- 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 GeoBlue 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.
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Enrollment Specialist - King of Prussia, United States - Worldwide Insurance Services
Description
Job Description
Job DescriptionWe are hiring for Enrollment Specialists 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 GeoBlue database (IEA), as assigned.
Responsibilities:
Requirements:
Working Conditions:
Internal Pay Grade: 5
The starting pay for this role is $36,245 to $45,306 based on skill level and experience 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.
