Eligibility Specialist

One80 Intermediaries; United States; Remote; USD 23,000 - 32,000; Full time

Benefits offered by this job

Health Benefits

401k

Student Loan Assistance

Tuition Reimbursement

Mental Health Support

Paid Time Off

Job summary

One80 Intermediaries is seeking an Eligibility Specialist to join our team. This role administers enrollment and eligibility processes across multi-system infrastructure, using QicLink and NewWave interfaces. You will interact with internal teams and external clients to ensure accurate data imports, exports, and reporting.

The position requires strong planning, advanced MS Office skills, experience with secure FTP, and a proactive approach to process improvements in a fast-paced environment.

Qualifications

• Comprehensive understanding of related operational support processes.
• Strong planning and organizing.
• Advanced software skills: Word, Excel, Outlook, TextPad, and reporting specifications.

Responsibilities

• Implements and maintains enrollment/eligibility records for benefits across product lines.
• 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 watches for headcount variations.
• Documents processes, enhancement requests, and business rules.

Skills

Planning

Excel

MS Word

Outlook

TextPad/TXT

Reporting specs

Stakeholder communication

Secure FTP

Encryption

Technical understanding

Tools

QicLink

NewWave

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

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.

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”.