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Eligibility Specialist

Eligibility Specialist

BucknerSalt Lake City, UT, US
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Employee Benefits Eligibility Specialist

Classification : Non-Exempt

Reports To : Technology Team Lead

Hours : Full Time

Location : Salt Lake City Office

Compensation : $20 to $22 / hr.

Position Summary

This is an entry-level position working to give support and assistance to the Employee Benefits Department by handling interim eligibility. Interim Eligibility is the process of entering enrollments / changes received from our benefit platforms (Employee Navigator, PlanSource, etc.) into the carrier's systems. This position is expected to consistently provide excellent customer service to accounts in a supporting Service Team role.

Essential Duties and Responsibilities

  • Receive and process changes for benefits that are not on Integration / EDI
  • Work with Account Managers when necessary in order to update carrier's enrollment portal / process.
  • Maintain email notifications from carriers and ensure correspondence is received by the correct recipient on our end.
  • Other miscellaneous duties as assigned.

Qualifications

Education and Experience :

  • High School diploma or equivalent required
  • Prior customer service and knowledge of or experience in the insurance industry preferred
  • Required Job Knowledge and Skills

  • Knowledge of and familiarity with current Health, Life, Dental, Vision, Long Term Disability (LTD), Short Term Disability (STD) and Long-Term Care products
  • Knowledge or previous experience in benefit platform software such as Ease, Employee Navigator, PlanSource, etc.
  • Knowledge of and familiarity with PPACA current and proposed regulations
  • Ability to maintain cooperative working relationships with a variety of citizens and agency staff
  • Proficient in a variety of computer software applications used by the agency, including MS Word, Excel, Outlook and PowerPoint; EPIC; as well as the Internet and Carrier Web Sites
  • Ability to establish and develop strong relationships with clients, carriers, trusted business partners and coworkers
  • Sets priorities and manages workflow to ensure efficient, timely and accurate processing of transactions and other responsibilities.
  • Stay up to date on industry information, new product information, legislation, coverages, and technology to continuously improve knowledge and performance.
  • Interact with others effectively by utilizing good communication skills, cooperating purposefully, and providing information and guidance, as needed, to achieve the business goals of the company.
  • Expected to further industry education through insurance courses and inform group department of knowledge gained.
  • Strong ability to problem solves, set, and meet deadlines, communicate, work under pressure, organize, prioritize, manage multiple tasks and operate in a fast-paced environment.
  • Good at attention to detail and ability to self-check work.
  • Physical

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to communicate verbally and to listen for instructions and information. The employee is also required to sit for long periods of time often in front of a computer monitor and operate a computer keyboard. The employee must occasionally lift and / or move up to 25 pounds. Specific vision abilities required include close vision, distance vision, color vision, depth perception, and ability to adjust focus.

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    Eligibility Specialist • Salt Lake City, UT, US

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