As the Group Health (GH) Eligibility Coordinator - TEMP, you will act as the primary Associate advocate in responding to calls and written inquiries to determine the best course of action to resolve issues/questions under Plan rules. In this role, you are responsible for processing and managing enrollment applications and change requests in a timely manner and in accordance with Plan and federal regulations.

The GH Eligibility Coordinator - TEMP is a Support Team role based out of our Corporate Office in Norcross, GA in the metro Atlanta area. Our Corporate Office Support Team consists of 300 Associates who are committed to supporting our Operations Team as they proudly serve and create memorable experiences for our Customers. Housing over 40 departments and many fields of industry, we take pride in offering a wide variety of opportunities at every stage of your career. If you are just looking for a job “right now”, Waffle House probably isn’t the right fit for you. If you are a career-minded person who values hard work, is passionate about putting people first, and wants to build a meaningful career alongside like-minded people, this is the place for you!

**This is a Temporary role with a tentative end date of January 2024.**

Essential Duties & Responsibilities:

• Responsible for high-volume customer service phone calls while providing quality internal and external customer service to Associates and WHI Managers.
• Determines eligibility using PPACA guidelines and timely communicates findings via written and verbal means.
• Works closely with TPAs to resolve claim questions, service issues, and ensure enrollment accuracies.
• Manages and audits insurance payments falling outside regular payroll deductions; processes insurance deduction refund requests as warranted.
• Reads, understands, and effectively explains Plan rules and benefits per Plan documents, federal regulations, and Company policy.
• Receives and processes carrier and systems discrepancy files, making updates and notifications as necessary.
• Accepts responsibility for other duties or projects as assigned.

Knowledge/Skills:

• Ability to handle high volume and complex processes; meets deadlines while maintaining a high degree of accuracy.
• Team oriented individual with good organizational, customer service, and problem-solving skills.
• Must have strong basic math skills.
• Excellent verbal and written communication skills.
• Must have strong time-management skills.

Computer skills:

• Proficiency in MS Word, MS Excel, AS400, and online TPA enrollment/claim systems preferred.

Education:

• High School Diploma or GED Equivalent Required.

Who Are We?

In 1955, two Georgia neighbors opened up a restaurant that would change the world. That first restaurant led to the Waffle House brand you see today. As the business expanded throughout Georgia and the Southeast, the “Yellow Sign” soon became a familiar landmark, signifying America’s Place to Eat™ and America’s Place to Work™. Today, the Waffle House system has more than 1,900 locations in 25 states, reaching as far north as Pennsylvania and as far west as Arizona. All open 24-hours a day, seven days a week, 365 days a year. Our workforce can be broken into two categories – Operations (Restaurant Associates and Managers) and Support Team (Corporate Office Associates, Field Recruiters, and Maintenance Technicians).

We are a strong, growing company dedicated to our Customers and Associates. We would love to have you on our team! To learn more about the Waffle House culture and our great community of employees and customers, please visit www.wafflehouse.com!

WAFFLE HOUSE IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER

Job Type: Temporary

Pay: $15.00 per hour

Schedule:

• Monday to Friday
• No weekends

Work setting:

• In-person
• Office

Ability to commute/relocate:

• Norcross, GA 30071: Reliably commute or planning to relocate before starting work (Required)

Work Location: In person