Eligibility & Enrollment Specialist I

Arkansas Blue Cross Blue Shield • Little Rock, AR

2d

About The Position

The Eligibility & Enrollment Specialist provides administrative and customer service support to agents, applicants and members related to eligibility and enrollment of individual products. Incumbent completes and processes assigned applications and change requests that do not require medical underwriting and coordinates with Underwriting to perform pre-underwriting research and development of applications that requires underwriting review. This position is classified as a customer facing role.

Requirements

• High school diploma or equivalent.
• Minimum two (2) years' experience in a specialized customer service environment.
• OR two (2) years' college (at least 48 credit hours) with one (1) year experience in a specialized customer service environment.
• Must pass company proficiency test: Customer Service Assessment
• Confidentiality
• Dependability
• Great Phone Etiquette
• Active Listening
• Keyboarding
• Customer Service
• Teamwork
• Outstanding Interpersonal Communication
• Highly Organized
• Detail-Oriented
• Problem Solving
• Oral & Written Communication
• Self-Motivated
• Team Player
• Decision Making
• Mentoring
• Coaching
• Proficiency using Microsoft Word and Excel
• Ability to work independently
• Active Listening
• Computer Work
• Customer Service
• Decision Making
• External Collaboration
• Interpersonal Communication
• Microsoft Excel
• Microsoft Word
• Oral Communications
• Organizing
• Problem Solving
• Researching
• Results Interpretation
• Written Communication

Responsibilities

• Conducts pre-underwriting research and development of applications that require underwriting review and responds to requests by Underwriting to complete the application process once that review is complete
• Handles outgoing correspondence for applicants, members, and agents
• Identifies opportunities for process and quality improvement
• Performs other duties as assigned
• Processes enrollment applications and change requests by providing customer service needs both verbal and written communication, in a timely, accurate and professional manner and completes processing of underwriting and non-underwriting applications and change forms
• Works closely with other departments to immediately resolve enrollment issues and communicates any processing concerns affecting potential customers and members
• Works collaboratively with internal and external customers to ensure excellent service with a high level of accuracy and compliance with established audit guidelines

Benefits

• Tuition reimbursement.
• Club Blue, a free, onsite gym to encourage exercise.
• Green Leaf Grill and Green Leaf Grill Express, onsite restaurants in Little Rock that promote healthy eating.
• Incentives for wellness education and exercise

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED