Careers

Key Responsibilities

1. Eligibility Coordination
   • Oversee the entire eligibility and enrollment lifecycle-from initial enrollment to changes and terminations-for participants in various benefit plans.
   • Verify participant eligibility by reviewing and updating documentation, forms, and data in the system.
   • Oversee and manage the enrollment process for renewals, qualifying life events, rate changes and plan revisions.
2. Fringe Reporting Review and Processing
   • Coordinate fringe reporting processes, ensuring clients submit accurate and timely information.
   • Work with the clients and/or internal teams to resolve any discrepancies or issues related to fringe benefit data.
3. Stakeholder Communication
   • Respond to inquiries from clients, participants, and internal team members regarding eligibility requirements, statuses, and deadlines.
   • Ensure clear, concise, and professional communication to facilitate accurate understanding and timely resolution of issues.
4. Documentation and Compliance
   • Maintain accurate records of participant eligibility in compliance with ERISA, HIPAA, and other relevant regulations.
   • Stay up to date on current regulations and guidelines, ensuring that eligibility procedures and documentation adhere to legal standards.
5. Process Monitoring and Improvement
   • Collaborate with the Data Processing Analyst and other team members to identify data inconsistencies and improve workflows.
   • Recommend process enhancements to streamline eligibility determination and reduce manual errors.
6. Training and Support
   • Assist new hires and other colleagues in understanding eligibility processes, regulations, and best practices.
   • Conduct educational sessions for plan sponsors and participants about eligibility rules and updates as needed.