Conduent

Benefits Coordinator

• Investigate and determine the correct benefits for members with multiple health insurance plans
• Review insurance eligibility, policy coverage, and documentation to verify the proper payer order
• Contact insurance carriers, Medicare (CMS), employer groups, healthcare providers, and members by phone, email, fax, and mail to validate coverage information
• Research complex healthcare eligibility issues and apply Medicare CMS and NAIC guidelines to determine primary and secondary coverage
• Document findings accurately in company systems while maintaining complete and detailed records
• Review Explanation of Benefits (EOBs) and other insurance documentation to support payment determinations
• Process incoming COB correspondence and update eligibility records as needed
• Handle inbound and outbound calls related to Coordination of Benefits inquiries
• Meet established productivity, quality, and turnaround time goals
• Maintain HIPAA compliance and adhere to federal, state, and client requirements
• Collaborate with teammates while working independently in a remote environment
• Identify opportunities to improve processes, documentation, and communication

Customer Support

• Respond to inbound inquiries regarding dental benefits, eligibility, claims, appeals, grievances, and provider searches for Commercial and Medicare plans
• Interpret and clarify dental benefits, policies, and procedures for members, providers, and employer groups
• Investigate and resolve member or provider concerns by contacting appropriate parties and accurately documenting interactions in the billing system
• Investigate verbal complaints regarding billing, claims, or services rendered
• Escalate service failures to appropriate internal departments for follow-up and resolution
• Retrieve and send written correspondence, plan brochures, provider directories, and other printed materials
• Meet or exceed ACD call-volume and quality-performance goals
• Achieve assigned individual monthly performance metrics
• Maintain current knowledge of Member Services policies, procedures, and dental plan updates
• Perform additional duties assigned by management

Healthcare Customer Service Representative

Associate

• Provide analytical support to CPIS overpayment programs via access to client claims systems
• Review paid claims, adjusted claims, and offset claims in the client system
• Review and update member eligibility
• Investigate and communicate questionable situations
• Document findings from the client system in related systems
• Communicate effectively with other staff/team members
• Work independently based on established procedures
• Research insurance eligibility and medical claims
• Identify and process Medicare, Medicaid, and Commercial claim overpayments

Medical Benefit Review Services Associate

• Review paid claims, adjusted claims, and offset claims in the client system
• Review and update member eligibility
• Investigate and communicate questionable situations
• Document findings from the client system in related systems
• Provide analytical support to CPIS overpayment programs
• Access client claims systems for Medicare, Medicaid, and Commercial claim overpayments identified through audits
• Communicate effectively with staff and team members
• Work independently based on established procedures
• Research insurance eligibility and medical claims
• Deliver accurate, high-quality work

Benefits Specialist

• Improves participant decision-making by advising participants on plan provisions
• Responds to client-specific inquiries via telephone and web correspondence
• Completes transactions related to customer inquiries with limited supervision
• Meets timeliness and accuracy standards
• Documents calls with detailed notes in the case management system
• Completes callbacks promptly and escalates as appropriate
• Adheres to call center metrics and established procedures
• Explains appropriate participant forms and guides completion
• Performs other duties as assigned
• Complies with all policies and standards

Participant Benefits Services Specialist

• Advise participants on applicable plan provisions and available options
• Respond to participant inquiries through inbound telephone calls and occasional outbound calls
• Complete transactions related to participant inquiries with limited supervision
• Research questions and provide accurate information while following established procedures
• Explain participant forms and guide participants on how to complete them
• Complete callbacks promptly and escalate issues as appropriate
• Document participant interactions with detailed and accurate notes in the case management system
• Meet established timeliness and accuracy standards
• Follow call center metrics, procedures, and guidelines
• Adapt to client-specific processes and requirements
• Maintain confidentiality and protect sensitive participant and client information
• Follow company, client, privacy, and security policies and standards
• Perform other duties as assigned

Benefits Support Specialist

Administration

• Administer and support IBM WAS, Portal, BAW, IHS, and IAM platforms
• Perform installation, configuration, upgrades, patching, security hardening, and performance tuning
• Manage application deployments, middleware releases, clustering, high availability, and production support
• Configure SSL/TLS, LDAP/Active Directory integration, SSO, and access controls
• Develop and maintain Jenkins CI/CD pipelines and automation scripts using Jython, Shell, Python, and PowerShell
• Troubleshoot middleware, application, security, and performance issues across enterprise environments
• Monitor system health, analyze logs, and support incident, problem, and change management processes

Senior IBM Middleware Administrator – Engineer

Application Engineer

• Install, configure, update, optimize, monitor, and troubleshoot Informatica and Cognos applications in large MMIS operating environments
• Collaborate with other teams on deliverables
• Respond to tickets and inquiries within expected timeframes
• Provide timely correspondence regarding actions and status, and attend meetings
• Perform company administrative activities, including mandatory training, timekeeping, performance activities, and compliance with policies and procedures
• Work outside business hours when implementing projects or system changes
• Install and maintain Cognos and Informatica across the operating-environment lifecycle for multiple clients
• Optimize performance and install updates and vulnerability fixes

