Job Description

Job Description

An Amazing company in Burbank is seeking to hire an Eligibility Benefits Specialty to join a great team that focuses on Health Benefit Enrollment for their customers and explaining benefits to them and walking them through the whole process. Excellent Customer Service is a requirement. The Eligibility Benefit Specialist is in a core business unit that serves our members and their families by providing important information and support with Health benefit enrollment and our eligibility requirements. This includes but is not limited to; enrollment assistance, address changes, explaining earnings requirements, basic plan benefits, COBRA, HIPAA and related aspects of the Affordable Care Act. The specialist works closely with the department’s leadership to assist in the day-to-day functions of the department such as administrative tasks, filing, and answering phone calls and emails. In addition, the Specialist will collaborate with the IT Help Desk and health care partners to detect and resolve system and eligibility data issues. The Specialist is also responsible for providing excellent customer service to every customer. This includes internal staff as well external customers as well as business managers, agents, our members/participants, and the Union. You will be enrolling members in HMO, PPO and COBRA Benefits. You must be knowledgeable with health plans and speaking to providers and physician offices.

PRIMARY JOB FUNCTIONS:

• Logs into departments phone queue daily to take phone calls
• Cross-trained to process the departments workload including but not limited to: new eligibility, loss of coverage etc., dependent coverage, pharmacy issues, COBRA Administration, Monthly/Quarterly/Annual processes and more
• Maintains lists of any Participants with coverage exception issues that must be manually updated (weekly/monthly) and performs necessary data entry
• Provides training and instruction for system overrides and “work-arounds” to team members as necessary
• Coordinates with the Eligibility Team, the I.T. team, and all vendors (i.e., Anthem Blue Cross, Express Scripts, Delta Dental, VSP and the UCLA/Motion Picture Fund) to identify and resolve eligibility data issues discovered in our system, data file transmissions and vendor discrepancy reports
• Performs system testing (as needed) of all proposed resolutions to Help Desk Tickets and reports results to the department Assistant Manager and/or Manager
• Performs manual calculation of Qualified Certified Retiree Health Quarters for all requests received from the Pension Department
• Assists the Sr. Eligibility Technical Specialist in gathering all necessary data (electronic and manual) for monthly and quarterly performance reports to COO and CEO

QUALIFICATIONS AND EDUCATION REQUIREMENTS:

• Bachelor’s degree in Healthcare, Math, Engineering, or related field, or equivalent work experience
• Learn various software applications and become self-sufficient in using the software in a user interface environment
• Quickly learn and apply new tools, processes, and standards
• Demonstrate adaptability and forward-thinking in the face of technological or organizational change
• Strong analytical and interpersonal skills
• Ability to work on multiple assignments simultaneously
• Experience working on large-scale projects

Benefits

Medical, Dental, Vision Health Insurance 100% Paid by Employer

$50 a month for each dependent to receive full health insurance coverage

401K with a 2% Employer Match

Pension – 5 Years to be Vested – Employer Only Contributions

Paid Covered Parking

Generous Vacation and Sick Day Policy

0-1 years =12 days

1-2 years = 13 days

2-3 years = 14 days

3-4 years = 15 days

4-5 years = 16 days

5-6 years = 17 days

6-10 years = 20 days

10 years or more = 25 days

Sick Pay = 12 days a year

Floating & Anniversary Days - 2 Floating Days and 1 Anniversary Day per Year

Please send resumes to icarroll@csi4jobs.com or call Ida at 805-561-1040

Career Strategies is an Equal Opportunity Employer and Recruiter considers qualified applicants in accordance with applicable state and federal laws. Qualified applicants with arrest or conviction records will be considered for employment in accordance with the LA County Fair Chance Ordinance, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance and state law.

Company Description

Career Strategies has been building staffing partnerships since 1989. Our professional expert recruitment team provides candidates and clients with the staffing partnership they need to keep up with today’s ever-changing business environment.
Our candidates are the heart and energy of our firm. We embrace our candidates’ talent by understanding their goals and making them a reality. Our recruiters immerse themselves in learning what inspires each candidate. Uncovering that inspiration through active listening and tailored recruitment strategies. The recruitment team works collaboratively to present our candidates with exceptional opportunities whether full-time, temporary or contract-to-hire.

Company Description

Career Strategies has been building staffing partnerships since 1989. Our professional expert recruitment team provides candidates and clients with the staffing partnership they need to keep up with today’s ever-changing business environment. \r\nOur candidates are the heart and energy of our firm. We embrace our candidates’ talent by understanding their goals and making them a reality. Our recruiters immerse themselves in learning what inspires each candidate. Uncovering that inspiration through active listening and tailored recruitment strategies. The recruitment team works collaboratively to present our candidates with exceptional opportunities whether full-time, temporary or contract-to-hire.