Supervisor, Eligibility Services

Allied Benefit Systems; Chicago (IL); Remote; USD 60,000 - 70,000; Full time

Job summary

A leading company in the insurance sector seeks a Supervisor for Eligibility Services. This mid-senior position involves overseeing daily operations, ensuring quality control, and driving improvements in eligibility processes. Candidates should possess a Bachelor's degree and relevant supervisory experience, with strong organizational and communication abilities.

Benefits

Medical, Dental, Vision Insurance

Generous Paid Time Off

Tuition Reimbursement

Technology Stipend

Qualifications

• 3+ years in a Health Insurance and Eligibility Services environment.
• Proficient in Microsoft Word and Excel programs.
• Demonstrated supervisory potential required.

Responsibilities

• Oversee daily eligibility services operations.
• Maintain logs and reporting for tracking production metrics.
• Coach and develop the eligibility services team.

Skills

Organizational skills

Problem-solving skills

Communication skills

Education

Bachelor's degree or equivalent experience

Tools

Microsoft Word

Microsoft Excel

Job description

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Allied Benefit Systems provided pay range

This range is provided by Allied Benefit Systems. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$60,000.00/yr - $70,000.00/yr

Position Summary

The Eligibility Services Department at Allied is responsible for understanding the overall process flow of Eligibility, Prescription Benefit Manager (PBM), Flexible Spending Account (FSA), and COBRA. Our overall Eligibility Services team is responsible for overseeing daily eligibility services operations. This includes issue resolution and quality assurance.

In addition, this role may also specialize in ID Card and Workflow processes. This will entail overseeing the end-to-end production, quality assurance, and distribution of member ID cards. Key responsibilities will be ensuring all ID card – related operations are executed accurately, efficiently, and on time, while driving process improvements, resolving escalations, and adherence to internal and external-facing SLAs

Essential Functions

• Maintain accurate logs and reporting for tracking production metrics and turnaround times
• Communicate status updates, issues, and recommendations to management
• Establish and maintain efficient workflows and quality control measures
• Recommend creative approaches to overcoming obstacles to achieve results
• May oversee daily eligibility services operations and supervise daily ID card processing activities, including requirements intake, validation, production and mailing workflows
• Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent. Ensuring that team members are being coached and developed, providing constructive feedback and additional training as needed.
• Provide feedback, coaching, and guidance when appropriate to facilitate development the eligibility services team
• Execute effective resolution for escalated client issues and inform the appropriate Allied team(s)
• Serve as a point of contact to other departments for escalated eligibility services issues and coordinate with internal teams to troubleshoot discrepancies.
• Oversee the new business and renewal process and delegates work as needed
• Maintain a “sense of urgency” resulting in the ability to influence the organization to exceed performance standards and customer expectations
• Communicate monthly client service turnaround times and key performance indicator (KPI) data to management
• Responsible for scheduling, managing workflows and priorities, and communicating with other supervisors as needed to ensure effective teamwork
• Knowledge of practices and procedures within Eligibility, PBM, FSA and COBRA plan administration
• Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed.
• Performs other related duties as assigned.
  
  

EDUCATION

• Bachelor’s degree or equivalent experience required
  
  

Experience And Skills

• At least 3 years’ experience in a Health Insurance and Eligibility Services environment required.
• Must possess demonstrated supervisor potential (i.e. previous team lead role, project leader, etc,) is required.
• Must be proficient in Microsoft Word and Excel programs and have the ability to easily learn other data systems (ticketing systems, design portals for ID Cards, etc.).
• Ability to read, analyze and interpret general plan benefits and guidelines.
• Ability to write reports, business correspondence, and procedures.
• Ability to effectively respond to questions from management, co-workers, members, providers, and clients.
• Strong organizational, communication and problem-solving skills.
• Proven ability to manage multiple priorities under tight deadlines.
  
  

POSITION COMPETENCIES

• Accountability
• Communication
• Action Oriented
• Timely Decision Making
• Building Relationships/Shaping Culture
• Customer Focus
  
  

PHYSICAL DEMANDS

• This is a standard desk role – long periods of sitting and working on a computer are required.
  
  

WORK ENVIRONMENT

• Remote
  
  

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Insurance

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