Eligibility Specialist
4 weeks ago
We are seeking an Eligibility Specialist to join our team at HR Studio. In this role, you will be responsible for managing eligibility additions and terminations, ensuring enrollments and changes comply with legal requirements and client specifications, and collaborating with providers, vendors, and internal departments to resolve billing or technical issues related to eligibility.
Key Responsibilities:- Manage eligibility additions and terminations
- Changes for new and renewing clients using electronic files, paper forms and portals
- Ensure 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 renewments 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
- Matric or Diploma or equivalent
- 2 years of experience in eligibility, enrollment, or benefits customer service role focused on eligibility
- Strong knowledge of health insurance plans and employee benefits
- Familiarity with benefit administration platforms such as Javelina
- Proficient in standard computer applications, including MS Word, Excel, Outlook, and PowerPoint
2pm - 11pm
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Eligibility Specialist
3 weeks ago
Sandton, South Africa HR Studio Ltd Full timeJob DescriptionWe are seeking a highly skilled Eligibility Specialist to join our team at HR Studio Ltd.The successful candidate will be responsible for:Processing benefit entries and validating informationResponding to eligibility and enrollment-related issuesPartnering with clients and vendors to resolve problemsManaging eligibility additions and...
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Eligibility Specialist
3 months ago
Sandton, South Africa HR Studio Full timeWe're looking for… An Eligibility Specialist that will be able to process benefit entries and validate information. You will respond to eligibility and other enrollment related issues involving member specific information; partner directly with clients, and/or vendors, to resolve problems and achieve positive outcomes. Who...
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Eligibility Specialist Position
4 weeks ago
Sandton, South Africa HR Studio Ltd Full timeAbout the Role:HR Studio Ltd is seeking a skilled Eligibility Specialist to join our team. As an Eligibility Specialist, you will play a critical role in ensuring the accurate and timely processing of benefit entries and validations.Key Responsibilities:Eligibility Processing: Manage eligibility additions and terminations, changes for new and renewing...
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Eligibility Specialist Expert
3 weeks ago
Sandton, South Africa HR Studio Ltd Full timeWe are seeking an Eligibility Specialist to join our team at HR Studio Ltd. The successful candidate will have the opportunity to work with a dynamic team and contribute to the success of our company.Key Responsibilities:Manage eligibility additions and terminations for new and renewing clients.Ensure enrollments and changes comply with legal requirements...
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Eligibility Coordinator
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Sandton, South Africa HR Studio Full timeWe're seeking a highly skilled Benefits Enrollment Specialist to join our team at HR Studio.With 2pm - 11pm working hours, you'll have the flexibility to manage eligibility additions and terminations for new and renewing clients using electronic files, paper forms, and portals. Your attention to detail will ensure enrollments comply with legal requirements...
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Eligibility Specialist
2 weeks ago
Sandton, South Africa HR Studio Ltd Full timeAbout the RoleAt HR Studio Ltd, we are seeking an Eligibility Specialist to join our team. This role involves processing benefit entries, validating information, and responding to eligibility and enrollment-related issues. The successful candidate will work closely with clients, vendors, and internal departments to resolve billing or technical issues related...
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Eligibility Specialist
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Sandton, South Africa HR Studio Full timeWe're seeking an Eligibility Specialist to join our team at HR Studio.The ideal candidate will have expertise in processing benefit entries and validating information, as well as responding to eligibility and enrollment-related issues.Key responsibilities include:Managing eligibility additions and terminationsEnsuring enrollments and changes comply with...
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Eligibility Specialist
4 weeks ago
Sandton, South Africa HR Studio Ltd Full timeWe are seeking an Eligibility Specialist to join our team at HR Studio Ltd. The successful candidate will be responsible for managing eligibility additions and terminations, ensuring enrollments and changes comply with legal requirements and client specifications.Key Responsibilities:Manage eligibility additions and terminations for new and renewing clients...
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Sandton, South Africa HR Studio Ltd Full timeWe are seeking a highly skilled Eligibility Specialist to join our team at HR Studio Ltd. As an Eligibility Specialist, you will play a vital role in processing benefit entries and validating information. Your primary responsibility will be to ensure that all enrolments and changes comply with legal requirements and client specifications.About the RoleKey...
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