Benefits Eligibility Specialist

Allied Benefit Systems; Chicago (IL); Remote; USD 45,000 - 65,000; Full time

Job summary

Allied Benefit Systems seeks an Eligibility Specialist to manage setup and day-to-day operations of its eligibility platforms, including the system of record, client portal, and EDI services. The role coordinates data transfers, processes inputs, and troubleshoots issues to ensure accurate, timely eligibility data.

The position covers group configuration, changes, renewals, and enrollments, plus QA testing, client training, and ongoing operational support in a remote work environment.

Qualifications

• Bachelor’s degree preferred or equivalent work experience.
• 1–3 years of benefits administration experience with a focus on administration technology.
• Proficiency with Word, Excel, and Access; strong communication skills.

Responsibilities

• Configure new group setups in eligibility platforms.
• Process changes, renewals, and enrollments.
• Perform day-to-day eligibility operations and maintenance.
• Review audit reports and update member data as required.
• Provide training and technical support for clients on the enrollment platform.
• Conduct QA testing to ensure data integrity.
• Troubleshoot and escalate data issues with partners.

Skills

Communication

Customer service

Time management

Quality focus

Education

Bachelor’s degree preferred or equivalent work experience

Tools

Word

Excel

Access

Job description

POSITION SUMMARYThis Eligibility Specialist is responsible for setup and day to day operations of Allied’s eligibility services technology platforms. These technology platforms include the following: Allied’s eligibility system of record, client web-based eligibility maintenance portal, and X12-834 electronic data interchange (EDI). The eligibility specialist coordinates data transfers, processes data inputs, and troubleshoots data issues.ESSENTIAL FUNCTIONSConfigures new group setup in all applicable eligibility services technology platformsProcesses changes, renewals, and open enrollment in all eligibility technology platformsResponsible for day-to-day eligibility operations and maintenanceReviews eligibility audit reports and processes member updates as requiredResponds to internal and external questions and requestsProvides training and technical support for clients on Allied’s web-based enrollment platformConducts quality assurance testingDeploys robust quality protocols and audits to ensure data integrityTroubleshoots and escalates issues with Allied’s internal and external partnersOther duties as assignedEDUCATIONBachelor’s degree preferred or equivalent work experienceEXPERIENCE AND SKILLS1-3 years prior benefits administration experience with a strong focus on benefits administration technologyWord, IntermediateExcel, Intermediate or betterAccess, Basic levelCommunication Skills, excellent written and verbalPOSITION COMPETENCIESAccountabilityCommunicationCustomer Service OrientationFunctional/Technical SkillsQuality FocusTime and Task ManagementPHYSICAL DEMANDSThis is a standard desk role requiring extended sitting and computer workWORK ENVIRONMENTRemoteHere at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.