Eligibility Specialist

4 weeks ago

Sandton, South Africa HR Studio Ltd Full time

We are seeking a skilled Eligibility Specialist to join our HR Studio Ltd team. This role offers the opportunity to work in a dynamic environment, collaborating with clients and vendors to resolve issues and achieve positive outcomes.

**Job Description:**

  • Manage eligibility additions and terminations for new and renewing clients using electronic files, paper forms, and portals.
  • E nsure enrollments and changes comply with legal requirements and client specifications.
  • Confirm that enrollments are activated promptly and that information is accurately and fully entered.
  • Ensure all necessary data for transfers to affiliated vendors is included.
  • Provide feedback on eligibility processing during implementations and renewals to enhance processes, workflows, and products.
  • Collaborate with providers, vendors, and internal departments to resolve billing or technical issues related to eligibility.
  • Create and maintain system logins for Brokers and Clients.
  • Respond to client inquiries and manage data transfers, adhering to department turnaround times and maintaining queue levels.
  • Assist the team in reviewing system configurations and processes to ensure optimal processing.
  • Audit and validate ID card processing, and generate and mail required notices for all product lines.

**Requirements:**

  • Demonstrate expert-level keyboard and navigation skills, as well as the ability to quickly learn new software programs.
  • Communicate clearly and professionally with both internal and external customers.
  • Maintain confidentiality and exercise discretion with sensitive information.
  • H old an eye for detail and great time management skills.
  • Capable of working effectively both independently and as part of a team to achieve established goals.
  • Understand the roles of others and empower team members to take responsibility for their success.

**Working Hours:** 2pm - 11pm

**Salary:** $55,000 - $65,000 per year (dependent on experience)

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