Enrollment Specialist

We are hiring for an Enrollment Specialist to join the team! The Enrollment Specialist role will process all eligibility and financial transactions as assigned; regularly correspond with brokers and clients regarding enrollment issues, payment issues; assists brokers and FSAs with inquiries regarding eligibility, fulfillment material and billing; manages the collection process when a failed modal billing payment occurs; create and renew accounts in the database, as assigned.

• Creates new group accounts in the database.
• Renews existing accounts in the database.
• Processes all necessary New Business and Renewal transactions, as assigned.
• Ensures all premiums are established correctly in the database, as assigned.
• Processes dependent additions and deletions.
• Performs all cancellations and refunds/applies credits appropriately.
• Works with the Finance Dept. on account reconciliation, financial discrepancies and charge-back requests.
• Sends all Confirmations, Cancellation Notices and Fulfillment Notices to members and brokers, as assigned.
• Coordinates special mail delivery requests with the Fulfillment unit.
• Handles all eligibility transactions related to bounced payments in the manner described in the Business Rules.
• Assists brokers and members with inquiries regarding claims, eligibility, fulfillment material, benefits, and billing; works with brokers to collect premium for bounced payors and invoice recipients.
• Other duties as assigned.

• Bachelor’s degree or equivalent experience preferable.
• Minimum of two years’ experience in the health insurance industry with customers service contact, data entry skills; experienced in broker relation interactions; preferable with exposure to explaining plan features and benefits and helping to resolve claims related issues.
• Excellent verbal and written communication skills and ability to effectively deal with all manner of customer complaints and concerns.
• Familiarity with insurance products and insurance terminology.
• Working knowledge of Microsoft Office products.
• Ability to use automated enrollment processing software.
• Excellent work organization, problem solving and math skills.
• Ability to make decisions and support them with documentation.
• Knowledge of administrative/clerical procedures.
• Employee is required to have at minimum an internet speed of 75 Mbps (standard high-speed internet access).

• Flexibility to work in an office and/or at-home, remote office environment.
• Overtime and/or schedule flexibility are occasionally necessary in this position. Individual may be required to attend key business/departmental meetings and/or perform certain business critical job functions outside of normal working hours.
• Physical Demands:
  Must be able to communicate internally and externally through receiving and responding to auditory and visual methods.

Competitive base pay starting at $18.15 hourly. Compensation is based on prior/relevant experience and skill level in a similar role.

This job description reflects management’s assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned.