Enrollment Specialist

Worldwide Insurance Services•King of Prussia, PA

29d•$18•Hybrid

About The Position

We are hiring for an Enrollment Specialist to join the team! The Enrollment Specialist role will process all eligibility and financial transactions as assigned; regularly correspond with brokers and clients regarding enrollment issues, payment issues; assists brokers and FSAs with inquiries regarding eligibility, fulfillment material and billing; manages the collection process when a failed modal billing payment occurs; create and renew accounts in the database, as assigned.

Requirements

Bachelor’s degree or equivalent experience preferable.
Minimum of two years’ experience in the health insurance industry with customers service contact, data entry skills; experienced in broker relation interactions; preferable with exposure to explaining plan features and benefits and helping to resolve claims related issues.
Excellent verbal and written communication skills and ability to effectively deal with all manner of customer complaints and concerns.
Familiarity with insurance products and insurance terminology.
Working knowledge of Microsoft Office products.
Ability to use automated enrollment processing software.
Excellent work organization, problem solving and math skills.
Ability to make decisions and support them with documentation.
Knowledge of administrative/clerical procedures.
Employee is required to have at minimum an internet speed of 75 Mbps (standard high-speed internet access).

Responsibilities

Creates new group accounts in the database.
Renews existing accounts in the database.
Processes all necessary New Business and Renewal transactions, as assigned.
Ensures all premiums are established correctly in the database, as assigned.
Processes dependent additions and deletions.
Performs all cancellations and refunds/applies credits appropriately.
Works with the Finance Dept. on account reconciliation, financial discrepancies and charge-back requests.
Sends all Confirmations, Cancellation Notices and Fulfillment Notices to members and brokers, as assigned.
Coordinates special mail delivery requests with the Fulfillment unit.
Handles all eligibility transactions related to bounced payments in the manner described in the Business Rules.
Assists brokers and members with inquiries regarding claims, eligibility, fulfillment material, benefits, and billing; works with brokers to collect premium for bounced payors and invoice recipients.
Other duties as assigned.