Analyst/Eligibility Representative (Hybrid)

About the Role

Key Responsibilities

• Responsible for the eligibility management of a book of business consisting of groups of all sizes.
• Enroll new employees in benefit plans.
• Process status changes such as terminations, life events, salary updates, etc. with applicable carriers.
• Process open enrollment elections with applicable carriers.
• Track transactions in benefit administration systems or via reporting.
• Maintain records confirming transactions.
• Perform eligibility and billing audits as needed, and work to correct discrepancies with client or carrier.
• Maintain vendor contact to investigate discrepancies and provide information in non-routine situations.
• Assist account management teams in resolving eligibility issues or providing back up for transactions.

Requirements

• Bachelor degree or equivalent work experience.
• Basic knowledge of group insurance products and experience managing eligibility transactions with major carriers (including but not limited to CareFirst, IBC, other BCBS regions such as FL and LA, UHC, Cigna, Aetna, and Kaiser).
• Working knowledge of the Microsoft suite, primarily Excel and Outlook.
• Highly detail oriented.
• Organized.
• Self motivated.
• Follow up oriented.
• Strong time management skills.
• Strong verbal and written communication skills.
• Strong task management skills.
• Process documentation skills.

Nice to Have

• Prior use of Employee Navigator, Ease, Rippling, and/or Zenefits.

Qualifications

• Bachelor degree or equivalent work experience.

Benefits & Perks

• Competitive salary
• PTO & paid holidays
• 401(k) with match
• Exclusive discount programs
• Health & wellness programs