Enrollment Specialist

Position Summary

Evaluate insurance applications and submissions for completeness; determine acceptance or need for further evaluation; and process within 48 hours. Provide additional administrative assistance as required.

Primary Duties

• Receive and process enrollment transactions in the CareFirst HUB portal. Requests may come direct or be pulled from department enrollment inbox.
• Review all transactions for compliance, timeliness and accuracy prior to processing.
• Ensure accuracy and return errors to be corrected.
• Process enrollment requests for other carriers as required. EBCA ability to process transactions for additional carriers such as Anthem, Sentara, etc. is continuing to grow and will require increased processing for this role.
• With EBCA increased role in Employee Navigator processes, Enrollment Specialist will take lead on Employee Navigator group implementation and set up, and subsequent enrollments.
• Provide internal and external customer service.
• Ensure compliance, timeliness and documentation issues are addressed for transactions pulled monthly by Audit by CareFirst.
  
  

Additional Duties

• Additional administrative duties as required, to support Enrollment Dept.
  
  

Minimum Educational/Experience Qualifications

• High School Diploma or equivalent work experience
• Minimum one year general administrative experience
  
  

Minimum Skill Qualifications

• Strong attention to detail orientation
• Initiative
• Highly proficient in MS Office
• Effective in both verbal and written communications
• Excellent organizational skills
• Proven customer focus
  
  

Preferred Qualifications

• Prior health insurance experience preferred but not required.