Eligibility Supervisor

Assured Benefits Administrators; Dallas (TX); On-site; USD 70,000 - 90,000; Full time

Job summary

Assured Benefits Administrators is seeking an Eligibility Supervisor to manage the Eligibility department and ensure accurate processing of eligibility data for clients. The role requires strong leadership abilities and industry expertise to meet client needs effectively.

Candidates with 3-5 years of supervisory experience in third-party administration or health insurance are preferred. The position involves overseeing departmental performance and leading system improvement initiatives, offering an opportunity to significantly impact client service.

Qualifications

• 3-5 years of leadership experience in a team lead or supervisory role.
• Strong knowledge of self-funded medical plans and eligibility processes.
• Excellent verbal and written communication skills.

Responsibilities

• Oversee eligibility department processes for clients.
• Coordinate generation of ID cards and welcome packets.
• Evaluate and manage eligibility update processes.

Skills

Leadership experience

Communication skills

Interpersonal skills

Proficiency in Microsoft Office

Organizational skills

Adaptability

Job description

The Eligibility Supervisor oversees and manages the Eligibility department, ensuring accurate processing and maintenance of eligibility data for clients of ABA. This role requires strong leadership skills, industry expertise, and a focus on operational excellence to meet organizational and client needs effectively.

Duties and Responsibilities

• Processing enrollment, status changes, and terminations in compliance with ABA policies and standards.
• Coordinating timely generation of ID cards and welcome packets for members.
• Collaborating with the onboarding and new client implementation team to input new group data, including rates, plan details, and member updates.
• Preparing and maintaining departmental reports to track performance and compliance.
• Partnering with Human Resources and the Senior Manager of Financial Operations to recruit, interview, and hire team members for the Eligibility department.
• Evaluating and managing Eligibility update processes, both manual and electronic, to ensure accuracy and efficiency.
• Leading improvement initiatives, including system enhancements, testing, and implementation of new processes and technologies.
• Ensuring all departmental staff receive comprehensive training for their roles.
• Collaborating during weekly team meetings to review inventory and other critical operational areas.
• Managing administration of COBRA, FSA, HRA, and HSA eligibility, payments, and rate changes.
• May perform other duties as required.

Minimum Qualifications

• 3-5 years of leadership experience in a team lead or supervisory role.
• 3–5 years of experience in the third-party administration (TPA) or health insurance industry.
• Strong knowledge of self-funded medical plans and eligibility processes.
• Excellent oral and written communication skills, with the ability to communicate effectively in positive and challenging situations.
• Exceptional interpersonal and presentation skills to engage effectively with leadership, staff, brokers, agents, and clients.
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).
• Strong organizational skills with the ability to prioritize and manage multiple tasks.
• A proactive and solution-oriented mindset, with a strong sense of urgency and responsiveness to client and team needs.
• Ability to foster innovation, remain open to new ideas, and adapt to change.

Other Details

• Supervisory responsibilities: supervision of individual contributors.
• Work environment: noise level is usually low to moderate.
• Physical demands: periodic tasks such as talking, handling objects, occasional standing, walking, and lifting up to 25 pounds.
• Travel requirements: occasional travel may be required.

NOTE: This job description in no way states or implies that these are the only duties to be performed by the employee. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized. All duties and responsibilities are essential functions and may be modified to accommodate individuals with disabilities.

The Company complies with employment regulations as they apply to the location of service.