Job Description

• Responsible for daily workflow activities to include the following membership/enrollment activities: processing of applications for new enrollments, terminations/cancellations, changes, renewals, and database updates. •50% Receives and logs subscriber and member enrollment applications to the system. Processes/keys applications including new enrollments, terminations/cancellations, changes, and renewals. Updates all electronic enrollment files. Works edit/error reports generated from membership transactions.
• 30% Works with multiple operational areas to ensure relevant/appropriate group structure, status, benefits, and/or billing. May prepare and issue contracts, benefit books, and standard/custom ID cards. •10% Responds to and resolves customer inquiries. Contacts plan administrators and internal and external customers to resolve issues/problems. •10% Participates in special projects as assigned related to enrollment, billing and reconciliations.

• Ability to acquire knowledge of the membership system. Working knowledge of word processing and spreadsheet software. Good judgment. Effective customer service and organizational skills. Demonstrated verbal and written communication skills. Basic business math proficiency. Analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion.
• Required Software and Other Tools: Microsoft Office.
• Preferred Skills and Abilities: Working knowledge of database software. Computer systems support knowledge. Knowledge of booklet ID card preparation, underwriting enrollment regulations, contract formats. Knowledge of state and federal laws related to private business types of insurance. Knowledge of standard benefit structures.
• Preferred Software and Other Tools: Working knowledge of Microsoft access.
• Work Environment: Typical office environment. Travel between office buildings. Moving/carrying of boxes/materials.
  SKILLS:
  Required
• ORGANIZATIONAL SKILLS
• TERMINATIONS
• ADMINISTRATION/CLERICAL
• CLERICAL SUPPORT
• CUSTOMER SERVICE
• Additional
• CUSTOMER SERVICE ORIENTED
• CONTRACTS
• BILLING
• DATABASE
• MICROSOFT OFFICE
• LOANS
• RETAIL SALES
• SECRETARIAL
• SYSTEMS SUPPORT
• WORKFLOW
• INVOICES

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