Eligibility Specialist Expert

3 weeks ago


Sandton, South Africa HR Studio Ltd Full time

We 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 and client specifications.
  • Verify that enrollments are activated promptly and that information is accurately and fully entered.
  • Collaborate with providers, vendors, and internal departments to resolve billing or technical issues related to eligibility.
  • Respond to client inquiries and manage data transfers, adhering to department turnaround times and maintaining queue levels.

Requirements:

  • Matric 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.

Work Schedule: 2pm - 11pm


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