Part-Time Benefits Services Associate | Enrollment & Claims

New Jersey Hospital Association Group; Princeton (NJ); On-site; USD 44,000 - 49,000; Part time

Benefits offered by this job

Salary deferral plan

Pension

Paid vacation

Holidays and wellness days

Paid sick days

Short term disability

Employee assistance program

Membership in a credit union

Life insurance

On-site fitness facility

Job summary

New Jersey Hospital Association (NJHA) seeks a part-time Insurance Enrollment Associate in Princeton, NJ. The role maintains enrollment systems, analyzes information, performs data entry and billing, and supports benefit fairs for employees and employers.

Responsibilities include processing claims, assisting HR with insurance aspects, and generating EOI forms. A NJ Insurance Producer license is required, with a bachelor's degree preferred and 2+ years of relevant experience.

Qualifications

• Bachelor's degree preferred with 2+ years insurance related experience.
• Data entry experience and excellent communication skills necessary.
• NJ Insurance Producer license (Life and Health Authority) required.

Responsibilities

• Maintains enrollment system for insurance programs including all paperwork, analyzing information, data entry and billings.
• Attends in person and virtual annual benefit fairs interacting with all level of employees and resolves all problems for both the employer and the employees.
• Actively engages employees to enroll at benefit fairs and as an enroller during Supplemental Life Open Enrollments. Promotes the supplemental program.
• Processes claims to carriers. Involves "cleaning the claim" when received from facility, determining payment history of facility, validating salary and eligibility, and benefit level. Resolves problem issues to expedite payment by carrier. Obtains all necessary documentation for claims and adheres to checklist.
• Maintains relationships with HR departments assisting in all insurance related aspects.
• Customizes forms for each facility to expedite the process for the clients.
• Generates EOI forms for individual subscribers, contacting employees directly to each the program administration at the facility level.
• Maintains the EOI database contacting facilities as approvals/declines are received.
• Coordinates the "pass thru"/"jet approval" process for EOI forms for all facilities. Reviews, inputs, confirms data, maintains internal database, approves or sends forms to carrier for approval.
• Evaluates and audits data to assure that facilities are correctly calculating benefit levels and all program criteria are met.
• Interacts with claims processors regarding claim information.
• Answers inquiries regarding bills and enrollment status from plan participants.
• Abides by the terms and conditions of the Confidentiality & Non-Disclosure Agreement.

Skills

Excellent communication skills

Data entry experience

Education

Bachelor's degree preferred

Job description

New Jersey Hospital Association (NJHA) seeks a part-time Insurance Enrollment Associate in Princeton, NJ. The role maintains enrollment systems, analyzes information, performs data entry and billing, and supports benefit fairs for employees and employers.

Responsibilities include processing claims, assisting HR with insurance aspects, and generating EOI forms. A NJ Insurance Producer license is required, with a bachelor's degree preferred and 2+ years of relevant experience.