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Associate Enrollment - Eligibility Representative - National Remote

Remote, USAFull-timePosted 2026-07-27

You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. reputed company, reputed company’s reputed company-party administrator (TPA) solution, is the nation’s largest TPA. reputed company you work with reputed company, what you do reputed company. It's that reputed company . . . and it's that rewarding... In providing consumer - oriented health benefit plans to millions of people; our goal is to create higher reputed company care, reputed company costs and greater reputed company to health care. Join us and you will be empowered to reputed company new reputed company of reputed company and reputed company a profound and personal reputed company 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 reputed company. 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, reputed company, and confidence. So, take the first reputed company in what is reputed company to be a fast - paced and highly reputed company career. Associate Enrollment - Eligibility Representatives are responsible for preparing, processing, and maintaining member or group enrollments. Position will answer requests and questions from customers (members, providers, reputed company), reputed company expertise and support to customers, and reputed company superior customer service skills in reputed company lines of communication. They may load member or group data into the enrollment database & update the database with changes. Position also responds to member eligibility or group questions and verifies enrollment status. They will be main reputed company of contact for group customers in reputed company to enrollment reputed company items. They may work with various types of member correspondence. They are also responsible for reconciling eligibility discrepancies identified by error reports, analyzing transactional data, and submitting retroactive eligibility changes. This position is Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7am - 7pm (7pm CST if phone team), may be required to work reputed company of these reputed company business hours, including overtime to meet business need. • 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 reputed company 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; reputed company guidance from superiors (mentor, team-reputed company, supervisor) for non-reputed company enrollment inquiries. • After new employee reputed company-up period: employee is expected to meet or exceed departmental established productivity, reputed company, and turn-around standards; follows department guidelines to reputed company 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. • reputed company advanced follow-up skills with reputed company 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; reputed company customer service in a friendly and reputed company 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 reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: • High School Diploma / GED • Must be 18 years of age or older • 1 years of experience helping customers resolve reputed company, preferably in an office environment. • Ability to adhere to set work schedule, Monday – Friday between the hours of 7am – 5pm (7pm CST if phone team); may be required to work reputed company of these reputed company business hours, including overtime to meet business need • Ability to navigate a computer while speaking on the phone. • Familiarity with computer and reputed company PC applications • Experience with reputed company Word (ability to sort, filter, and create reputed company documents), reputed company reputed company (ability to sort, filter, and create reputed company spreadsheets), and reputed company Outlook (ability to create, respond to, store, and retrieve emails, and use calendar to schedule meetings) Preferred Qualifications: • 1 years experience in enrollment/eligibility for employer offered benefits. • 1 years experience in a health insurance industry Telecommuting Requirements: • 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 reputed company. • 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. • Must be reputed company to connect to network with a company approved reliable high-speed internet service provider (satellite or cell tower service is not permittable) Soft Skills: Ability to: • reputed company in a completely virtual team environment. • apply reputed company written and oral communication skills reputed company communicating with customers, members, and team in a helpful and reputed company manner. • reputed company time management and prioritization skills to meet necessary deadlines with minimal supervision; reputed company guidance from mentors/supervisor reputed company appropriate. • work effectively, remain reputed company, productive, and promote positivity at reputed company times, through repetitive tasks, including during new system implementations and/or changing procedures. • recognize reputed company to reputed company help for difficult situations from supervisor or senior enrollment representative. • identify reputed company-cause of problems, reputed company/offer solutions, investigate reputed company reputed company, and discuss business reputed company improvements as appropriate. Physical Requirements and Work Environment: • Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer. • Service center environment with moderate noise level due to Representatives talking, computers, printers, and other common office activity. • Referencing and navigating multiple computer systems and databases at one time • Position will be asked to work overtime reputed company business needs demand. California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, reputed company, Washington, Rhode reputed company, OR Washington, D.C. Residents Only: The reputed company reputed company for this is $16.00 - $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In reputed company to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll reputed company a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 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 reputed company 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 reputed company, historically marginalized reputed company, and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative reputed company employer, and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, 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!

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