Eligibility Benefits Representative

Cobalt Benefits Group LLC; Boston (MA); On-site; USD 45,000 - 60,000; Full time

Job summary

Cobalt Benefits Group LLC in Boston is seeking an Eligibility Benefits Representative to join our team. You will help enroll plan participants in self-funded insurance options and support clients and members with enrollment questions while delivering top-notch service.

Reporting to the Eligibility Manager, you will process enrollments, gather documents, assist with audits, and coordinate benefits matters in a fast-paced environment. Excellent communication and attention to detail are essential.

Qualifications

• Prior customer-focused work experience.
• Familiarity with medical terminology preferred.
• Strong communication and organizational skills.
• Ability to multi-task, be detail oriented, and collaborate with multiple groups.

Responsibilities

• Assist external and internal customers with enrollment-related enquiries.
• Support internal teams with New Group Implementation.
• Gather and organize documents for internal and external audits.
• Review and process enrollment questions and appeals per plan guidelines.
• Provide excellent client services when communicating with members and vendors.
• Process matters related to coordination of benefits, dependent maximum age, and open enrollment.
• File, record, and submit both electronic and paper records.
• Support the organization’s vision, team and aid in special projects and other duties as assigned.

Skills

Customer service

Medical terminology familiarity

Strong communication

Organization

Multitasking

Job description

Description

Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As an Eligibility Benefits Representative, you’ll play an important role in helping us offer customized, self-funded insurance options to our clients and members.

Reporting to the Eligibility Manager, the Eligibility Representative will be responsible for processing enrollments from plan participants. The ideal candidate will have familiarity with health care and/or health insurance and a can-do attitude, with an affinity to provide top notch service to our members, clients, and partners. The successful Representative is a self-motivated, quick-learning multitasker with superior written and verbal communication skills, who works well individually and as an integral part of a team in a fast-paced, high-volume environment. The position requires a high level of accuracy and the desire to work cooperatively with others to ensure superior service to our participants.

Responsibilities

• Assist external and internal customers with enrollment-related enquiries.
• Support internal teams with New Group Implementation.
• Gather and organize documents for internal and external audits.
• Review and process enrollment questions and appeals per plan guidelines.
• Provide excellent client services when communicating with members and vendors.
• Process matters related to coordination of benefits, dependent maximum age, and open enrollment.
• File, record, and submit both electronic and paper records.
• Support the organization’s vision, team and aid in special projects and other duties as assigned.

Requirements

• Previous customer focused work experience.
• Knowledge or familiarity with medical terminology desired.
• Strong communication and organization skills.
• Ability to multi-task, be detailed oriented, and collaborate with multiple groups.

Who We are

As a trusted third-party administrator (TPA) specializing in self-funded benefit plans, Cobalt Benefits Group (CBG) is committed to helping employers find high-quality coverage at a cost they can afford. We administer self-funded insurance benefits through our three companies: EBPA, Blue Benefit Administrators of Massachusetts, and CBA Blue.

With over 30 years of experience and a dedicated team of more than 180 employees, we work collaboratively to build customized self-funded health plans, manage claim payments and disputes, and administer other specialized programs such as FSAs, HSAs, COBRA, and retiree billing. Join us as we match employers across our region with the right solutions for their employee benefit needs.

To learn more about working at CBG, visit https://www.ebpabenefits.com/careers.