Eligibility Specialist

One80 Intermediaries; United States; Vor Ort; USD 23.000 - 32.000; Vollzeit

Benefits dieser Stelle

Health benefits

401k plan

Paid time off

Zusammenfassung

One80 Intermediaries is seeking an Eligibility Specialist to join our growing team. The role oversees enrollment and eligibility functions across multi-system infrastructure, handling imports/exports and querying enrollment data across formats.

You will work with QicLink and NewWave interfaces to support ecommerce sales and resolve data issues. Key duties include maintaining enrollment records, generating discrepancy reports, documenting processes, and driving process improvements.

Qualifikationen

• Advanced software skills in MS Word, Excel, Outlook and reporting specifications.
• Use of Secure FTP and encryption.
• Development and management of project work plans through project completion.

Aufgaben

• Implements and maintains enrollment/eligibility records for benefits across product lines.
• Implements, updates, and maintains automated, user portal, and/or manual eligibility data.
• Interacts with internal partners and/or external clients/vendors.
• Generates reports to identify and resolve discrepancies and watches for headcount variations.
• Documents processes, enhancement requests, user guides, business rules, etc.
• Identifies process improvement opportunities.
• Resolve eligibility discrepancies with clients.
• Ensures data is installed accurately and timely.
• General knowledge of manual and automated eligibility.
• Competent use of all available reporting tools.
• Technical understanding of systems.
• Working knowledge of company infrastructure.

Kenntnisse

MS Word

Excel

Outlook

TextPad

Secure FTP

Reporting

Planning

Tools

TextPad

FTP

Jobbeschreibung

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

One80 Intermediaries is seeking an Eligibility Specialist to join our growing team!

The Eligibility Specialist administers the enrollment and/or eligibility functions throughout multi-system infrastructure, imports/exports, eligibility workflows and support to ecommerce sales. Understands the overall architecture of the information systems, QicLink and NewWave, to include external and internal interfaces. Will interact with internal and external constituents in retrieving, importing, exporting and analyzing enrollment data in various formats and presentation types. Various types of analysis, troubleshooting and error-correction will be critical to the success of this position.

How You Will Contribute:

• Implements and maintains enrollment/eligibility records for appropriating benefits across various product lines in support of claims and customer service.
• Implements, updates, and maintains automated, user portal, and/or manual eligibility data.
• Interacts with internal partners and/or external clients/vendors.
• Generates reports to identify and resolve discrepancies and watches for headcount variations.
• Documents processes, enhancement requests, user guides, business rules, etc.
• Identifies process improvement opportunities.
• Resolve eligibility discrepancies with clients.
• Ensures data is installed accurately and timely.
• General knowledge of manual and automated eligibility.
• Competent use of all available reporting tools.
• Technical understanding of systems.
• Working knowledge of company infrastructure.

Skills & Experience To Be Successful

• Comprehensive understanding of related operational support processes.
• Strong planning and organizing.
• Advanced software skills, in MS Word, Excel, Outlook, TextPad/TXT and reporting specifications.
• Use of Secure FTP and encryption.
• Development and management of project work plans through project completion.
• Provide input regarding process improvements on an ongoing basis.
• Work closely with I.T., Client Services, Accounting, Claims, and Executive Management personnel to ensure responsive, timely and effective outcomes.
• Prioritize implementation of assignments to ensure the timely, accurate completion of eligibility processes for new accounts.
• Coordinate the flow of eligibility information from and between various departments.
• Ability to work in a fast-paced, deadline-driven environment.

About One80

One80 Intermediaries is part of Arrowhead Intermediaries, a global insurance distribution platform that offers deep specialization, scale, and innovation across wholesale brokerage, program administration, and specialty insurance. With more than 7,000 professionals worldwide and a collective portfolio exceeding $18 billion in premium placed in 2024, our combined organization delivers a diverse trading platform for insurance carriers as well as expanded access and niche solutions for brokers and customers navigating complex and hard-to-place risks. The platform combines entrepreneurial culture with operational excellence to deliver tailored solutions and long-term value across the insurance ecosystem.

Pay Range

$20.00 - $20.00 Hourly

The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.

Teammate Benefits & Total Well-Being

We go beyond standard benefits, focusing on the total well-being of our teammates, including:

• Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
• Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
• Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
• Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more.

Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.

Recruiting Vendor Disclosure Statement

Brown & Brown does not accept unsolicited resumes from external recruiters, recruitment vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any unsolicited resumes submitted to Brown & Brown or its employees become the property of Brown & Brown, and no fees will be paid for such submissions. Additional information regarding this policy can be found on our careers page.

The Power To Be Yourself

As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.