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Eligibility Specialist
Brown & Brown Insurance. Administer enrollment and eligibility functions across multi-system infrastructure .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in administering enrollment and eligibility functions across multi-system infrastructures, with a strong focus on data analysis, process improvement, and collaboration with various departments. Proficient in managing eligibility workflows and utilizing advanced software tools for reporting and data management.
Highest-signal resume keywords
Enrollment Data AnalysisEligibility Workflow ManagementAdvanced MS Excel SkillsSecure FTP ExperienceProcess Improvement Identification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data Import/ExportEligibility Records ManagementReporting Tool CompetenceTechnical Systems UnderstandingAutomated Eligibility Knowledge
Soft Skills
Planning and OrganizingCollaborationProblem SolvingAttention to DetailTime Management
Tools & Technologies
MS WordMS ExcelMS OutlookTextPad/TXTQicLinkNewWave
Industry Keywords
Operational Support ProcessesEcommerce Sales SupportClient ServicesAccountingClaims Management
About the role
Key responsibilities & impact- Administer enrollment and eligibility functions across multi-system infrastructure
- Manage imports, exports, eligibility workflows, and ecommerce sales support
- Work with QicLink, NewWave, and external/internal interfaces
- Retrieve, import, export, and analyze enrollment data in various formats
- Perform analysis, troubleshooting, and error correction
- Implement and maintain enrollment and eligibility records supporting benefits, claims, and customer service
- Update and maintain automated, user portal, and manual eligibility data
- Interact with internal partners and external clients/vendors
- Generate reports to identify and resolve discrepancies and monitor headcount variations
- Document processes, enhancement requests, user guides, and business rules
- Identify process improvement opportunities
- Resolve eligibility discrepancies with clients
- Ensure data is installed accurately and timely
- Coordinate eligibility information flow across departments
- Collaborate with I.T., Client Services, Accounting, Claims, and Executive Management
Requirements
What you’ll need- Comprehensive understanding of related operational support processes
- Strong planning and organizing skills
- Advanced software skills in MS Word, Excel, Outlook, TextPad/TXT, and reporting specifications
- Experience using Secure FTP and encryption
- Development and management of project work plans through project completion
- Ability to provide input regarding process improvements on an ongoing basis
- Ability to work closely with I.T., Client Services, Accounting, Claims, and Executive Management personnel
- Ability to prioritize assignments for timely and accurate completion of eligibility processes for new accounts
- Ability to coordinate eligibility information flow between departments
- Ability to work in a fast-paced, deadline-driven environment
- General knowledge of manual and automated eligibility
- Competent use of reporting tools
- Technical understanding of systems
- Working knowledge of company infrastructure
Benefits
Comp & perks- Medical/Rx
- Dental
- Vision
- Life Insurance
- Disability Insurance
- ESPP
- 401k
- Student Loan Assistance
- Tuition Reimbursement
- Free Mental Health & Enhanced Advocacy Services
- Paid Time Off
- Holidays
- Preferred Partner Discounts