Eligibility Specialist

Availability: Monday - Friday, 8:30am - 5pm. This job is set to last 90 days.

Our client is a third-party firm that specializes in administering employer benefit plans. They aim to create a state-of-the-art, fully integrated benefit management platform to meet their clients' needs.

Under direct supervision of the Department Supervisor, the Eligibility Specialist Trainee, this is an in-training capacity to determine suitability for eligibility verification work.

Duties & Responsibilities:

• Learn basic rules of eligibility and computer systems for verification of eligibility.
• Use customer service skills, both written and telephonic, to provide helpful information, answer questions and resolve complaints.
• Complete written and verbal verification of Eligibility.
• Work with and understand COBRA, HIPAA and FMLA Laws and compliance requirements including all participant notification requirements.
• Process COBRA election forms.
• Process death claims.
• Process enrollment/beneficiary forms and other documents used for maintaining member records.
• Order medical I.D. cards.
• Update participant and dependent eligibility with insurance carriers as required.
• Research and resolve member and dependent eligibility issues.
• Must show continuous improvement and ability to increase volume of workload and ability to work independently, and as a productive team member.
• Perform other duties as assigned

Qualifications:

• Working knowledge of basic office equipment
• Professional appearance with excellent communication skills required, both verbal and written, including the ability to communicate effectively with the public, union representatives, outside agencies, insurance carriers and employers.
• Requires a dependable attendance record.
• Demonstrates initiative along with good concentration, attention to detail and problem-solving abilities.
• Requires excellent organizational skills and the ability to multi-task.
• Demonstrates ability to keep calm and positive within all communications.
• Proven ability to accurately and timely review and edit documents.
• 1 year of general office experience
• Utilize computer and phone systems to be able to effectively perform the essential functions of the position.
• Previous experience utilizing Microsoft office software

CampusPoint is an Equal Opportunity Employer. All aspects of employment, including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

If you need assistance or an accommodation due to a disability, you may contact us at hr@campuspoint.com or 1 206-783-9200 (ask to speak with an HR representative). The process is outlined in CampusPoint’s ADA Policy .