Eligibility Specialist
Core
Administers enrollment and eligibility functions across multi-system infrastructure, managing data imports/exports, workflows, and support for ecommerce sales in the insurance distribution sector.
Role type
operational support specialist (eligibility)
Builds
automated eligibility data, user portal records, and reports for claims and customer service
Domain
insurance distribution / wholesale brokerage
Deliverable
dashboards & analysis
Required skills
data analysis, troubleshooting, error correction, process documentation, project planning, MS Excel/Word/Outlook, Secure FTP, reporting tools
Preferred skills
technical understanding of systems, knowledge of company infrastructure, ability to work in fast-paced environments
Responsibilities
Implements and maintains enrollment/eligibility records; updates automated and manual eligibility data; generates reports to identify discrepancies; resolves eligibility discrepancies with clients; documents processes and business rules; coordinates flow of eligibility information between departments
Seniority
individual contributor