Eligibility Specialist — Data, Processes & Reporting

001 Brown & Brown, Inc; Clearwater (FL); On-site; USD 23,000 - 32,000; Full time

Benefits offered by this job

Health Benefits: Medical/Rx, Dental, V

Life Insurance

Disability Insurance

401k

Employee ESPP

Tuition Reimbursement

Paid Time Off

Holiday pay

Partnership discounts

Job summary

One80 Intermediaries is seeking an Eligibility Specialist to join our growing team in Florida. The role focuses on maintaining enrollment records, updating eligibility data, and collaborating with internal and external partners to ensure accurate, timely processing.

You will generate reports, document processes, and identify improvements while supporting claims and customer service with reliable eligibility information in a fast-paced environment.

Qualifications

• 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.

Responsibilities

• 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

Operational support processes

Planning and organizing

MS Word

MS Excel

MS Outlook

TextPad/TXT

Reporting skills

Secure FTP

Encryption

Project planning

Cross-functional collaboration

Attention to detail

Tools

MS Word

MS Excel

Outlook

TextPad

Secure FTP

Job description

One80 Intermediaries is seeking an Eligibility Specialist to join our growing team in Florida. The role focuses on maintaining enrollment records, updating eligibility data, and collaborating with internal and external partners to ensure accurate, timely processing.

You will generate reports, document processes, and identify improvements while supporting claims and customer service with reliable eligibility information in a fast-paced environment.