Senior Eligibility Analyst

Role Overview

• Provide business support to clients and account management to ensure satisfaction with issue resolution.
• Consults with Account Management, leadership, and other ESI areas to provide analysis and direction on prioritizing and resolving client issues, with minimal client interaction.
• Responsible for handling daily routine issue analysis, work assignments, and other administrative support.
• May facilitate activities with other areas to oversee delivery of client’s needs.
• Participate in process improvement activates and share ideas for enhancing processes.
• With a focus on quality and timeliness, maintain ownership for assigned work queue.
• Meet all service standards to ensure client satisfaction.
• Handle routine work stream assignments along with, but not limited to, member and file research, assisting with file processing, advisory role to account mgmt.
• Resolve issues and provide escalation as needed.
• Participate in process improvement conversations and implementation.
• Provide support for year end and 1/1 readiness activities outside of normal schedule.
• Participate in team meetings as required.
• Maintain performance metrics as required.

Requirements

• High School Diploma or equivalent required
• Strong analytical and problem-solving skills
• Excellent communication (oral and written) and presentation skills
• Demonstrated ability to adapt in a dynamic work environment and make decisions with minimal supervision
• Ability to manage timelines and deadlines
• Detail oriented, ability to multitask in a fast-paced environment
• Ability to work collaboratively with other departments to resolve issues with innovative solutions
• Proficiency using MS Office software

Benefits

• medical, vision, dental, and well-being and behavioral health programs
• 401(k)
• company paid life insurance
• tuition reimbursement
• a minimum of 18 days of paid time off per year
• paid holidays