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

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

Enrollment Representative II

Key skills