Eligibility Clerk

AppleOne Employment Services; Pleasanton (CA); On-site; USD 69,000 - 84,000; Full time

Job summary

AppleOne Employment Services in Pleasanton, CA is seeking an experienced Eligibility Clerk for a temp-to-hire opportunity with a third‑party administrator supporting union health and welfare benefits.

You will handle member calls, enrollments, eligibility documentation, and processing applications in a fast‑paced, detail‑oriented environment. The role emphasizes reliability, teamwork, and strong customer service skills.

Qualifications

• Provide customer service support for members, participants, and related contacts.
• Prepare and process enrollment packets, applications, and eligibility documentation.
• Maintain accurate administrative records and complete time‑sensitive processing tasks.
• Support daily office operations in a health and welfare benefits administration environment.

Responsibilities

• Answer incoming customer service calls and return calls in a timely, courteous, and professional manner.
• Prepare enrollment packets and related eligibility documentation for members and participants.
• Mail, receive, review, and process applications accurately and within established timelines.
• Support eligibility, benefits, and member service workflows in a fast‑paced administrative environment.
• Maintain organized records and follow internal procedures to ensure accurate processing.
• Assist with miscellaneous administrative duties and special requests as needed.

Skills

Customer service

Time management

Attention to detail

Communication

Organizational skills

Education

High School Diploma

Associate degree or higher

Tools

Microsoft Word

Microsoft Excel

Job description

Job Summary

We are seeking an experienced Eligibility Clerk for a temp-to-hire opportunity in Pleasanton, CA with a progressive third‑party administrator supporting union health and welfare benefits. This role is ideal for a detail‑oriented, customer service professional with experience in medical, insurance, benefits, eligibility, or claims administration.

The Eligibility Clerk will support members and participants by handling customer service calls, preparing enrollment packets, processing applications, and maintaining accurate eligibility documentation. This is a strong opportunity to join a fast‑paced, team‑focused environment where professionalism, reliability, and excellent service are valued.

Candidates will appreciate a supportive workplace with collaborative leadership, positive teamwork, and the potential for long‑term career stability. The environment is well suited for someone who is organized, dependable, service‑driven, and comfortable managing time‑sensitive administrative work.

Key Responsibilities

• Answer incoming customer service calls and return calls in a timely, courteous, and professional manner.
• Prepare enrollment packets and related eligibility documentation for members and participants.
• Mail, receive, review, and process applications accurately and within established timelines.
• Support eligibility, benefits, and member service workflows in a fast‑paced administrative environment.
• Maintain organized records and follow internal procedures to ensure accurate processing.
• Assist with miscellaneous administrative duties and special requests as needed.

Compensation and Benefits

• Salary: $76,585 per year.
• Job type: Temp-to-hire.
• Location: Pleasanton, CA.

Required Qualifications and Skills

• Provide customer service support for members, participants, and related contacts.
• Prepare and process enrollment packets, applications, and eligibility documentation.
• Maintain accurate administrative records and complete time‑sensitive processing tasks.
• Support daily office operations in a health and welfare benefits administration environment.
• 5+ years of customer service experience, preferably in the medical, insurance, benefits, or related industry.
• High school diploma required.
• Intermediate proficiency with Microsoft Word and Microsoft Excel.
• Excellent written and verbal communication skills.
• Strong problem‑solving skills with the ability to organize work, set priorities, and meet deadlines.
• Ability to work independently and productively with minimal supervision.
• Highly organized, accurate, and detail‑oriented.
• Positive team player with a motivated, self‑starting work style.
• Ability to remain professional, courteous, and effective under pressure.
• Proven reliability, strong attendance, and consistent follow‑through.

Preferred Qualifications

• Associate degree or higher.
• Experience with health and welfare benefits, union benefits administration, eligibility processing, medical office administration, insurance claims, or third‑party administrator operations.

Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here: https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program. https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment‑qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.