Vp, Member Enrollment (Core Ops) - Remote
By Molina Healthcare At United States
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Meeting and exceeding State and Federal regulatory requirements for quality, compliance, and turnaround times.
Hires and coordinates training, and manages staff involved in creating controls, documents, and tools within the Member Core Ops Team.
Design and implement systematic approach to improve member experiences through increased operational efficiency and effectiveness.
Responsible for reporting potential liabilities for financial tracking and accruals to senior leadership.
Excellent verbal and written communication skills.
Group Enrollment Representative I
By CHOICE Administrators At Orange, CA, United States
Performs other business tasks or functions as assigned. Knowledge, Skills & Abilities Required:
Candidate must have proficient use of 10 key and accurate data entry skills.
Working knowledge of Microsoft products, particularly Word and Excel.
Strong written and oral communications skills.
Prior experience in Health Insurance industry and customer service preferred. Additional Competencies:
Temp Position* Purpose of Position: Perform the daily functions and operations of the Group Processing Center. Essential Functions:
Claim Benefit Specialist Ops
By CVS Health At , , Sc $17.00 - $27.90 an hour
Identify claim cost management opportunities and refer claims for follow up
Determine and understand the coverage provided under a member's health plan
Efficiently use multiple systems and screens to obtain and record claim information
Review claims information to determine the nature of a member's illness or injury
Process claims accurately to enhance customer satisfaction and retention
Process claims within quality and production standards
Aso Group Benefit Billing Specialist
By The Hartford At , Hartford, Ct
Any issues that cannot be resolved must be escalated to management in a timely manner.
Prior accounts receivable experience required. Insurance/Finance field strongly preferred
Experience with long term and short term disability group insurance products is strongly preferred.
Strong organizational skills, attention to detail, and use of judgment to make informed decisions.
Ability to multi-task and manage time effectively including tracking and monitoring to meet deadlines.
Accounting, Business, Finance or Math college degree is strongly preferred.

Are you looking for an exciting opportunity to help people get the benefits they need? Join our team as an Enrollment Specialist Group Benefit Ops and help us make a difference in people's lives! You'll be responsible for ensuring accurate and timely enrollment of benefits for our clients and their employees. With your expertise, you'll be able to provide exceptional customer service and ensure our clients have the best experience possible. Don't miss out on this great opportunity - apply today!

Overview Enrollment Specialist Group Benefit Ops is responsible for providing customer service and enrollment support for group benefit plans. This position is responsible for ensuring that all customer inquiries are answered in a timely and accurate manner, and that all enrollment and benefit changes are processed accurately and efficiently. Detailed Job Description Enrollment Specialist Group Benefit Ops is responsible for providing customer service and enrollment support for group benefit plans. This position is responsible for ensuring that all customer inquiries are answered in a timely and accurate manner, and that all enrollment and benefit changes are processed accurately and efficiently. The Enrollment Specialist will also be responsible for providing customer service and technical support to plan participants, employers, and brokers. Job Skills Required
• Excellent customer service skills
• Strong communication and interpersonal skills
• Ability to multi-task and prioritize tasks
• Knowledge of group benefit plans
• Ability to work independently and as part of a team
• Proficiency in Microsoft Office Suite
Job Qualifications
• Bachelor’s degree in business, finance, or related field
• 2+ years of customer service experience
• Knowledge of group benefit plans
• Knowledge of insurance regulations
• Ability to work independently and as part of a team
Job Knowledge
• Knowledge of group benefit plans
• Knowledge of insurance regulations
• Knowledge of customer service principles and practices
• Knowledge of Microsoft Office Suite
Job Experience
• 2+ years of customer service experience
• Experience working with group benefit plans
• Experience working with insurance regulations
Job Responsibilities
• Provide customer service and enrollment support for group benefit plans
• Answer customer inquiries in a timely and accurate manner
• Process enrollment and benefit changes accurately and efficiently
• Provide customer service and technical support to plan participants, employers, and brokers
• Maintain accurate records of customer interactions
• Monitor customer accounts for changes and updates
• Assist with the development and implementation of new processes and procedures