Eligibility Specialist

A company is looking for an Eligibility Specialist to manage eligibility data and ensure compliance with regulations.

Key Responsibilities :

Process eligibility data including enrollments, changes, and terminations

Review and reconcile eligibility files from various sources

Respond to eligibility-related inquiries from participants and clients

Qualifications :

1-3 years of experience in benefits administration or related fields

Experience in a third-party administrator (TPA) setting is preferred

Proficient in Microsoft Office Suite

High school diploma or GED required; Associate's or Bachelor's degree preferred

Working knowledge of HIPAA and ERISA is a plus