Eligibility Specialist

Brown & Brown; United States; On-site; USD 23,000 - 32,000; Full time

Benefits offered by this job

Health benefits

401(k)

Employee stock purchase plan

Tuition reimbursement

Job summary

One80 Intermediaries seeks an Eligibility Specialist to join our growing team. You will administer enrollment and eligibility across multi-system infrastructure, supporting ecommerce sales and claims. You will work with QicLink and NewWave platforms, handling data imports/exports and complex workflows.

Success requires strong analytical skills, attention to detail, and collaboration with IT, Client Services, Accounting, and management to ensure timely and accurate eligibility processing.

Qualifications

• Understanding enrollment/eligibility workflows across multiple systems.
• Ability to generate and interpret reports to identify discrepancies.
• Strong collaboration with IT, Client Services, Accounting, Claims, and leadership.

Responsibilities

• Implements and maintains enrollment/eligibility records across product lines.
• Implements, updates, and maintains automated, user portal, and/or manual eligibility data.
• Interacts with internal partners and external clients/vendors.
• Generates reports to identify discrepancies and headcount variations.
• Documents processes, business rules, and user guides.
• Identifies process improvement opportunities.

Skills

Enrollment/eligibility processes

Analytical thinking

Attention to detail

MS Word

MS Excel

Tools

MS Word

MS Excel

MS Outlook

TextPad/TXT

Secure FTP

Job description

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, In