Senior Enrollment and Eligibility Representative

Tasks

• Analyze issues and determine resolutions
• Ensure transaction completion within SLA requirements
• Handle customer and stakeholder inquiries via email and voice
• Identify data inconsistencies and operational risks
• Maintain and update member records
• Manage enrollment and eligibility cases
• Provide status updates for unresolved cases
• Review healthcare plans benefits policies and SOPs
• Support escalations and complex case resolution
• Track interactions and document actions
• Verify and audit data for integrity

Perks/Benefits

• N/A

Skills/Tech-stack

Analytical Skills | Customer Service | Data Auditing | Data Quality | Data verification | Eligibility and Enrollment | Email communication | Excel | Microsoft Office | Multitasking | Outlook | PowerPoint | Problem Solving | Process Improvement | SLA management | Verbal communication | Word | Written communication