibilities)
Negotiate and draft client and downstream vendor contracts, as well as contracts with third-party administrators (TPAs), pharmacy benefit managers (PBMs), wellness vendors, stop-loss carriers, point solutions, and insurers.
Provide strategic counsel on the design, implementation, and administration of health and welfare benefit plans, including medical, dental, vision, EAP, wellness, and flexible spending accounts (FSAs).
Ensure compliance with all applicable laws and regulations, including ERISA, HIPAA, ACA, COBRA, and relevant state insurance laws.
Draft, review, and maintain plan documents, summary plan descriptions (SPDs), and related participant communications to ensure regulatory compliance and clarity.
Respond to and resolve benefits-related disputes, claims, and appeals, including oversight of external counsel when necessary.
Monitor and interpret legislative and regulatory developments affecting health and welfare benefits and implement timely updates to policies and practices.
Assist in internal and external audits, DOL investigations, or inquiries related to benefits or vendor contracts.
Provide education and training to internal stakeholders on fiduciary obligations, plan administration, and contract compliance.
Perform additional duties and special projects as assigned.
Other duties as assigned
What you’ll bring (Qualifications)
Education: Juris Doctor (J.D.) from an accredited law school.
Licensure/Certifications: Current and active license to practice law in a U.S. state.
Experience: 5-10 years of legal experience, with significant expertise in health and welfare benefits, ERISA fiduciary matters, and vendor contract negotiation and management.
In-house counsel experience with a focus on employee benefits and health plans strongly preferred.
Benefit litigation experience would be a strong plus.
Deep knowledge of ERISA, HIPAA, ACA, COBRA, IRS regulations, and other laws impacting group health plans and employee benefits.
Strong understanding of fiduciary responsibilities under ERISA.
Demonstrated success managing and negotiating client and partner contracts, including performance metrics and compliance terms.
Ability to analyze and explain complex legal concepts clearly and concisely to business leaders.
Exceptional drafting, communication, and negotiation skills.
Strategic thinker with a pragmatic, business-oriented approach to legal problem-solving.
Comfortable working in fast-paced, cross-functional environments with competing priorities.
Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently.
Experience with Ironclad contract management software a plus.
Strong personal accountability, integrity, a commitment to upholding Quantum Health’s values, ethics, and data privacy requirements.
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