Senior Benefits Eligibility Verification Specialist

Job Title: Senior Benefits Eligibility Verification Specialist

Location: United Arab Emirates (Remote)

Employment Type: Full-Time

Work Arrangement: 100% Remote — Work From Home

Level: Senior

About the Role

We are seeking an experienced Senior Benefits Eligibility Verification Specialist to oversee the review, validation, and administration of employee benefits eligibility. The role focuses on ensuring that employees and eligible dependants receive the correct benefits in accordance with company policies, plan provisions, employment terms, and applicable requirements. The successful candidate will manage eligibility assessments, investigate discrepancies, coordinate enrollment activities, and maintain accurate benefits records while supporting HR, payroll, insurers, and third-party benefits administrators.

Key Responsibilities

• Review and verify employee eligibility for medical insurance, life insurance, retirement plans, allowances, and other employer-sponsored benefits.
• Assess eligibility based on employment status, job classification, service periods, working hours, grade, location, and applicable plan rules.
• Validate employee and dependant information against supporting documentation and approved eligibility criteria.
• Manage benefits enrollment, amendments, renewals, and termination activities within established service timelines.
• Verify qualifying life events, including marriage, childbirth, adoption, divorce, employment changes, and other relevant circumstances.
• Review employee transfers, promotions, leave periods, contract changes, and termination records to determine their impact on benefits eligibility.
• Identify and investigate discrepancies between HR information systems, payroll records, insurer databases, and benefits administration platforms.
• Coordinate with HR business partners, payroll teams, insurance providers, brokers, and third-party administrators to resolve eligibility issues.
• Review benefits enrollment requests for completeness, accuracy, and compliance with applicable plan requirements.
• Monitor waiting periods, enrollment deadlines, coverage effective dates, and eligibility renewal schedules.
• Validate dependant eligibility and maintain accurate records of required supporting documentation.
• Investigate coverage disputes, rejected enrollment requests, duplicate records, and incorrect benefit deductions.
• Support periodic eligibility audits to identify ineligible enrollments, missing participants, and potential coverage gaps.
• Reconcile benefits eligibility records against employee headcount, payroll data, and provider membership reports.
• Prepare eligibility reports, exception logs, audit schedules, and management summaries.
• Maintain clear documentation of eligibility decisions, verification procedures, approvals, and supporting evidence.
• Recommend improvements to eligibility workflows, verification controls, and benefits administration systems.
• Protect confidential employee, dependant, and benefits information in accordance with data privacy and information security requirements.
• Provide guidance to employees and internal stakeholders on eligibility criteria, enrollment procedures, documentation requirements, and benefits changes.
• Support benefits renewal and annual enrollment activities by validating employee populations and identifying required data updates.

Qualifications and Experience

• Bachelor's degree in Human Resources, Business Administration, Finance, Insurance, or a related discipline.
• Professional certification in employee benefits, human resources, insurance administration, or related fields is advantageous.
• Significant experience in employee benefits administration, eligibility verification, insurance enrollment, or HR operations.
• Strong understanding of employee benefits structures, eligibility rules, enrollment procedures, and dependant coverage requirements.
• Experience reviewing employment records and supporting documents to establish benefits eligibility.
• Knowledge of medical insurance, life insurance, retirement benefits, and other employee benefit arrangements.
• Familiarity with qualifying life events, waiting periods, coverage effective dates, and enrollment deadlines.
• Experience reconciling benefits records across HR systems, payroll platforms, insurer databases, and third-party administrator systems.
• Strong understanding of employee data management, recordkeeping, internal controls, and audit procedures.
• Advanced proficiency in Microsoft Excel and experience preparing data validation and reconciliation reports.
• Familiarity with HR information systems, benefits administration platforms, and employee self-service tools.
• Strong analytical and problem-solving skills, particularly when investigating complex eligibility discrepancies.
• Excellent attention to detail and ability to manage sensitive employee documentation.
• Strong written and verbal communication skills for interacting with employees, HR teams, insurers, and external administrators.
• Ability to manage high-volume enrollment requests and competing deadlines.
• Commitment to confidentiality, accuracy, fairness, and consistent application of benefits policies.

What We Offer

• A 100% remote working arrangement based in the United Arab Emirates.
• Competitive compensation aligned with experience and professional expertise.
• Opportunities to support employee benefits operations and process improvement initiatives.
• Collaboration with HR, payroll, insurance, and benefits administration professionals.
• Professional development opportunities in employee benefits and HR operations.

How to Apply

Interested candidates should submit an updated CV highlighting relevant experience in benefits eligibility verification, employee enrollment, insurance administration, HR data reconciliation, and benefits compliance.

Application Subject: Application – Senior Benefits Eligibility Verification Specialist (UAE Remote)

• Candidates should confirm applicable employment arrangements, residency requirements, and work authorization before accepting an offer. Any formal insurance coverage determinations, regulated insurance activities, or legally binding benefits approvals must be completed by appropriately authorized personnel in accordance with applicable laws, policy terms, and organizational procedures.