Senior Enrollment and Eligibility Representative

Tasks

• Analyze issues and determine resolutions
• Audit records for data integrity
• Collaborate with cross-functional teams to resolve operational challenges
• Follow up on unresolved cases and provide status updates
• Handle escalated complex cases
• Identify data inconsistencies and process gaps
• Maintain member records in internal systems
• Manage enrollment and eligibility cases
• Resolve customer and stakeholder inquiries via email and voice
• Review healthcare plans benefits policies and SOPs
• Support process improvement initiatives
• Track customer interactions and resolutions
• Verify data and perform quality checks

Perks/Benefits

• Career development opportunities
• Comprehensive benefits

Skills/Tech-stack

Active Listening | Analytical Skills | Case management | Compliance | Customer Service | Data Auditing | Data Quality | Data verification | Eligibility | Email communication | Enrollment | Healthcare operations | Microsoft Excel | Microsoft Outlook | Microsoft PowerPoint | Microsoft Word | Problem Solving | Process Improvement | Quality Assurance | Verbal communication | Written communication