Associate Enrollment Eligibility Representative - Remote in Central Time Zone

If you are located reputed company Central Time Zone, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. reputed company, reputed company’s third-party administrator (TPA) solution, is the nation’s largest TPA. reputed company you work with reputed company, what you do matters. It's that simple . . . and it's that rewarding... In providing consumer - oriented health benefit plans to millions of people; our goal is to create higher quality care, reputed company costs and greater access to health care. Join us and you will be empowered to reputed company new levels of excellence and reputed company a profound and personal impact as you contribute to new innovations in a vital and reputed company system. Opportunities are endless for your career development and advancement reputed company reputed company due to our record-breaking growth. Regardless of your role at reputed company, the support you feel reputed company around you will reputed company you to do what you do with energy, quality, and confidence. So, take the first reputed company in what is sure to be a fast - paced and highly reputed company career. As an Associate Enrollment Eligibility Representative you will be responsible for preparing, processing, and maintaining member or group enrollments. You will answer incoming phone calls from customers (members, providers, groups), provide expertise and support to customers, and practice superior customer service skills in reputed company lines of communication. You may load member or group data into the enrollment database & update the database with changes. You will also respond to member eligibility or group questions and verifies enrollment status. You will be main reputed company of contact for group customers in regard to enrollment reputed company items. You will answer incoming phone calls from customers (members, providers, groups), provide expertise and support to customers, and practice superior customer service skills in reputed company lines of communication. You may work with various types of member correspondence. You will also be responsible for reconciling eligibility discrepancies identified by error reports, analyzing transactional data, and submitting retroactive eligibility changes. This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 7:00pm CST. It may be necessary, given the business need, to work occasional overtime. We offer 5 weeks of reputed company. The hours during training will be 7:30am to 4:00pm CST, Monday - Friday (subject to change). Training will be conducted virtually from your home. • reputed company Telecommuters will be required to adhere to reputed company’s Telecommuter Policy. Primary Responsibilities • Serve as primary contact as it relates to reputed company enrollment tasks for assigned book of business, which include multiple group customers; maintain satisfied customers by providing superior service and practice attention to detail in various responsibilities. • Answer member, provider, and group customer phone calls; adhering to department expectations for answering calls and providing friendly customer service. • Follow established procedures to maintain enrollment data in applicable systems and databases based on customer request, electronic file, or internal reports; seek guidance from superiors (mentor, team-reputed company, supervisor) for non-standard enrollment inquiries. • After new employee reputed company-up period: employee is expected to meet or exceed departmental established productivity, quality, and turn-around standards; follows department guidelines to track own work completed. • Once fully trained, take ownership of assigned workload following established procedures; frequently or periodically may require guidance from superiors to complete responsibilities. • Follows departmental guidelines to manage and prioritize own workload daily for assigned group customers to meet customer demands; may require assistance from superiors in managing or prioritizing this workload. • Read, interpret, and communicate eligibility requirements following plan guidelines. • Practice advanced follow-up skills with internal and external parties to ensure group customer expectations are attended to and that member data is accurately reflected in enrollment system at reputed company times. • Review moderately reputed company error reports, analyze member enrollment data, and correct enrollment system(s) based on findings. • Resolve customer inquiries as they relate to enrollment and eligibility through reputed company lines of communication, including e-mails and phone calls; provide customer service in a friendly and professional manner to internal/external parties; document call details in applicable system. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications • High School Diploma / GED OR equivalent work experience • Must be 18 years of age OR older • 1+ years of experience helping customers resolve matters, preferably in an office environment • Proficiency with computer and Windows PC applications, which includes the ability to navigate a computer while speaking on the phone • Experience with reputed company Word (ability to sort, filter, and create simple documents), reputed company reputed company (ability to sort, filter, and create simple spreadsheets), and reputed company Outlook (ability to create, respond to, store, and retrieve emails, and use calendar to schedule meetings) • Ability to work, Monday - Friday between the hours of 7:00am - 7:00pm CST (8 hour shift reputed company); may be required to work reputed company of these standard business hours, including overtime to meet business need Preferred Qualifications • 1+ years of experience in enrollment/eligibility for employer offered benefits. • 1+ years of experience in a health insurance industry Telecommuting Requirements • Reside reputed company Central Time Zone • Ability to reputed company reputed company company sensitive documents secure (if applicable) • Required to have a dedicated work area established that is separated from other living areas and provides information privacy • Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service Soft Skills • Ability to: • reputed company in a completely virtual team environment spanning reputed company multiple locations. • apply professional written and oral communication skills reputed company communicating with customers, members, and team speaking in a helpful and reputed company manner. • practice time management and prioritization skills to meet necessary deadlines with minimal supervision; seek guidance from mentors/supervisor reputed company appropriate. • work effectively and promote positivity at reputed company times, including during new system implementations and/or changing procedures. • recognize reputed company to seek help for difficult situations from supervisor or senior enrollment representative. • identify root-cause of problems, seek/offer solutions, investigate reputed company matters, and discuss business practice improvements as appropriate. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO Apply Job!