ETL/BI Application Engineer

Accounts Payable

• Support the PO Follow Up group for General Motors
• Analyze open purchase orders and identify outstanding items requiring resolution
• Coordinate with plants, suppliers, requestors, and buyers to resolve and close open POs
• Research and resolve discrepancies related to purchase orders, invoices, receipts, and payments
• Follow up on outstanding purchase orders and ensure timely resolution of open items
• Review accounts payable transactions for accuracy, completeness, and compliance with established procedures
• Communicate with internal departments, suppliers, and other stakeholders regarding invoice and PO-related issues
• Maintain accurate records and documentation related to purchase orders and accounts payable activities
• Assist with reconciliation and resolution of discrepancies between purchase orders, receipts, and invoices
• Prepare reports and perform audits to ensure data accuracy and timely resolution of outstanding items
• Monitor assigned workload and follow up on aging or unresolved items
• Maintain confidentiality of company, supplier, and financial information
• Maintain a high level of accuracy, professionalism, and customer service

Accounts Payable Associate IV

Supply Chain

• Communicate directly with clients and training participants regarding questions, revisions, issues, and classroom support
• Identify client and training participant issues and escalate appropriately
• Schedule and plan classroom facilities for classroom delivery and other events
• Reserve and book classrooms and manage printing and shipping of materials
• Schedule catering and request classroom audio-visual and information-systems setup based on class delivery requirements
• Assist clients with intake forms for logistics support and Learning Management System (LMS) data entry
• Create and update training coordination and logistics checklists
• Generate and distribute client learning reports, including rosters, learning completion and attendance, and survey results
• Perform other duties as assigned
• Comply with all policies and standards

Training Services Coordinator, Logistics

Referral Specialist

• Complete Level of Care Eligibility Tool (LOCET) assessments and other required evaluations
• Manage inbound and outbound calls professionally and empathetically
• Provide accurate referrals to non-Office of Aging and Adult Services (OAAS) community services
• Assess requestors’ needs
• Research available resources to meet requestors’ needs
• Connect individuals with essential services and resources

Information and Referral Specialist

• Provide clear and accurate information regarding applicable pension plan provisions
• Respond to participant inquiries through inbound telephone calls and some outbound calls
• Research and address client-specific participant questions while following established procedures
• Complete transactions related to participant inquiries with limited supervision
• Meet established timeliness, accuracy, quality, and productivity standards
• Document participant interactions with detailed and accurate notes in the case management system
• Complete participant callbacks and escalate issues when appropriate
• Follow call center metrics, procedures, and guidelines
• Explain participant forms and provide guidance on completing them
• Adapt to multiple clients’ requirements and procedures
• Maintain confidentiality and security of participant and client information
• Follow company, client, privacy, and security policies and standards
• Perform other duties as assigned

Pension Benefits Services Specialist

• Support the PO Follow Up group for General Motors
• Analyze open purchase orders and identify outstanding items requiring resolution
• Coordinate with plants, suppliers, requestors, and buyers to resolve and close open POs
• Research and resolve discrepancies related to purchase orders, invoices, receipts, and payments
• Follow up on outstanding purchase orders and ensure timely resolution of open items
• Review accounts payable transactions for accuracy, completeness, and compliance
• Communicate with internal departments, suppliers, and stakeholders about invoice and PO issues
• Maintain accurate records and documentation for purchase orders and accounts payable activities
• Assist with reconciliation and discrepancy resolution between purchase orders, receipts, and invoices
• Prepare reports and perform audits to ensure data accuracy and timely resolution
• Monitor workload and follow up on aging or unresolved items
• Maintain confidentiality of company, supplier, and financial information
• Maintain accuracy, professionalism, and customer service
• Review and audit supplier obsolescence and cancellation claims, validate costs, ensure contract compliance, and prepare audit reports

• Install, configure, update, optimize, monitor, and troubleshoot Informatica and Cognos applications in large MMIS operating environments
• Collaborate with other teams on deliverables
• Respond to tickets and inquiries within the expected time
• Provide timely correspondence on actions and status and participate in meetings
• Perform company administrative activities, including mandatory training, timekeeping, goal/performance activities, and compliance with policies, processes, and procedures
• Implement projects or system changes outside business hours when required
• Adopt additional technologies as needed

• Administer and support IBM WAS, Portal, BAW, IHS, and IAM platforms
• Perform installation, configuration, upgrades, patching, security hardening, and performance tuning
• Manage application deployments, middleware releases, clustering, high availability, and production support
• Configure SSL/TLS, LDAP/Active Directory integration, SSO, and access controls
• Develop and maintain Jenkins CI/CD pipelines and automation scripts using Jython, Shell, Python, and PowerShell
• Troubleshoot middleware, application, security, and performance issues across enterprise environments
• Monitor system health, analyze logs, and support incident, problem, and change management processes
• Support Conduent's mission-critical services and solutions delivered to Fortune 100 companies and governments

Benefits Coordinator

Healthcare Customer Service Representative

Medical Benefit Review Services Associate

Medical Benefit Review Services Associate

Participant Benefits Services Specialist

Benefits Support Specialist

Senior IBM Middleware Administrator – Engineer

ETL/BI Application Engineer

Accounts Payable Associate IV

Training Services Coordinator, Logistics

Information and Referral Specialist

Pension Benefits Services Specialist

Accounts Payable Associate IV

ETL/BI Application Engineer

Senior Middleware Administrator / Engineer