Eligibility Specialist

A company is looking for an Eligibility Specialist to manage and maintain accurate eligibility and enrollment records for health and welfare benefit plans.

Key Responsibilities :

Process eligibility data including new enrollments, changes, terminations, and COBRA events

Review and reconcile eligibility files from employers and payroll systems

Respond to eligibility-related inquiries from plan participants and client HR teams

Required Qualifications :

High school diploma or GED required; Associate's or Bachelor's degree preferred

1-3 years of experience in benefits administration or eligibility processing

Experience in a third-party administrator (TPA) setting is highly desirable

Proficient in Microsoft Office Suite (Excel, Outlook, Word)

Familiarity with eligibility systems and EDI file formats preferred