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Especialista en consultoría

Torreón, Coah
Remote Team Solutions
Publicada el Publicado hace 21 hr horas
Descripción

Job title:client services & eligibility specialist job overview we are looking for aclient services & eligibility specialistto manage and ensure the accuracy of employee eligibility data for health benefits. In this role, you will work with brokers, employers, and third-party administrators (tpas) to validate and process eligibility information, ensuring seamless access to services. This is aremote positionwith a focus on operational excellence and precision in handling sensitive data.key responsibilities eligibility management (primary focus) manage day-to-day eligibility operations for brokers, employers, and tpas. Process member adds, terms, and updates via spreadsheets, file transmissions, and system entries. Review and validate eligibility files for accuracy, completeness, and formatting requirements. Monitor file transmissions, investigate anomalies, and resolve data errors. Research and correct eligibility discrepancies, coordinating with clients and partners. Ensure all eligibility changes are processed accurately and in a timely manner to support seamless member activation and benefit access. Client communication & support serve as a primary point of contact for client eligibility questions-via email, chat, phone, and video. Provide clear guidance to clients on eligibility processes, file formats, timelines, and requirements. Document trends, recurring issues, and potential solutions to improve the client experience. Onboarding & data coordination assist with onboarding new clients by collecting and managing eligibility-related data. Confirm required file specifications, eligibility layouts, and transmission processes. Collaborate with internal teams to ensure onboarding data is accurate and ready for launch. Continuous improvement & collaboration identify process barriers or gaps in eligibility workflows, recommending enhancements. Work cross-functionally to align service delivery, file processing, and technical operations with client needs. Maintain a strong working knowledge of products, benefits, and systems to support accurate eligibility handling.qualifications proven experience in eligibility management, client services, customer success, benefits administration, or a related operational role. Strong attention to detail with the ability to identify and resolve data inconsistencies. Excellent written and verbal communication skills, including the ability to explain technical and data-related information clearly. Proficiency with spreadsheets, eligibility file formats, remote communication tools (zoom, slack), crm platforms, and digital support systems. Strong organizational and time management skills, with the ability to manage multiple clients and file timelines. Problem-solving mindset with a focus on delivering accurate, timely solutions. Ability to work independently while collaborating effectively with a small, agile team. Adaptable, flexible, and comfortable stepping into various responsibilities within a dynamic environment.what we offer competitive salary opportunities for career development collaborative team culture employee benefits

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