Facilitate effective communication between client and service providers. Relay concepts and ideas between Spanish and English speaking communicators. Translate (Spanish) at meetings such as attorney-client meetings, depo-preps, medical related as well as psychologically related services. Interpret both legal terminology, medical and colloquial language.
Educated employers and individuals on COBRA related services such as open enrollment, benefits and eligibility. Kept strict attention to detail and adhered to all federal guidelines when researching benefits for members. Provided assistance to participants with all inquiries and researched more complex situations for clients and participants by reviewing state or Federal legislation as well as through all other appropriate means to find resolutions. Supervised the timely mailing of a range of COBRA notices and letters. Remained up to date on latest insurance related legislation and industry relevant training to remain knowledgeable and ready to assist customers with their compliance issues. Other duties included,identifying areas for system enhancements, composed user specs, tested new software and created procedure handbook for departmental trainees.
Respond to telephone inquiries from members, employer groups and providers. Provide information and clarification on Health Net services, procedures and policies consistent with department guidelines. Gather and submit appropriate claims and membership information to resolve member issues promptly. Correct and update member information in system.