Fulfillment Resolution Analyst - Remote

OneDigital

77d • $18 - $20

About The Position

As a Fulfillment Resolution Analyst at OneDigital, you will be responsible for performing member enrollment audits to ensure data accuracy in cloud-based benefits administration tools. You will complete audits in response to mismatches identified, research and resolve root cause issues from Fulfillment/Quality Assurance Generalist (Tier 1 Staff), and work with carriers on retroactive, exception, or standard requests related to member-level eligibility. Additionally, you will make corrections into the BenAdmin system to ensure that members are reflecting how they are enrolled with the carrier, maintain documentation per workflows, procedures, and protocols, and provide feedback and guidance to business stakeholders based on audit discoveries. You will serve as the single point of contact for the resolution lifecycle and ensure the protection and security of a consumer’s personal, confidential and identifiable information in a professional and responsible manner, according to the standards and requirements of the Health Insurance Portability and Accountability Act (HIPAA). You will also meet or exceed department goals as defined and complete other duties and projects as assigned.

Requirements

• Driven, self-motivated, and upbeat attitude
• Ability to remain calm and clear-minded in a role that directly impacts both revenue and client satisfaction
• Strong knowledge of D365 and Excel (V-lookups, Pivot tables, Advanced Formulas)
• Excellent communication and interpersonal skills
• Ability to manage multiple assignments at one time
• Ability to thrive in fast-paced environment
• Must be able to handle high workload volume and meet demanding deadlines
• A high level of accuracy and attention to detail is required
• Strong team player and ability to collaborate across groups

Nice To Haves

• Current life and health insurance license, preferred
• Minimum 2 years' cumulative experience

Responsibilities

• Complete audits in response to mismatches identified
• Research and resolve root cause issues from Fulfillment/Quality Assurance Generalist (Tier 1 Staff)
• Work with carriers on retroactive, exception, or standard requests related to member-level eligibility
• Make corrections into BenAdmin system to ensure that members are reflecting how they are enrolled with the carrier
• Maintain documentation per workflows, procedures, and protocols
• Provide feedback and guidance to business stakeholders based on audit discoveries
• Serve as the single point of contact for resolution lifecycle
• Ensure the protection and security of a consumer’s personal, confidential and identifiable information according to HIPAA standards
• Meet or exceed department goals as defined
• Complete other duties and projects as assigned

Benefits

• Health, wellbeing, retirement, and other financial benefits
• Paid time off
• Overtime pay for non-exempt employees
• Robust learning and development programs
• Reimbursement of job-related expenses per company policy
• Employee perks and discounts

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 1,001-5,000 employees