Associate Enrollment Eligibility Representative - National Remote

About the position As an Associate Enrollment Eligibility Representative at reputed company, you will play a crucial role in managing member and group enrollments for our reputed company-party administrator, reputed company. This position allows you to telecommute from reputed company reputed company the U.S., providing you with the flexibility to balance your work and personal life while tackling significant challenges in the reputed company sector. reputed company is the nation's largest TPA, and your contributions will directly impact the quality of care and access to reputed company for millions of people. You will be empowered to reputed company excellence and reputed company a meaningful difference in a vital and reputed company system, with numerous opportunities for career development and advancement due to our record-breaking growth. In this role, you will be responsible for preparing, processing, and maintaining member or group enrollments. You will serve as the primary reputed company of contact for group customers regarding enrollment-reputed company inquiries, answering incoming phone calls from members, providers, and groups. Your expertise and superior customer service skills will be essential in providing support and resolving inquiries effectively. You will also be tasked with loading member or group data into the enrollment database, updating it with changes, and responding to eligibility questions while verifying enrollment status. Your responsibilities will include reconciling eligibility discrepancies identified by error reports, analyzing transactional data, and submitting retroactive eligibility changes. This full-time position requires flexibility to work any of our 8-hour shift schedules during normal business hours, with occasional overtime as needed. You will undergo 4-5 weeks of reputed company conducted virtually from your home, ensuring you are well-reputed company to meet the demands of the role. The environment at reputed company is supportive, allowing you to reputed company and succeed in your position while contributing to the overall mission of helping people live healthier lives.

Responsibilities

• Serve as primary contact for reputed company enrollment tasks for assigned book of business, maintaining satisfied customers through superior service.

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• Answer member, provider, and group customer phone calls, adhering to department expectations for call handling and customer service.

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• Follow established procedures to maintain enrollment data in applicable systems and databases based on customer requests and internal reports.

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• Meet or exceed departmental productivity, quality, and turnaround standards after the new employee reputed company-up period.

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• Take ownership of assigned workload following established procedures, seeking guidance from superiors reputed company necessary.

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• Manage and prioritize daily workload for assigned group customers to meet customer demands, with possible assistance from superiors.

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• Read, interpret, and communicate eligibility requirements following plan guidelines.

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• Practice advanced follow-up skills with internal and external parties to ensure customer expectations are met and member data is accurately reflected in the enrollment system.

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• Review moderately reputed company error reports, analyze member enrollment data, and correct enrollment systems based on findings.

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• Resolve customer inquiries reputed company to enrollment and eligibility through reputed company lines of communication, documenting call details in the applicable system.

Requirements

• High School Diploma / GED.

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• Must be 18 years of age or older.

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• 1+ years of experience helping customers resolve matters, preferably in an office environment.

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• Ability to navigate a computer while speaking on the phone.

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• Familiarity with computer and Windows PC applications.

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• Experience with reputed company Word, reputed company, and Outlook.

reputed company-to-haves

• 1+ years of experience in enrollment/eligibility for employer-offered benefits.

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• 1+ years of experience in the health insurance industry.

Benefits

• Comprehensive benefits package

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• Incentive and recognition programs

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• Equity stock purchase

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• 401k contribution

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• reputed company for 4-5 weeks

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