Current Employee Enrollment Specialist

State of Oklahoma • Oklahoma City, OK

1d • Onsite

About The Position

The Current Employee Enrollment Specialist is responsible for processing enrollment forms, changes, and terminations, ensuring compliance with EGID policies and procedures. This role includes daily mail processing, handling non-compliant forms, providing customer service, conducting trainings for web-based enrollment tools and supporting special projects.

Requirements

• Knowledge of EGID policies, procedures, and regulations.
• Strong customer service skills to meet client needs and develop solutions.
• Decision-making skills.
• Problem-solving skills.
• Proficiency in compliance with health insurance regulations.
• Customer Focus competency for ensuring client satisfaction.
• Decision Quality competency for consistently delivering accurate and timely decisions.
• Resume/CV with complete work and education history must be included with application.
• A bachelor’s degree and 1 year of experience in the health insurance industry in areas such as benefits analysis, claims review or analysis, or medical/dental review or report preparation.
• OR An equivalent combination of education and experience, substituting 1 year of qualifying experience for each year of the required degree.

Nice To Haves

• Certifications in any of these areas: Certified Employee Benefits Specialist (CEBS), Health Insurance Portability and Accountability Act (HIPAA) Certification, Certified Health Insurance Specialist (CHIS)
• Experience with V3 Web Application
• Licensed Insurance Agent

Responsibilities

• Process all enrollment, change, and termination forms within five working days, maintaining established ranges of accuracy and productivity.
• Protect the privacy and confidentiality of program participants' information and comply with HIPAA regulations.
• Recognize and reject non-compliant forms, create response letters within accuracy ranges, and comply with EGID rules and regulations.
• Complete special projects as assigned.
• Respond accurately to inquiries within established timeframes.
• Demonstrate commitment to excellent customer service through timely responses, consistent availability, and quick, accurate resolution measured on standardized reports.
• Provide guidance and assistance to Insurance Coordinators via telephone and email, adhering to unit procedures and EGID rules, with proficiency measured by performance ratings.
• Conduct classroom and on-the-job instruction in V3 Web Application procedures using proven adult education and training principles, achieving specified performance ratings.
• Attend recurring unit/department/division/agency meetings and any mandatory trainings provided by Member Accounts leadership or Human Resources.
• Other duties as assigned.

Benefits

• Generous state-paid benefit allowance to offset insurance premiums.
• A wide selection of insurance plans with no pre-existing condition exclusions.
• Flexible Spending Accounts for health care and dependent care.
• Retirement Savings Plan with employer contributions.
• 11 paid holidays annually.
• 15 days of vacation and 15 days of sick leave in the first year.
• Longevity Bonus recognizing years of public service.
• Public Service Loan Forgiveness eligibility and tuition reimbursement.
• Wellness benefits, including an on-site gym and fitness center discounts.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level