Senior Eligibility Coordinator

Solxsys Administrative Solutions; Troy (MI); On-site; USD 65,000 - 90,000; Full time

Job summary

Solxsys Administrative Solutions in Michigan is seeking a Senior Eligibility Coordinator to serve as the department's subject matter expert for Taft-Hartley employee benefit plan eligibility. You will oversee complex transactions, mentor staff, and ensure eligibility records align with Plan Documents, Trust Agreements, ERISA, HIPAA, and company standards.

This role requires strong analytical, organizational, and communication skills, plus experience in benefits eligibility and advanced Microsoft

Qualifications

• Associate's or Bachelor's degree preferred.
• Five+ years of employee benefits or eligibility administration experience, preferably in a Taft-Hartley environment.
• Strong analytical, organizational, communication, and customer service skills.
• Advanced Microsoft Office proficiency preferred.

Responsibilities

• Process and review complex eligibility transactions.
• Interpret plan eligibility provisions and employer contribution requirements.
• Mentor Eligibility Coordinators and provide technical guidance.
• Resolve escalated participant, employer, and client inquiries.
• Perform quality assurance reviews and recommend process improvements.
• Coordinate with Claims, Pension, Accounting, and Client Services to ensure accurate eligibility records.
• Assist with client implementations, testing, and special projects.
• Meet established productivity, accuracy, and service standards.

Skills

Eligibility administration

Benefits administration

Taft-Hartley experience

Analytical reasoning

Organizational skills

Communication

Customer service

Microsoft Office

Education

Associate's degree

Bachelor's degree

Tools

Microsoft Office

Job description

Position Summary

The Senior Eligibility Coordinator serves as the department's subject matter expert for eligibility administration of Taft-Hartley employee benefit plans. This position oversees complex eligibility transactions, mentors staff, resolves escalated issues, and ensures eligibility records are maintained accurately and in accordance with Plan Documents, Trust Agreements, collective bargaining agreements, ERISA, HIPAA, and Solxsys standards.

Essential Functions

• Process and review complex eligibility transactions.
• Interpret plan eligibility provisions and employer contribution requirements.
• Mentor Eligibility Coordinators and provide technical guidance.
• Resolve escalated participant, employer, and client inquiries.
• Perform quality assurance reviews and recommend process improvements.
• Coordinate with Claims, Pension, Accounting, and Client Services to ensure accurate eligibility records.
• Assist with client implementations, testing, and special projects.
• Meet established productivity, accuracy, and service standards.

Qualifications

Associate's or Bachelor's degree preferred. Five or more years of employee benefits or eligibility administration experience, preferably within a Taft-Hartley environment. Strong analytical, organizational, communication, and customer service skills. Advanced Microsoft Office proficiency preferred.

Core Competencies

• Eligibility Administration
• Leadership
• Attention to Detail
• Customer Service
• Accountability
• Communication
• Problem Solving
• Teamwork

Compliance & Information Security Responsibilities

Protect confidential participant, employer, and client information. Follow documented procedures, internal controls, ERISA, HIPAA, Trust Agreements, and company policies. Support SOC compliance objectives, participate in audits, and promptly report security incidents or control deficiencies.

Physical Requirements

Primarily office-based work requiring prolonged computer use, telephone communication, and occasional lifting of files up to 20 pounds.

Disclaimer

This job description describes the general nature of work performed and is not intended to be an exhaustive list of duties or responsibilities. Solxsys Administrative Solutions reserves the right to modify responsibilities as business needs require.