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Enrollment Representative II

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Job Description:

  • Process enrollment forms/spreadsheets for new and existing groups including COBRA
  • Process change of address forms
  • Review and process enrollment changes including adding/removing dependents and effective/term date adjustments
  • Research and correct ID cards returned with missing addresses
  • Addresses vision error reports
  • Assist in working electronic group error reports when necessary
  • Quality assurance review of enrollments for other Eligibility Representatives
  • Maintain communication with all internal departments and employer groups
  • Support training of new Enrollment employees
  • Completes special projects as assigned by management; performs tasks necessary to ensure efficient and cost-effective operation of the eligibility department
  • Review and update of automated reporting as assigned
  • Work with groups, TPA’s and internal departments for TPA changes of EDI files, provide testing and approval for production
  • Provide discrepancies for large and or complex groups
  • Process EDI files as assigned
  • Act as a liaison for groups and brokers regarding enrollment-related inquiries
  • Address emails submitted to the Enrollment inbox as needed for back-up
  • Process enrollment forms/spreadsheets for new and existing electronic groups as needed
  • Ensure compliance with HIPAA and other regulatory requirements
  • Support the eligibility call center

Requirements:

  • High school diploma or equivalent required
  • 1-3 years’ administrative experience required; dental insurance knowledge preferred
  • Proficient in MS Word, Excel, and 10-key
  • Ability to solve problems quickly and automate processes
  • Self-motivated and must work with minimal supervision
  • 2-4 years in a related role
  • 2-4 years Dental insurance knowledge required

Benefits:

  • medical
  • dental
  • vision
  • 401(k)
  • student loan assistance
  • six weeks of paid parental leave
  • volunteer PTO
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