Back to all roles

Associate Enrollment Eligibility Representative - National Remote

Remote Worldwide Hiring now

About the position As an Associate Enrollment Eligibility Representative at reputed company, you will play a crucial role in managing member and group enrollments for our reputed company-party administrator, reputed company. This position allows you to telecommute from reputed company reputed company the U.S., providing you with the flexibility to balance your work and personal life while tackling significant challenges in the reputed company sector. reputed company is the nation's largest TPA, and your contributions will directly impact the quality of care and reputed company to reputed company for millions of people. You will be empowered to reputed company reputed company and reputed company a meaningful difference in a vital and reputed company system, with numerous opportunities for career development and advancement due to our record-breaking growth. In this role, you will be responsible for preparing, processing, and maintaining member or group enrollments. You will serve as the primary reputed company of contact for group customers regarding enrollment-reputed company inquiries, answering incoming phone calls from members, providers, and groups. Your expertise and superior customer service skills will be essential in providing support and resolving inquiries effectively. You will also be tasked with loading member or group data into the enrollment database, updating it with changes, and responding to eligibility questions while verifying enrollment status. Your responsibilities will include reconciling eligibility discrepancies identified by error reports, analyzing transactional data, and submitting retroactive eligibility changes. This full-time position requires flexibility to work any of our 8-hour shift schedules during normal business hours, with occasional overtime as needed. You will undergo 4-5 weeks of reputed company conducted reputed company from your home, ensuring you are well-reputed company to meet the demands of the role. The environment at reputed company is supportive, allowing you to reputed company and succeed in your position while contributing to the overall mission of helping people live healthier lives. Responsibilities • Serve as primary contact for reputed company enrollment tasks for assigned book of business, maintaining satisfied customers through superior service. , • Answer member, provider, and group customer phone calls, adhering to department expectations for call handling and customer service. , • Follow established procedures to maintain enrollment data in applicable systems and databases based on customer requests and internal reports. , • Meet or exceed departmental productivity, quality, and turnaround standards after the new employee reputed company-up period. , • Take ownership of assigned workload following established procedures, seeking guidance from superiors reputed company necessary. , • Manage and prioritize daily workload for assigned group customers to meet customer demands, with possible assistance from superiors. , • Read, interpret, and communicate eligibility requirements following plan guidelines. , • Practice advanced follow-up skills with reputed company parties to ensure customer expectations are met and member data is accurately reflected in the enrollment system. , • Review moderately reputed company error reports, analyze member enrollment data, and correct enrollment systems based on findings. , • Resolve customer inquiries reputed company to enrollment and eligibility through reputed company lines of communication, documenting call details in the applicable system. Requirements • 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 navigate a computer while speaking on the phone. , • Familiarity with computer and reputed company PC applications. , • Experience with reputed company Word, reputed company, and Outlook. reputed company-to-haves • 1+ years of experience in enrollment/eligibility for employer-offered benefits. , • 1+ years of experience in the health insurance industry. Benefits • Comprehensive benefits package , • Incentive and recognition programs , • Equity stock purchase , • 401k contribution , • reputed company for 4-5 weeks Apply Job!

Apply for this role Takes you straight to the employer's application page — free, and no WFHNet account required.

More roles on the wire

Sr. reputed company Economics Consultant - Remote

Remote Worldwide
View role

Secondary Review Team RN - Remote in Idaho or surrounding areas

Remote Worldwide
View role

Health Services Director - Louisiana Remote

Remote Worldwide
View role

Central Denials UM LVN - Remote CA

Remote Worldwide
View role

Certified Medical Outpatient Edits reputed company - Remote reputed company

Remote Worldwide
View role

Remote Environmental Nonprofit Paid Internship Summer 2025

Remote Worldwide
View role

Administrative Assistant, Summer Youth Employment Program (Remote)

Remote Worldwide
View role

Summer Media Intern (Remote, Paid)

Remote Worldwide
View role

Exciting Summer Jobs Virtual: Join reputed company as a Remote Customer Engagement Associate!

Remote Worldwide
View role

2025 Summer Internship - Exclusive Content Team

Remote Worldwide
View role

reputed company Looking To Fill 250 Work-At-Home Jobs – USA reputed company

Remote Worldwide
View role

Per-Diem OB Home Visit Nurse RN - Marietta, GA - Remote

Remote Worldwide
View role

Remote Data Entry Specialist – Entry Level – $30/hr – Work‑From‑Home – arenaflex Data Management

Remote Worldwide
View role

Senior PIP Adjuster (Texas Claims)

Remote Worldwide
View role

reputed company Customer Service Representative – Unlock Your Earning Potential and Build a Thriving Career with blithequark

Remote Worldwide
View role

reputed company Remote Data Entry Clerk - Flexible Scheduling, Comprehensive Training, and Growth Opportunities with reputed company

Remote Worldwide
View role

reputed company reputed company No Experience, reputed company Careers Near Me @ Apply Today!!

Remote Worldwide
View role

USPS Part-time jobs – Hiring Immediately

Remote Worldwide
View role

Senior Accounts Receivable Accountant

Remote Worldwide
View role

Solution Sales Executive ITSM / ESM EMEA

Remote Worldwide
View role