Case Processing Specialist I

Dunhill Solutions • Jacksonville, FL

1d • Remote

About The Position

Dunhill Government Solutions is hiring seasonal Case Processing Specialists to support case analysis and data reconciliation for a federal health insurance marketplace program. Specialists collect and reconcile data from multiple sources and follow standard operating procedures to resolve cases for consumers and health insurance issuers.

This is a seasonal, full-time, fully remote position expected to run through approximately April 30, 2027. Training lasts three weeks: two weeks of instructor-led virtual training followed by a one-week job shadow. Training runs from 9:00 AM to 5:30 PM Eastern, with classes starting December 1, December 7, or December 14. No time off is permitted during training. After training, employees work an assigned shift between 8:00 AM and 8:00 PM Eastern, Monday through Friday. Shifts start every 30 minutes, with the latest start time at 11:30 AM. Split shifts and part-time schedules are not available.

The position pays $18.81 per hour, plus an hourly health and welfare benefit toward health insurance and retirement; the benefit amount varies by location. The role is not open to candidates residing in California, the New York City metro area, or the Seattle, Washington metro area. Applicants must be U.S. citizens and able to pass a federal background investigation to gain access to sensitive information. Specialists who complete 30 days in good standing receive a bonus, and those who remain through the end of the assignment in good standing receive a second bonus.

Requirements

• Associate degree, or high school diploma/GED and 2 years of relevant experience.
• U.S. citizenship.
• Ability to pass a federal background investigation to be granted access to sensitive information.
• Ability to work an assigned weekday shift within 8:00 AM–8:00 PM Eastern after training; split shifts and part-time schedules are not available.
• Ability to work overtime as required.

Nice To Haves

• Experience following defined processes or assignments.
• Proficiency with MS Office, including Word, Excel, PowerPoint, and Outlook.
• Experience with complex data analytics and advanced problem solving.
• Ability to work in a fast-paced, deadline-driven environment and stay engaged while working remotely.
• Strong written and oral communication skills.

Responsibilities

• Use data analysis skills for research, remediation, case management, and troubleshooting for consumers who obtain health coverage through the marketplace.
• Review assigned caseloads and prioritize cases by urgency and Service Level Agreement (SLA) date.
• Reconcile each case across multiple data sources to determine what happened and where the data diverged.
• Speak with consumers several times a day by phone using cloud-based telephony to gather information or explain case outcomes, communicating patiently, clearly, and empathetically.
• Adjudicate cases using standard operating procedures, document findings thoroughly, and escalate cases requiring advanced subject-matter expertise.
• Contribute to workflow investigations, business procedures, and process improvements.
• Work from a dedicated, secure area within the residence.

Benefits

• Hourly health and welfare benefit toward health insurance and retirement; amount varies by location.
• Bonus for completing 30 days in good standing.
• Second bonus for remaining through the end of the assignment in good standing.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree