Eligibility & Enrollment Specialist I

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Job Summary

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

EDUCATION

• High school diploma or equivalent.

EXPERIENCE

• 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

ESSENTIAL SKILLS & ABILITIES

• 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

LOCATION

This is a hybrid role in our Little Rock, AR, location, requiring a minimum of three days in office weekly.

Skills

• 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

Certifications

Hiring Range

$21.65 - $25.15

Security Requirements

This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.

Segregation of Duties

Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.

Employment Type

Regular

ADA Requirements

1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment.

About Us

Arkansas Blue Cross is consistently ranked as one of the best places to work in Central Arkansas. Why?

We Love our Employees

At Arkansas Blue Cross, we care about the health, wellness, and education of our employees. We offer many great incentives such as:

• 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

We Love our Culture

• The average tenure is 10 years with hundreds of employees having been here 15 years or longer.

• Our inclusive culture brings employees together to connect while celebrating our differences.

We Love our Community

• Our employees often volunteer within their communities, at charity events, walks and runs, schools and nonprofits.

• When disasters strike, our employees help wherever they are needed. It’s just another way we show that Blue cares.